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Summary of our market study
The French telemedicine market is worth around 270 million euros, while the broader e-health market is valued at over 3 billion euros.
The global telemedicine market is growing significantly, and is expected to be worth around $72 billion by 2022. It is expected to grow by 12.9% between 2023 and 2032.
This growth is mainly due to the increase in chronic diseases, the aging of the population, and the impact of the Covid-19 pandemic, which has stimulated the adoption of telemedicine.
The teleconsultation segment is particularly important, accounting for 41% of the market by 2022.
North America holds more than half of the global market share. The European market is expected to reach over $66 billion by 2032.
Countries such as Saudi Arabia, China and India are experiencing higher telemedicine adoption rates than the rest of the world.
Telemedicine: a dynamic force in healthcare innovation in France
In France, demand for remote medical services continues to grow. One of the main drivers of this growth is the aging of the population, coupled with an increase in chronic illnesses requiring constant medical monitoring.
The COVID-19 pandemic played a crucial role, propelling the number of teleconsultations from around 400,000 a year before the pandemic to over a million a week at the height of the health crisis.
This rapid uptake demonstrates the potential of telemedicine not only to meet immediate challenges, but also to modernize the French healthcare system.
The French population is becoming increasingly familiar with telemedicine, with the proportion of those who have a good opinion of it rising by over 70% in the space of a year.
Most French people are familiar with the terms "télémédecine" and "téléconsultation". On the other hand, knowledge of tele-expertise and remote medical monitoring is lower, with awareness rates of between 50% and 65%.
The French public perceives telemedicine favorably, while expressing concern about the potential dehumanization of the doctor-patient relationship.
However, telemedicine is widely seen as a means of re-establishing contact with patients in medically underserved areas. The telemedicine solutions adopted by the majority of healthcare clusters cover teleconsultation and tele-expertise.
The French telemedicine market, once part of the wider e-health market valued at around 3 billion euros, is now estimated at over 270 million euros.
Given recent trends and the scale of fund-raising in the e-health sector, these figures would have risen considerably.
Telemedicine and digital health players
- Allscripts Healthcare Solutions Inc, a leading provider of healthcare IT solutions, Allscripts offers advanced electronic medical record (EMR) technologies and practice management solutions that facilitate the management of clinical, administrative and financial operations within healthcare organizations. .
- AMD Global Telemedicine: A pioneer in telemedicine equipment and technologies, facilitating remote clinical care services. It supplies equipment and systems that enable healthcare providers to carry out consultations and diagnoses.
- American Well: Known for its Amwell telehealth platform, American Well is revolutionizing the way healthcare is delivered. It offers virtual care technologies that connect healthcare professionals with patients for immediate and convenient medical consultations, making a significant contribution to healthcare accessibility.
- Oracle Corporation (Cerner): After acquiring Cerner, a major player in healthcare IT, Oracle has entered the telemedicine sector head-on. .
- Cisco Systems: Well-known in the IT sector, Cisco has also carved out a place for itself in the telemedicine market.
- Eagle Telemedicine: Specializing in telemedicine services that give hospitals and clinics access to a wide range of medical specialties.
- Honeywell International: A diversified leader extending its activities into telehealth, offering remote monitoring systems and health management tools that help patients suffering from chronic illnesses to manage their health and communicate effectively with their healthcare providers.
- Koninklijke Philips NV: Philips is widely recognized for its innovations in healthcare technologies, including telehealth solutions. The company focuses on creating a connected healthcare ecosystem, in which data and patient monitoring systems enable personalized, more proactive healthcare.
- McKesson Corporation: McKesson is a leading name in healthcare supply chain management, pharmaceutical distribution and healthcare IT.
- Doctolib is the first French platform to enable the widespread use of digital healthcare.
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Summary and extracts
1 Market overview
1.1 Definition and scope of the study
Telemedicine is a sub-area of e-health, which encompasses innovations in the use of information and communication technologies (ICT) for healthcare activities.
In France, since 2009, telemedicine has been regulated, and the Public Health Code defines 5 types of medical acts covered by telemedicine [Article L6316-1 Legifrance]:
- Teleconsultation: enabling a medical professional to consult a patient remotely;
- tele-expertise: which enables a medical professional to seek the opinion of other medical experts on the basis of elements in a patient's medical file;
- remote medical monitoring: enabling a healthcare professional to make decisions about patient care;
- medical remote assistance: enabling a medical professional to provide remote assistance to another professional during the performance of a procedure,
- telemedicine also includes medical response to calls made to the SAMU (emergency medical service) or the Centres 15 (emergency call centers).
This study covers all these medical acts, and shows how telemedicine can be a solution to medical deserts and the current situation where healthcare expenditure is growing faster than GDP.
E-health encompasses innovations in the use of information and communication technologies (ICT) for health-related activities. Sales in France were estimated at 3 billion euros in 2016 . At the time, telemedicine sales accounted for 5.2% of the e-health market, or 156 million euros. [BPI]
It has not been updated to 2022, but has undoubtedly evolved since 2016. Indeed, between 2016 and 2022, 250 fundraisings took place in the e-health sector, with a total value over this period of 3 billion euros. The year 2022 also saw significant fundraising, with a total value of over 1 billion euros. In 2025, they are expected to raise over 1.2 billion euros, an increase of 14% on 2022. [Mind Health]
The global telemedicine market is also growing rapidly. It is valued at $72 billion in2022and isexpected to grow at a CAGR of 12.9%over theperiod 2023-2032, reaching$242.2 billion.it is dominated by North America, which holds more than half of the market share. [Global Market Insights]
Market growth is being driven by both the prevalence of chronic diseases and an ageing population. In addition, the Covid-19 pandemic has had a strong and positive impact on the development of telemedicine. In France, between January and October 2020, the number of teleconsultations increased by a factor of 3 for patients and by a factor of 5 for healthcare professionals. [Agence du numérique en santé]. Among the 31 OECD members who took part in a telemedicine survey in 2021, 23 countries out of 31 authorize the use of telemedicine services.telemedicine services, 6 more than before the pandemic (Estonia, Germany, Iceland, Luxembourg, Portugal and the United States). [OECD]
Finally, the French government is increasingly mobilizing to digitize the healthcare system and meet current challenges, notably through : the multiplication of ARS (Agences Régionales de Santé) actions, the "Ma santé 2022" plan which aims to accelerate the digital shift, or the reimbursement set up by the Assurance Maladie.
1.2 The global market: regional differences but an overall growth trend
Worldwide market size
Telemedicine sales France, ****-****, in billions of US dollars Source: ****
The size of the telemedicine market reached approximately $** billion in **** and is expected to grow at a CAGR of **.*% over the period ****-****, reaching $***.* billion .
The increasing prevalence of chronic diseases and the growing need for patient management ...
1.3 The national telemedicine market: potential and barriers to entry in the wake of the pandemic
Value created by telemedicine
In June ****, the Institut Montaigne published a report entitled: E-santé: augmentons la dose! In the first chapter of this report, the institute takes stock of e-health in France, and seeks to identify the value-creation potential of the various segments. For the telemedicine segment, the report praises the ...
2 Demand analysis
2.1 Covid-19 sees a recomposition of demand: knowledge of telemedicine and age of patients
The boom in telemedicine since the health crisis
The number of teleconsultations was around ***,*** a year before the crisis, and rose to over a million a week at the critical moment of the health crisis.
Between January and October ****, telemedicine experienced enormous growth: the number of teleconsultations increased *-fold for patients ...
2.2 Improving French people's opinion of telemedicine and avenues for improvement
As we've just seen, teleconsultation was the most widely used telemedicine tool for GHTs in **** , so we took a look at the current state of the practice.
Do patients and doctors like the principle of teleconsultation?
Patient and physician satisfaction with teleconsultation France, ****-****, in percent Source: ****
The proportion of French ...
2.3 Tele-expertise
Telerexpertise enables a healthcare professional to remotely seek the opinion of one or more colleagues for their particular skills, using digital technology. It brings together a doctor with a request and a doctor in need. Telerexpertise acts have been billable to Assurance Maladie since February **, ****.
Telerexpertise consultations
Omnidoc is a telerexpertise ...
2.4 Consultation habits
It may be interesting to know the habits of the French towards health and doctors. We're going to base ourselves on a **** study by Doctolib, as unfortunately few studies have been carried out on these issues. Here are some interesting results:
Share of main reasons for GP consultations France, ****, in percent Source: ...
3 Market structure
3.1 Telemedicine within the complex structure of e-health
Telemedicine is a segment within a complex ecosystem involving health and digital technology: e-health. A French government agency, theAgence du numérique en santé, is responsible for regulating, operating, promoting and enhancing the digital transformation of the healthcare system, and this is structured around * orientations:
Source: ****
Telemedicine is part of the ...
3.2 Player structure
The two types of offer
Under the impetus of the French government, a public offering has developed through regional platforms. The introduction of common law reimbursement by the French health insurance system has led to the emergence of a private sector (***) offering services directly to healthcare professionals and patients, making the ...
3.3 Regional players
Regional platforms refer to all the platforms implemented under the guidance of the Agences Régionales de Santé and their Groupements Régionaux d'Appui au Développement de la e-Santé. In ****, ASIP Santé (***) listed ** regional telemedicine platforms in one of its publications[***]. The Agency has not updated its list since.
Here ...
3.4 Diversity of private players: a market that is becoming more structured
Diversity of private players
The typology of players is highly varied, due to the diversity of products required to carry out telemedicine procedures:
Large groups (***) also have a role to play in this field, thanks to their ability to retrieve, store and process large quantities of data. SMEs and startups (***): French ...
4 Offer analysis
4.1 Specialties covered: still incomplete but growing
The offer of diversified services is still most often carried by regional platforms, whose logic and economic model will have to be rethought following the arrival on the market of private providers of MLT platforms.[***]. Services can be offered by:
Regional telemedicine platforms: Agences Régionales de Santé (***) ; Public service providers: ...
4.2 The regional platform offering: types of platform, functionalities...
Different types of regional platforms[***]:
Telemedicine platforms are mainly available:
Via the Internet, in SaaS mode (***) ; Via a web portal requiring installation of a lightweight application (***); Via a heavy-duty application (***).
Mobile access (***), on the main mobile environments in the case of an application.
Different platform functionalities
ASIP Santé's latest survey ...
4.3 Innovative offers
Examples of start-ups offering teleconsultation services[***]
Doctolib
The launch of its teleconsultation solution came late, in January ****. However, by September ****, more than **,*** teleconsultations had already been carried out on Doctolib, representing two-thirds of the procedures reimbursed by the French social security system. Between January **** and March ****, ** million teleconsultations were recorded, including ...
4.4 Different issues
Various issues arising from the existence of a multiplicity of players
Clarification of the offer, clarifying the positioning of regional platforms and private platforms. As a result of this abundance of offerings, there is a lack of standardization, which can be limited thanks to support and guidance tools for players. These ...
5 Regulations
5.1 General regulations
The entry of telemedicine into common medical practice law
Since its introduction into French law in ****(***), telemedicine has developed around a number of priority areas.priority axes embodied in the various guides and specifications published by the DGOS, as well as legislative and regulatory texts:
In ****, article ** of the French social ...
5.2 Government measures to help integrate the practice
Government intervention
There are several reasons why public authorities want to make telemedicine more widespread:
Combating medical deserts; Reducing appointment waiting times (***); Control health-related expenditure. The economic stakes are also high, since telemedicine, by enabling better risk prevention and optimizing the organization of care, could save money.organization of care, telemedicine ...
6 Positioning the players
6.1 Positioning the players
- Ortif- Outil Régional de Télémédecine d’Île-de-France
- Maincare
- Omnidoc
- Qare (HealthHero)
- Doctolib
- NEHS Digital
- Feeli
- Hellocare
- Livi (KRY International AB)
- Medadom
- Teladoc
- Tessan
- Tunstall Vitaris (Tunstall Healthcare)
List of charts presented in this market study
- French people's knowledge of the various aspects of telemedicine
- The advantages and disadvantages of telemedicine
- Use of telemedicine solutions by GHTs
- Features of regional telemedicine platforms
- Worldwide telemedicine sales
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Latest news
Doctolib buys Dutch company Siilo to facilitate communications between healthcare professionals. - 02/03/2023
- Silo has 500,000 users who exchange an average of 40 million messages a month
- 14 million euros raised since its creation
- 40 employees
- Doctolib - a medical appointment scheduling solution used by 70 million people in Europe
- Sales up 24% year-on-year, excluding acquisition of Siilo
- The company has raised 500 million euros from Bpifrance and Eurazeo in 2022, on a valuation of 5.8 billion euros
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