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Summary and extracts
1 Market Overview
1.1 Definition and scope of the study
Telemedicine is a subcategory of digital health, which encompasses innovations in the use of information and communication technologies (ICT) in healthcare. There are multiple and diverse purposes of telemedicine, which in fact, serve as the basis for distinguishing the activity into three main macro categories:
- Specialized telemedicine: remote medical services provided within a specific medical discipline, between physician and patient, or between physicians and other health care providers.
- Telehealth: the systems and services that connect patients, especially chronic patients, with physicians to assist them.
- Telehealth: social welfare system for caring for the elderly or frail person at home.
Globally, by 2023 the market has reached a value of $151.42 billion. The digitization process and the increasing digital capabilities of users will contribute to market growth in the near future. Between 2023 and 2028, a compound annual growth rate (CAGR) of 13.88 percent is expected under which the market could touch a total value of $290 billion.
Demand for telemedicine services is also growing in Italy after booming during the pandemic period between 2020 and 2021. By 2022, the digital health market in Italy exceeds $5 billion in value, and Italians' spending on digital health will stand at €1.80 billion. Between 2022 and 2030, the Italian digital health market is expected to grow by 18.1% per year, reaching a value of more than $19 billion by the end of the period.
In the Italian market, telemedicine services are offered by both medical practices (general and specialist) and pharmacies. In particular, the main platforms used include Althea and Health Telematic Network. As for private healthcare facilities, the most important of these offering telemedicine services are IRCCS Ospedale San Raffaele (part of the San Donato Group), IRCCS Ospedale San Camillo and Humanitas Mirasole.
1.2 The global market
Telemedicine emerged as an essential component of health care during the COVID-** pandemic. Although telemedicine services were integrated into most healthcare systems even before the onset of the pandemic, the services began to be widely used only during the COVID-** crisis.
In ****, the global telemedicine market reached a value of $***.** billion. ...
1.3 The Italian market
The Italian market represents one of the main segments of the larger European market. In ****, the Italian digital medicine market is worth $*.** billion and is expected to reach and exceed $** billion by **** thanks to a compound annual growth rate (***) par to **.*%.
Telemedicine market Italy, ****-****, in billions of dollars Insights**
The ...
1.4 The Impact of COVID-19
The COVID-** pandemic was, and is, first and foremost a massive public health failure, which then unleashed terrible economic consequences. This reality intersects directly with the fields of telemedicine and digital health specifically, and health more generally. The €*** billion Recovery Fund has secured nearly €** billion in public health investments. Future investments ...
2 Demand analysis
2.1 Demand in Italy
By ****, only **.*% of Italians were included in a telemedicine/e-health program.(***). The other aspects covered **.*% of cases.
Aspects for which Italians have been involved in telemedicine/e-health programs Italy, ****, % Active citizenship
During ****, more than ***,*** telemedicine services were provided in the network of more than *,*** pharmacies participating in the HTN-Federfarma project: ***,*** electrocardiograms, ...
2.2 The opinions of Italians
Considering the opinions expressed by those who have used telemedicine services, it is possible to highlight the advantages and disadvantages of the service. Regarding the advantages, **% of those say that reducing waiting time for an appointment with their doctor is the main strength of telemedicine. Forty percent see reducing the possibility ...
2.3 Demand trends
Considering the advantages and disadvantages listed in the previous section, those who used telemedicine services in **** intend to do so in the future. Almost all subjects (***). Only *% among those who have used this service say they do not want to use it again in the future.
Willingness to continue using telemedicine ...
2.4 Geographical distribution of demand
In order to analyze the geographical distribution of demand, a map was created with the average monthly expenditure of Italian households on their health. Thus, a higher demand for telemedicine services is assumed where the average monthly expenditure is higher.
In ****, the Northeast is the leading macro-region in terms of average ...
3 Market structure
3.1 The market structure
To analyze the structure of the market, services of medical practices (***) and pharmacies are considered. Specifically, the number of enterprises, number of employees and legal form of activities will be analyzed for each sector.
Medical practice services
Between **** and ****, the total number of general and specialist medical practices grew by **.* percent, ...
3.2 The value chain
Theestablishment and exploitation of a technological infrastructure, is critical as it provides the basis on which all telemedicine services are delivered. This phase includes:
The development and maintenance of secure telemedicine platforms, which may include software for video calling, systems for patient management, and platforms for data collection and analysis. The ...
3.3 Deployment of telemedicine
Digitization of patient records facilitates telemedicine processes; in fact, the latter is not possible without the former. Doctors and health care providers must have electronic records of their patients in order to perform any form of remote intervention or diagnosis. In Italy these are called Fascicolo Sanitario Elettronico (***).
As visible in ...
4 Supply analysis
4.1 Various offers and support
Telemedicine offerings can be divided into four distinct macroareas, which are characterized by mode and purpose:
Remote visits
In this case, the physician has the opportunity to visit his patient using video communication systems or applications, from Skype, Zoom, Teams, and other customized solutions developed ad hoc according to the needs ...
4.2 The prices
As for the prices of medical services, between **** and **** the consumer price index increased by * points. This means that over the period under consideration, prices for consumers increased by * percent. Compared to ****, the price increase is close to *%.
Consumer price index for medical services Italy, ****-****, base ****=*** Istat
The cost of ...
4.3 New supply trends: artificial intelligence in the service of healthcare
Artificial intelligence (***) is playing an increasingly significant role in telemedicine, offering significant benefits to both healthcare providers and patients. AI is revolutionizing patient care by making it more efficient, personalized and accessible. Listed below are as some of the key applications and considerations of AI in this field: Mhealth and Telehealth ...
5 Regulations
5.1 Regulations
There are several regulations regarding telemedicine or related processes, and these are at the national level but also at the regional level. The following is a non-exhaustive list showing some of the most relevant regulations.
Law No. *** of December *, **** defines what telemedicine is and its parameters Article *a of Legislative Decree ...
6 Positioning of actors
6.1 Segmentation
Telemedicine platforms
Private healthcare facilities with telemedicine service
- Health Telematic Network s.r.l
- Ospedale San Raffaele
- Gruppo San Donato
- Althea
- Humanitas Mirasole S.p.A.
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