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Page 1: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

GlobalmHealthDeveloperSurvey

SummaryofSurveyResults

February2012

SiteLicense:AccessallowedformulBpleuserswithinonecompanylocaBonofyourorganizaBon

Page 2: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

2©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Theadventofthe“appeconomy”createdabrandnewinteracBvewaytocommunicatewiththemarket.This“SmartphoneApplicaBonsMarketPhenomena”hasalreadyimpactedheavilyonmanyindustries,andthatimpactwillonlyincreaseassmartphonepenetraBongrows.Healthcareisoneoftheseindustries,andtheopportuniBesforimprovingbothhealthcaredeliveryandthedisseminaBonofmedicalinformaBonareyettobefullyunderstood.

ANractedbytheoverallmarkethypearoundsmartphoneapplicaBons,independentapplicaBondevelopersandtoalesserextenttradiBonalhealthcareindustryplayershavestartedtodevelopandmarketmHealthapplicaBonsonthesmartphoneapplicaBonstores.

TheglobalmHealthmarketsurveyconductedinthesecondhalfof2011examinestheopinionsaboutkeymarkettrendsofbothstart‐upcompaniesandmHealthandtradiBonalhealthcaremarketplayersthathavehadexperiencepublishingapplicaBonsforasmartphoneplaQorm.

Objec&ves:

•  Obtaindevelopers’percepBonofmHealthstatus,driversandbarriers

Time:•  Thesurveywasconductedinthesecondhalf

of2011

Method:•  OnlinequesBonnaire

Par&cipants:

•  377companiesandindividualsinvolvedinmobilehealthmarket

Reach:•  Global

Thisdocumentisasummaryoftheresultsoftheglobaldeveloperinterviewsurvey

Marketbackground Surveydetails

Note:ThisdocumentsummarizestheinformaBongatheredduringthesurvey.ItdoesnotdrawanyconclusionsorproviderecommendaBons.ItincludescommentsandopinionsofsurveyparBcipants.

Page 3: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

3©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Surveypar&cipantsinclude(total377respondents)28bLimitedAalborgUniversityAastromBiosciences,IncAbleEyeDeviceCo.,LtdAccentureAcrossHealthADLAdvancedMedicalSoluBonsplcAetnaAlconIncallaneades&associatesp/lAllerganAltysTechnology(Pty)LtdAnakenaSoluBonsAnsellAnsonGroupANT+WirelessAppdiagnosisABAppleInc.AT&TAtosITSoluBonsandServicesGmbHAxicareBahiaSodwareBayerBaxterHealthcareBdigitalBlueHighway,Inc.BoehringerIngelheimBusinessRepublicCarefusionCareFusionCastrosinCatalentPharmaSoluBonsCelesioAGCelgeneCorporaBonCellnovoCHWCINTERION,aGemaltocompanyCiplaLtd.Cognovant,Inc.ColoplastdoBrasilLtda.CommonwealthManagementServicesCompleteDigital

ComstrandCooldesignAgencyCooperVisionCoreAppCPMGCTSCVS/CaremarkMinuteClinicDakotaStateUniversityDCISDevicixDiyaITSoluBonsDLSHEALTHCARECONSULTING,LLcDrapin&Co.eczacibasiE‐HealthMediaEyelabS.r.l.ElsevierEmpathyLabEngageEricssonNikolaTeslaESIEssenBalResearchEssilorUSAEveryFitExecuBveImpactGroupFitnessFulfillmentFLAFlaxworksFutureHealth.com.auGEHealthcareGeHSGillCreaBveResourcesGMHPH2OnlineH3System,Co.,Ltd.happBque,inc.HealthInteracBonsHealthMinisteryHealthoverIP(HoIP)HewleNPackardHytecHMRCHospira

HospitalGidShop,Inc.HuaweiHumanaICWiLabsMedicalIMAGEInformaBonSystemsEuropeLtd.ImaxdiIMI‐HealthAGIMSHealthInformaInnovateVerBcalSoluBonsInsBtuteofElectronicBusinessIntelecareVentures,LLCIntellegoHealthManagementResourcingIntuiBveHealthiPLATOHealthcareIRWAALLCItelogyPartnersYankeeGroupJohnson&JohnsonKairosFutureKaiserPermanenteKaitensod‐IMSPartnerkalbefarma,tbkKatholischesKlinikumBochumKCIKePROLavandooMobileSoluBonsGmbHLifeQubeLifesenseLifeWIRECORPMagyarTelekomMayoClinicMangoInformaBcsP.L.MarylhurstUniversityMatryxGroupMaximHealthcareServicesMcKessonmDiagnosBcaMedcoHealthSoluBonsMEDgleMedicalConnecBvityConsulBng

MedicAppCorpLtdMedimoov.comMelbourneHealthMerckMerckSeronomHealthEvolveMobidarmmobilehealthexpoMobilePRMMobileSoluBonsCompanyModernHealthTalkMoleProducBonsMoleacPet.Ltd.MPIMSDNATOTrainingMissionNesecoNeuralDiagnosBcsPtyLtdNevrocorpNewLeafVenturesNHSWestMidlandsNIHNIHPInc.NoninMedicalNowPosM‐SoluBonsNutriciaAdvancedMedicalNutriBonNutriciaLtd(Danone)OakleyMedicalPracBceOHSUOptasiaMedicalOpBMedisAGOptumInsighOzanBaBgunPacificaSeniorLivinginSanLeandroPAREXELPaBentKeeper,Inc.PhilipsPhoenixConsulBngMLJPlanetHobuPlanetSiol.netPMDExports,Inc.PraetorianServicesPlcPTKalbeFarma

PublicisLifeBrandsPublicisLifeBrandsResoluteRanbaxyRobbinsInteracBveRochePakistanLimitedRockHealthRoseNaMarkeBngRTCNorthLtdSaintJosephHealthSystemsalhospitalScolshHealthcareSensei,IncShenzhenComenMedicalInstrumentsSkyInternaBonalSmartOnlineSmithsMedicalSofomoEmbeddedSoluBonsPvtLtdlifeplot.inSonicHealthcareSouthWestYorkshireNHSSpyderDigitalResearchIncStJudeMedicalStrategyAnalyBcsStrykerTacBoSodwareTechDataTechnikumWienTeleThriveTELUSTevaTILabUCBUNCHospitalUniversityofAucklandUniversityofOtagoUSAMRMC/TATRCVasterboNenCountyCouncilVestreVikenHFVirginAcBve(Pty)ViropharmavivmedWEBonTheWebWellDocWHO..andsingleexperts

Page 4: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

4©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Keytakeaways

•  DiabetesisseenasthetherapeuBcareawithhighestbusinesspotenBal•  TodayhealthcareinterestedpeopleandclinicaldoctorsarethemaintargetgroupsformHealth

soluBons•  MobilehealthsoluBonsforpaBentsandprofessionalsdifferalotintheirbusinesspotenBal

•  Both,tabletsandsmartphones,willhaveaplaceinmarketbutserveveryoppositefuncBons

•  ParBcipantsenvisionsignificantacceptanceofmHealthsoluBonsin2016

•  PaBents,appdevelopersandagenciesareseenasmainplayersinthemarket

•  SmartphonepenetraBonisseenasthemaindriverformHealth

•  LackofstandardizaBon,regulaBonandmarkettransparencyarethemainbarriersfacingmHealth

•  AppstoreswillremainoneofmaindistribuBonchannelsformHealthsoluBons

•  SmartphoneswillofferthehighestbusinesspotenBalformHealth

•  AndroidandiOSwillbethepreferredmobileplaQormsformHealthsoluBons

•  mHealthappsareseenastoolstoprovidemedicalservicesremotely

•  ThemajorityofparBcipantsforecastabreakthroughofmHealthinthenextfiveyears

Page 5: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

5©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

ThemHealthsurveyinvolvedsmallstart‐upsaswellaslargecorporatesfromallovertheworld

Selfemployed

8%

1‐5029%

51‐1005%

101‐1,00014%

1,001‐10,000

18%

10,000+25%

Par&cipantsbyNo.ofemployees Par&cipantsbycountry

USA40%

UK11%

India7%

Australia3%

Canada3%

Germany3%

TheNether‐lands2%

Other31%

*Othercountriesinclude:Afghanistan,Andorra,Austria,Belgium,Brazil,Bulgaria,China,Colombia,CroaBa,Denmark,DominicanRepublic,Egypt,Finland,France,Greece,Hungary,Indonesia,Iran,Ireland,Italy,Japan,Liechtenstein,Malaysia,Mexico,NewZealand,Norway,Pakistan,Poland,Portugal,Russia,SaudiArabia,Singapore,Slovenia,SouthAfrica,SouthKorea,Spain,Sweden,Switzerland,Turkey,UAE.

Page 6: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

6©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Thesurveyinvolvedpar&cipantsfromvariousrelatedindustrieswithaveragemHealthexperienceof2.5years

None35%

<6months13%

6‐12months12%

1‐2years17%

3‐4years09%

5+years13%

Company’sexperienceinmHealth Companiesbyindustry

22%

21%

20%

15%

9%

6%4%

2% 1% 0%Consultancy/Agency

Devicemanufacturer

Appdeveloper

PharmaceuBcalcompany

Hospital

TelecommunicaBonscompanyMedComm

Healthinsurer

Medicalpublisher

Sport/fitnesscompany∅2.5years*

*Averageofcompaniesthathavesomeexperience.

Page 7: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

7©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Diabetesisseenasthetherapeu&careawithhighestbusinesspoten&al

Whichtherapeu&careasofferthebestmarketpoten&alformHealthsolu&ons?

*CHDreferstocoronaryheartdisease**COPDreferstochronicobstrucBvepulmonarydisease.

80%

45%

40%

39%

25%

24%

24%

24%

22%

18%

16%

6%

Diabetes

Obesity

Hypertension

CHD*

Depression

COPD**

Cancer

Chronicpain

Asthma

Sleepdisorders

Alzheimer’sdisease

MS‐MulBplesclerosis

ShareofRespondents

“Doctor'sprescripBonsaremostodenamixtureofmedicaBon and lifestyle changes. Pharmacists aredoing all they can to help paBents comply to themedicaBonprescripBon.mHealthhasthepowertodrivedailylifestylechangesandprovideBmely,in‐pocketmedicaBon reminders, thusmHealthholdsthekeytobothcriBcalaspectsofcompliance.”

Page 8: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

8©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

19%

27%

34%

42%

44%

56%

40%

53%

61%

66%

52%

72%

Daycarestaff

Pharmacist

Nurses

IndependentGP**

Medicalstudents

Clinicaldoctor

ShareofRespondents

2016 2011

TodayhealthcareinterestedpeopleandclinicaldoctorsarethemaintargetgroupsformHealthsolu&ons

WhatareandwillbethemaintargetgroupsformHealthsolu&ons?

Pa&ents Professionals

24%

35%

58%

58%

39%

61%

81%

61%

Acutesickness

Caregiver

Chronicallyill

Healthcareinterested*

ShareofRespondents

“IbelievethenumberofpaBentsusingthedeviceswillbedeterminedbasedonthedemographicsofthepaBentpopulaBon.PaBentswhoaremoreaffluent&/orbeNereducatedwillbethemostlikelyuserswhereaselderly/less‐educated/poorerpaBentswillnotbeaslikelytousethedevices.”

*Individualsthatarehighlyinterestedinfitness,nutriBon,andotherhealthrelatedissues.**IndependentgeneralpracBBonersrefertodoctorsworkingoutsideofahospital.

Page 9: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

9©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

8%

18%

29%

29%

36%

36%

42%

42%

48%

48%

49%

50%

50%

51%

52%

53%

59%

60%

Fitness/Healthapps

Healthtrackingtools,weight,calories,fitness

Generaldiagnosisapps

MedicaBoncompliance,reminderservices

Email

Notesandmemos

Alertsandupdatesonmedicalnews

Billing,codingandclaimstools

Appsprovidingremoteaccesstolabresults

AppsthatdisplayECGresults

Medicalreferenceatpoint‐of‐care

ConBnuingMedicalEducaBon

DatatransmissiontotheEmergencyRoom(ER)

ManagingandtrackingmedicalcondiBons

Digitalimaging

RemoteconsultaBon,inremotelocaBons

Managementofelectronichealthrecords(EHR/PHR)ondevices

AppsallowinghospitalstomonitorpaBentsattheirhome

ShareofRespondents

Mobilehealthsolu&onsforpa&entsandprofessionalsdifferalotintheirbusinesspoten&al

WhatmHealthsolu&onsofferthebiggestmarketpoten&alformedicalprofessionalsandpa&ents?

Pa&ents Professionals

7%

11%

16%

18%

19%

20%

21%

25%

29%

32%

36%

38%

48%

50%

57%

60%

64%

67%

Digitalimaging

ConBnuingMedicalEducaBon

Billing,codingandclaims

Medicalreferenceatpoint‐of‐care

DatatransmissiontotheEmergencyRoom

AppsthatdisplayECGresults

Notesandmemos

Alertsandupdatesonmedicalnews

Generaldiagnosisapps

Managementofelectronichealthrecords(EHR/PHR)

Appsprovidingremoteaccesstolabresults

Email

ManagingandtrackingmedicalcondiBons

AppsallowinghospitalstomonitorpaBentsattheirhome

RemoteconsultaBon,inremotelocaBons

Fitness/healthapps

MedicaBoncompliance,reminderservices

Healthtrackingtools,weight,calories,fitness

ShareofRespondents

“ IdobelievethereisastrongmarketpotenBalformHealthofferingsinthemonitoring,educaBonandtreatmentofanindividual'shealthcare.”

“TherearecertaindevelopmentshappeningandawarenessfortheneedtohavemobilehealthsoluBonisincreasing,whichclearlyshowsthatthemHealthapps,soluBonandmarketwillgrow,theonlyissueistodevelopasimplifiedsoluBonwitheasyaccesstothepaBentsandpracBBonerandneedtoidenBfytherelevantstakeholdersandsomeonewhowillbemanagingthewholeecosystem.ThisdefinitelyshouldnotstopatjustanapplicaBondevelopmentforsmartphoneoraniPad,successliesbeyond.”

Page 10: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

10©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Both,tabletsandsmartphones,willhaveaplaceinmarketbutserveveryoppositefunc&ons

Whichdevicesofferthebestmarketpoten&alfortheuse‐func&onslisted?

19%

26%

33% 35%

43%47%

50% 50% 51% 52%

53%

62%65% 66%

71%

80% 82% 83%

71%67%

57%

72% 74%

60%65%

48%53% 52%

61%

60%53%

41%45%

32% 33%28%

24% 25%30%

20%

29%

19%25%

21%25%

20% 20%25% 24%

20%

30%

17%12% 15%

ShareofRespo

nden

ts

Smartphones Tablets PalmtopPC

“I don't think thatsmartphone will takethe lead of mHealthsoluBons.Myopinionisthat a combinaBon ofdevicessuchasiPadandiPhone will cooperatewith similar addedvalue. Furthermore,devicessuchiPadwillbedaily habit on everyhealthsector.”

Page 11: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

11©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Par&cipantsenvisionsignificantacceptanceofmHealthsolu&onsin2016

Whatpercentageofmedicalprofessionalsandpa&entsindevelopedcountries*willusemHealthin2016?

2%6%

9% 9% 9%14% 15%

18%

12%

5%

0‐10% 11‐20% 21‐30% 31‐40% 41‐50% 51‐60% 61‐70% 71‐80% 81‐90% 91‐100%

6% 7%12% 12%

16%13%

16%

10%7%

1%

0‐10% 11‐20% 21‐30% 31‐40% 41‐50% 51‐60% 61‐70% 71‐80% 81‐90% 91‐100%

PaBents

Professionals

∅47%

∅57%

“5yearsislike5minuteswhenitcomestothekindofchangewearetalkingabouthere.Ithastakenus5yearstogetjustahandfulofhomecareprovidersusingmobileapps,despiteastrongbusinesscase.HealthcareorganizaBonsareconservaBveandtheyarenotstrongatdrivingchange,sothedecisionstakealongBmeandgelngwidespreadadopBonevenlonger.DrivingthiskindofchangeisaskillsetthatisnotnaBvetohealthcare.”

“mHealthwillgrowfasterinemergingmarketsthanin'developed'markets.”

“TherewillbeincreasedacceptanceofmobilehealthcareofferingsbutIbelieveitwilltakelongerthan5yearsevenfortheearlyadoptersofpaBents,medicalcommunityandthehealthinsuranceplans.”

*NorthAmerica,Europe,Australia,Japan,SouthKorea,NewZealand(IMFdefiniBon).

Page 12: Global mHealth Developer Survey - research2guidance · CINTERION, a Gemalto company Cipla Ltd. Cognovant, Inc. Coloplast do Brasil Ltda. Commonwealth Management Services Complete

12©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Pa&ents,appdevelopersandagenciesareseenasmainplayersinthemarket

WhichofthefollowingstakeholdersaregoingtodrivethemHealthmarketoverthenext5years?

9%

9%

23%

26%

28%

28%

33%

37%

37%

40%

48%

Sportandfitnesscompanies

Handsetmanufactures

Healthregulatorybodies

TelecommunicaBonscompanies

PharmaceuBcalcompanies

Medicaldevicemanufacturers

Healthinsuranceagencies

Medicaltechnologyproviders

Hospitalsandhealthcareworkers

Appdevelopers/agencies

PaBents

ShareofRespondents

“AlreadyseeingatsunamiofhealthrelatedappsdrivenbypaBents,notpracBBoners. Biggestissueinthenextfiveyears is sorBng through all of them. HealthcareregulaBon on privacy and security will delay provideradopBon of these apps; developmentwill be driven bypaBentdemand.”

“PaBents drives the system. They will go to the doctorsnot for a diagnose but for a signature on a receipt, asthey already did the diagnose by themselves throughapps,weboranyothertool.”

“Behavior is driven by incenBve. Medical FaciliBes candrive this through adhering to new metrics ofreimbursement,re‐admiNance,etc.”

“Healthinsuranceagenciesin2016willbedriventowardsa forward thinkingproacBvebusinessmodel asmillionsofusersusesmartphonemHealthapps to livehealthierandtryavoidingoratleastdelayingtheuseofhealthcarecoverage.”

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13©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Smartphonepenetra&onisseenasthemaindriverformHealth

WhatarethemaindrivingforcesforthegrowthofmHealthinupcomingyears?

18%

18%

19%

19%

21%

21%

23%

24%

27%

27%

32%

36%

39%

42%

45%

UbiquityofmHealthsoluBons/apps

DemographicgrowthofpaBentgroups(elderlyandchronicallyill)

StandardizaBonbreakthroughs

CorporateinvolvementinthemHealthmarket

Healthregulatorybodies'support

DecreasingpriceofmHealthsoluBons

TelecommunicaBon'sinvolvementinhealthinnovaBons

IncreasingpartnershipsbetweenmHealthsoluBonsandservices

Easeofproduct/serviceconnecBvity

EaseofaccesstosoluBons

TechnologicalinnovaBons

User/paBentdemand

PaBent‐centriccaremodels

Governmentdemandforhealthcareefficiencysavings

SmartphonepenetraBon

ShareofRespondents

“Thefutureofhealthcarewillnotbeinadoctorsoffice,butwillbeinthepaBentshome.<…>Thiswillbedependentoninsurancecompanies,healthcareprovidersandgovernments.”

“ThemHealthenvironmenthavegrownrapidlythelasttwoyears.It`sgreatthattheclinicalapproachandunderstandingofhowtoworkupagainstthehealthcarecliniciansmarkethavebeenadoptedfromtheMedDevindustry. Oneyearago,themHealthdiscussionswasfunnytofollow.Nothecliniciansarebroughtintothediscussions,andthat`saturningpoint.”

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14©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Lackofstandardiza&on,regula&onandmarkettransparencyarethemainbarriersfacingmHealth

WhatarethebiggestbarriersofmHealthintheupcomingyears?

BarrierRanking(ShareofRespondents) Explana&on

RegulaBon 58%  RegulaBonwillslowdowninnovaBonanddevelopmentofmHealthsoluBons

Lackofstandardizaion 43%  Thelackofhavingstandardsonhardwareandsodwarewillslowdownmarketdynamic

PaBentinformaBonsecurity

37%  PaBentswanttokeephealthinformaBonsecure,strongencrypBonandauthenBcaBonneeded

UnawareofsoluBons 27%  PeoplearenotawareofmHealthsoluBonsorfindithardtoaccessthem

CostofsoluBon 25%  PaBentsarenotwillingtopayforthesoluBon.Costlydevelopmentprocess

Targetgroupmismatch 20%  Thereisasmallpercentageofthetargetgroup(e.g.elderly/chronicdisease)thatownsasmartphone

UnknownlegiBmacy 20%  Userswillbereluctanttouseappssincetheycanbedevelopedbyanyone

ReadinessofpaBents 18%  Peoplearen’treadyforachangeintheirrouBnehealthcaretreatment

Technologyreadiness 17%  Thetechnologyisn’tpracBcalandaffordableforalargeenoughmarketyet

Lackofclinicalapprovals 10%  Devicesdonotmeetclinicalrequirementsintermsofhygiene,waterproofing,etc.

“Themostimportantbarrieristhemindsetofthepeoplewhowillapproveornotapprovethenewwayofliving.Howmanyhours,monthsoryearswewilldiscussonsomethingthatwillbealreadybeastatusquoandhabittodailylifeofpeople.”

“ThequesBonisnotifdevicesortechnologywillhavethecapabilitytoopenthedoortothenewnormal,butifwecanstandtoopenthedoortothenewnormal,becauseinthisnewstatusprivacygivesthebatontotransparencyandsecuritygivesthebatontoaccountability.Arewereadytolivewiththosenewvalues?”

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15©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

28%

35%

39%

44%

52%

55%

56%

MNOs

WebpagesofsoluBonproviders

Pharmacies*

Healthcarewebsites

Physicians*

Appstores

Hospitals*

ShareofRespondents

Appstoreswillremainoneofmaindistribu&onchannelsformHealthsolu&ons

Whatarethebestdistribu&onchannelsformHealthsolu&onsasoftodayandin5years&me?

2011 2016

13%

18%

26%

26%

28%

39%

68%

MNOs

Pharmacies*

Physicians*

Hospitals*

WebpagesofsoluBonproviders

Healthcarewebsites

Appstores

ShareofRespondents

“WebAppswillreplacetheiPhonestoreasthedistribuBonplaQorm.”

“Twopurchasemodels:Rental&Purchase.Rentalaspartofaservicehospitalofferstotracktreatmentprocess(refurbishedwhenreturned).PurchaseispaBent‐drivenwithmorefocusonhealth,wellness&chronicillness.”

“Dependsoneaseofuse,pricing,penetraBonrateandofcourseonmarkeBngstrategies.ButtheappstoreanothermobileserviceplaQormswillbeknownmHealthbrands.”

*Hospitals,pharmacies,andphysicianswouldrecommendorprovidemHealthsoluBonswhenpaBentscomeinfortreatment.

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16©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

6%

13%

14%

19%

22%

54%

77%

83%

Pagers

Seniorphones

PDAs

Gameconsoles

Cellphones

Medical‐specificdevices

Tablets

Smartphones

ShareofRespondents

Smartphoneswillofferthehighestbusinesspoten&alformHealth

Whatdevicesofferthebestbusinessopportuni&esformHealthasoftodayandin5years&me?

2011 2016

5%

9%

11%

17%

27%

29%

68%

83%

Gameconsoles

Pagers

Seniorphones

PDAs

Medical‐specificdevices

Cellphones

Tablets

Smartphones

ShareofRespondents

“OverthehorizonconceptsforthirdworlddevelopmentindicatethatpaBentsinunderdevelopedcountriesmaybeanuntappedareafortesBngdevelopmentofpaBentdrivenapps.<…>mHealthindevelopedcountriesmaybesmartphonebased,butinunderdevelopedcountriescellphonewillremainthemostaccessibleportaltopaBents.

“Doubtsmartphonewilldominateduetoformfactor.Needtabletsizeforsomeapps.”

“DedicateddeviceswillbebeNerthansmartphonebasedsoluBonsinthelongtermwhentheircostisunder$100.00each.”

“mHealthwillrequiremanycombinaBonsofdevicescoordinated/networkedtogetherandconfigurable.”

“Probablytherewillbenewmedia‐notnecessarilythroughasmartphonebutanintegrateddevicewithacellularnetwork.”

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17©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

4%

6%

16%

29%

75%

77%

Symbian

PalmWebOS

BlackBerryOS

WindowsPhone

iOS(iPhone)

AndroidOS

ShareofRespondents

AndroidandiOSwillbethepreferredmobilepla^ormsformHealthsolu&ons

Whatsmartphonepla^ormsofferthebestbusinessopportuni&esformHealthasoftodayandin5years?

2011 2016

3%

6%

16%

26%

65%

84%

PalmWebOS

Symbian

WindowsPhone

BlackBerryOS

AndroidOS

iOS(iPhone)

ShareofRespondents

“It'snotabouttheapp,butabouttheplaQormwhereallthedataisstored.IndividualdatapointsfromawiderangeofappsdonotprovideapictureofthepaBent'shealth/dataforcomprehensivetreatment.“

“TherewillnotbeappsbutamoreubiquitousmobileenabledsoluBonthatworksonalldevices.”

“SBllfocusedonkillerappnotaplaQormforbeNerqualityhealthcaredelivery.”

“Web‐basedsoluBons,makinguseofHTML5technologies,willtaketheplaQormspecificapps.”

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18©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

mHealthappsareseenastoolstoprovidemedicalservicesremotely

HowcantheindustrybenefitfrommHealthsolu&ons?

11%

23%

25%

25%

36%

50%

51%

57%

62%

Increaseinmedicalemergencyservicescreatespeaceofmind

Easeoflivingbyregainingmobility

NewmarkeBngdistribuBonchannel

Awarenesscreatesahealthconscioussociety

Increaseofefficiencyinhospitals

IncreasedpaBentcompliance

ReducedcostsofmedicalsoluBons

ImprovedinteracBonbetweenpaBentsanddoctors

AccesstoservicesandtreatmentinhomeorremotelocaBon

ShareofRespondents

“mHealth brings two major contribuBons to thehealthcareindustry:1)populaBonhealthawarenessthrough the ability to measure health factors 2)access to physicians, websites and other subjectmaNer experBse in a convenient and easy‐to‐useprocess”

“IthinkmHealthistheonlyviablewaytodecreaseourhealthcarespending, andatthesameBmeincreaseawareness about healthcare issues, medicalcondiBons and treatments, health maintenance,medicaBon adherence, paBent accessibility toclinicians, decreased length of Bme for scheduling adoctor's office visit, access the needed informaBonrelatedtoyourdiseaseandgeneralhealthandfitnessconcernsbyhaving the informaBon "pushed" to themobiledeviceused.”

*HCPs:Healthcareprofessionals

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19©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

Themajorityofpar&cipantsforecastabreakthroughofmHealthinthenextfiveyears

48%

51%

68%

68%

75%

76%

27%

29%

16%

22%

17%

21%

24%

20%

17%

11%

9%

3%

By2016,themajorityofhealthinsuranceagenciesindevelopedcountries*willpayformHealthsoluBons

SimilartoApple’scurrentappstore,healthcarewillhaveaspecificappstoreforhealthandmedicalrelatedissuesby2016

SmartphoneappswillbecomethemaintypeofmobilehealthsoluBonsby2016

By2016,mobilehealthsoluBonswillbewidelyusedbythegeneralpublicindevelopedcountries*

In2016mobilehealthsoluBonswillbewidelyusedandpurchasedbyhealthcaremanagersandadministrators

By2016,themajorityofhealthcareprofessionalsindevelopedcountries*willusemobilehealthsoluBons

Agree Disagree Don'tknow

Pleasetellusyouropinionaboutthefollowinghypotheses:

“mHealthwillbethenewnormoneveryhealthsectorinnearfuture.AttheBmethatApplebringsthepowertothepaBents,bycreaBngthe"i"devicesandstandards,everythingwillbemovedfaster.Nowtherearenocompaniesorinnovatorsandstakeholdersthataskedordiscussedaboutcomplianceandnextstepsonhealthsectors.Theydon'thavetheBmetousesamebehaviorsintonewnormal.“

“mHealthwillbecomeahugepartofhealthcare,butonlyifcompaniestaketheBmetoconductrandomizedcontrolledclinicaltrialsthatdemonstrateclinicaloutcomes.ThatishowallhealthcareproductshavehistoricallyandwillconBnuetobepaidfor.”

*NorthAmerica,Europe,Australia,Japan,SouthKorea,NewZealand(IMFdefiniBon).

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20©research2guidance2012 GlobalmHealthDeveloperSurveySiteLicence

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