Publication Month: Jan 2019 | Report Code: TIPHE100000992 | No. of Pages: 108 | Category: Healthcare IT | Status: Published
A tele-intensive care unit (tele-ICU) uses telemedicine in an intensive care unit (ICU) setting, which applies technology to offer care to critically ill patients by offsite clinical resources. The tele-ICU use has spread rapidly, the benefits vary widely, and little is known about the specific characteristics of tele-ICU that provide benefits to patient care. The growth of the Tel-Intensive Care Unit market is attributed to the rising demand for remote patient monitoring, growing government initiatives for telemedicine, increasing ICU admissions and shortage of intensivists are expected to boost the market growth over the years. However, the regulatory barriers for telemedicine and high cost of treatment and expensive set-up are likely to have a negative impact on the growth of the market in the coming years.
The Tel-Intensive Care Unit market is expected to witness substantial growth post-pandemic. The Tel-Intensive Care Unit market is expected to witness substantial growth post-pandemic. The COVID-19 has affected economies and industries in various countries due to lockdowns, travel bans, and business shutdowns. The COVID-19 crisis has overburdened public health systems in many countries and highlighted the strong need for sustainable investment in health systems. As the COVID-19 pandemic progresses, the healthcare industry is expected to see a drop in growth. The life sciences segment thrives due to increased demand for invitro diagnostic products and rising research and development activities worldwide. However, the medical technologies and imaging segment is witnessing drop in sales due to a smaller number of surgeries being carried out and delayed or prolonged equipment procurement. Additionally, virtual consultations by healthcare professionals are expected to become the mainstream care delivery model post-pandemic. With telehealth transforming care delivery, digital health will continue to thrive in coming years. In addition, disrupted clinical trials and the subsequent delay in drug launches is also expected to pave the way for entirely virtual trials in the future. New technologies such as mRNA is expected to emerge and shift the pharmaceutical industry and market is also expected to witness more vertical integration and joint ventures in coming years.
Intensive care unit (ICU) telemedicine is an innovative method for providing critical care services from a distance. Telemedicine improves ICU outcomes by increasing access to the expertise of dedicated intensivist physicians, facilitating early recognition of physiological deterioration, and prompting bedside providers to implement routine evidence-based practices. The tele-ICU are located in remote or rural areas where safe and efficient transfer of patients to regional centers for advanced critical care presents difficulties.
The command center communicates with the help of voice with the remote ICU personnel and can receive televised pictures and clinical data about the patients. The direct patient care is provided by the doctors and nurses in the remote ICU who do not have to be intensivists themselves. In the last few years, there has been an upsurge in the number of patients needing ICU care without a corresponding increase in the supply of intensivists. Tele-ICUs offer a solution to this problem by enabling a relatively small number of intensivists to oversee the care of a large number of ICU patients. TeleICU not only aids a critical role in the effective regional management of ICUs, but completely impacts the healthcare system.
The use of telemedicine to permit the remote monitoring of ICU patients and management of their care by specialtytrained clinicians is a growing trend in the U.S. health care system. The use of tele-ICU’s was prompted by the finding that the care of ICU patients by dedicated intensivists improves both patient and cost outcomes. The hope for tele-intensivist systems is that they will result in the same improved outcomes that are attributed to actual intensivist care. With the help of a centralized remote patient monitoring center have the ability to consolidate and standardize care, reduces transfer while maximizing the bed utilization, and support onsite staff. This decreases costs while enhancing revenues, patient flow, and capacity management across the system. Thus, convenient approach for both the healthcare providers as well as the patients with the help of tele-intensive care unit solutions are expected to promote the growth of the market over the forecast years.
Venture investment and other funding in digital health has strong since last few years. According to Rock Health, 2015 venture financing in healthcare IT (HCIT) was approximately US$ 4.5billion, which is similar to the US$ 4.3 billion in 2014, but a huge increase from 2011-2013. Not only did the number of deals increase but also the average investment in a deal also increased over the last two years. Investment in HCIT appears to have taken some investment from biotech and Medtech in the healthcare sector.
Moreover, United4Health (2013-2016), the core ambition of this project was to exploit and scale up telemedicine solutions implemented and trialed under the renewing health project. With the help of fourteen large-scale telemedicine pilots in Europe involving approximately 12.000 patients, this project has sought to deliver telemedicine and telecare to the many people suffering from Chronic Obstructive Pulmonary Diseases (COPD), diabetes and cardiovascular diseases. Additionally, TeleSCoPE (Telehealth Services Code of Practice for Europe), (2010-2013), the project arose from the EC Action Point on COM2008:689 for the improvement of confidence in and acceptance of telemedicine, and developed a comprehensive code of practice for telehealth services, more focused on telecare. Furthermore, Chain of Trust (2011-2013), the project assessed the views, needs, benefits and barriers related to telehealth from the perspective of the main end users across the EU to see whether and how they have evolved since the initial deployment of telehealth and what barriers there still are to building confidence in and acceptance of this innovative type of services. Ultimately the project aimed at strengthening significantly the levels of awareness and trust for all key stakeholders. Thus, growing government initiatives are likely to boost the growth of the tele-intensive care unit market.
Tele-ICU is built for the new healthcare reality, where clinical and hospital executives are accountable for outcomes, processes, quality and costs. The collaborative tele-ICU is a transformative process, a paradigm shift in patient care. Today’s ICUs are under tremendous pressure to achieve better outcomes at lower cost, while dealing with a serious shortage of intensivists and ICU nurses. The growth of value-based care is for delivering both quality and cost effectiveness in the ICU. According to a report of Annual Philips survey, in 2015, the number of tele-ICU beds was approximately 12,000 which increased with an exponential growth rate to be around 15,000 in 2017.
In the last 30 years, US witnessed a transformation of acute care delivery where the number of hospitals decreased but the number of intensive care unit (ICU) beds increased. As a consequence, the US is not only providing more intensive care but also concentrating intensive care in ever fewer numbers of hospitals. Yet surprisingly little is known about the hospitals themselves that are driving these aggregate changes. Characterizing the types of hospitals that are increasing their ICU bed supply is important not only for understanding the potential drivers of this growth, but also for understanding how the ongoing transformation of intensive care delivery may impact patient outcomes. Tele-ICU platforms provide overviews of ICU patients to optimize clinical care and assure quality. The tele-intensivist oversees the execution or necessary modification of patients' care plans aided by risk stratification and notification dashboards. However, hands-on clinician involvement for technical procedures, such as endotracheal intubation or central vascular access, still requires onsite providers in the hospital or access to on-call intensivists.
Compared to hospitals without ICU telemedicine, hospitals with ICU telemedicine were more likely to be large, non-profit, teaching hospitals located in large metropolitan statistical areas. Conversely, hospitals that did not adopt telemedicine were more likely to be small, for-profit, non-teaching hospitals in rural areas. There were no differences in the regional ICU competition index between adopters and non-adopters.
Therefore, the increasing number of ICU admissions and higher preference of population for the tele-ICU is likely to boost the growth of the tele-intensive care unit market.
Intensive care unit telemedicine (tele-ICU) enables care delivered from off-site locations that was developed to address the increasing complexity of patients and insufficient supply of intensivists. There is a shortage of Intensivists in the countries such as United States, and the demand for them is only going to get worse with the aging population. According to the data of NCBI, in 2010 less than 15% of intensive care units (ICU) are able to provide intensivist care. This problem is becoming more pervasive as the supply of intensivists is projected to meet only 22% of the demand for services by 2020. There are 6000 ICUs but only 5500 board-certified intensivists.
Various studies have shown that hospitals with a dedicated intensivist on staff had a significant reduction in ICU mortality and average length of stay (LOS). The complexity of today’s ICU services emphasizes the need for sharing health information through off-site ICU centers. Tele-ICU is the use of health information exchanged from hospital critical care unit to another via electronic communications. Tele-ICU intensivists provide real-time services to multiple care centers regardless of their locations. Tele-ICU has an off-site command center in which a critical care team (intensivists and critical care nurses) is connected with patients in distant ICUs through a real-time audio, visual and electronic means. Similar to a bedside team, offsite tele-ICU intensivists require full access to patient data. Tele -ICU is capable of providing real time monitoring of patient instability or any abnormality in laboratory, making diagnosis, order diagnostics tests, and order treatment, implementing any intervention through controlling life support devices. As a result, tele-ICU holds great promise in improving the quality of critical care patients and increasing the productivity of intensivists. This paper aims to explore the available studies related to efficacy and cost effectiveness of tele-ICU applications and to outline possible barriers to broader adoption.
Small hospitals have less trained intensivists and are known to suffer worse risk-adjusted outcomes compared to larger hospitals. Accordingly they might be most likely to benefit from remote ICU monitoring. Unfortunately, due to issues of sample size and reliability, quantitative methods are poorly suited for understanding system-level changes in very small hospitals. Future qualitative work should be directed at understanding the effectiveness of ICU telemedicine in these hospitals.
The shortage of intensivists throughout most of the country, so many of the ICUs cannot meet the standard that calls for staffing their units 24/7 with intensivists. Tele-ICU allows facilities to cost-effectively staff multiple units through a centralized command center. It also reduces stress and burn-out for intensivists and ICU nurses, which is the highest among all specialties. Thus, the shortage of intensivists for the patient care is likely to boost the growth of the teleintensive care unit market.
In terms of type, the Tel-Intensive Care Unit market is segmented into centralized, decentralized, and others. In 2017, the centralized segment held a largest market share of 52.5% of the tele-intensive care unit, by type. This segment is also expected to dominate the market in 2025.
In terms of component, the Tel-Intensive Care Unit market is segmented into software, hardware. In 2017, the hardware segment is expected to dominate the market based on the component contributing a share of 45.3%.
|Market Size Value in||US$ 1,541.8 Million in 2017|
|Market Size Value by||US$ 7,363.3 Million by 2025|
|Growth rate||CAGR of 22.5% from 2017 to 2025|
|No. of Pages||108|
|No. of Tables||37|
|No. of Charts & Figures||36|
|Historical data available||Yes|
|Segments covered||Type, Component, and Geography|
|Regional scope||North America, Europe, Asia Pacific, Middle East & Africa, South & Central America|
|Country scope||US, Canada, Mexico, UK, Germany, Spain, Italy, France, India, China, Japan, South Korea, Australia, UAE, Saudi Arabia, South Africa, Brazil, Argentina|
|Report coverage||Revenue forecast, company ranking, competitive landscape, growth factors, and trends|
|Free Sample Copy Available|
The Tel-Intensive Care Unit market players are adopting the product launch and expansion strategies to cater to changing customer demands worldwide, which also allows them to maintain their brand name globally.
The List of Companies
1. InTouch Technologies, Inc.
2. Advanced ICU Care
3. Koninklijke Philips N.V.
5. Banner Health
6. Eagle Telemedicine
7. Apollo Tele Health Services
8. SOC Telemed
10. Cloudbreak Health