Pwc emerging-mhealth-chart-pack

Emerging mHealth:
paths for growth

7 June 2012

Contents

1 Executive summary

2 mHealth maturity scorecard

3 Key findings

4 Country breakdown of key data

5 Key global contacts

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1. Executive Summary

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Executive summary

Goal of the report

• Report assesses the market opportunities and challenges for mHealth
from the perspective of patients, payers, and providers
• EIU report, commissioned by PwC, with analysis from PwC

Key findings

• Expectations are high for mHealth from patients, providers and
payers
• Significant differences in adoption among emerging and developed
nations
• Consumers are ready to adopt mobile health faster than the health
industry is ready to adapt
• Solutions, not technology, are the key to success

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About the research

Report surveys covered patients, physicians and payers

1 A patient survey with over 1,000 respondents— with a broad distribution of
economic backgrounds, ages, levels of education and states of health

A physicians survey with 433 physicians — public and private sector, urban vs. rural,
2
wide range of years in experience

A payer survey with 345 respondents — roughly evenly divided between public and
3 private sector and 55% are C-suite or above

4 20 in-depth interviews with key experts

The survey included 10 countries:

Brazil China Denmark Germany India South Spain Turkey UK US
Africa
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2. mHealth readiness scorecard

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mHealth scorecard methodology
• Provides an overview of the countries surveyed and the maturity of their mHealth
market through four key pillars. Each pillar is further divided into eight dimensions to
support the findings
• Survey questions are grouped into the eight dimensions
• Each country receives a score per pillar and dimension, and an overall score

Overall Score - Maturity of the market

Four Pillars

2. Regulatory,
1. Awareness and
reimbursement and 3. Technology 4. Impact
openness for mHealth
business model

Eight Dimensions

1.1 Encouraging 2.1 Reimbursement 3.1 Access and
4.1 Institutional
environment and business model security

2.2 Encouraging
1.2 Current use of 3.2 Interoperability 4.2 Healthcare system
regulatory and legal
mHealth
environment
PwC Source: PwC analysis based on EIU research, 2012 7

The scorecard is based on the survey of patients, physicians
and patients and scores from 10 (mature) to 1 (immature)

1 2 3 4 Dimension
5 Pillar and
Scorecard Normalisation
Data analysis score overall score
framework of data
calculation calculation

Apply scorecard Collect and Normalise data Calculate the Calculate the
framework analyse data on a scale of 1 to scores for each score for the
about the from 10, with 10 of the eight four pillars and
mHealth • doctor/payer being the most dimensions the overall
market based survey mature score
on eight • patient survey
dimensions • expert
interviews

PwC 8

Emerging markets lead the way in mHealth, followed by the
US as the most mature market
Overall score
6.6 6.5 6.3 5.7 5.6 5.6 5.5 5.3 5.2 5.1

6.2
8.2 6.2
6.5 4.3 3.8
6.9 5.1 4.4 2.4
6.5 4.7
3.4 5.1
6.6 5.1 8.1
4.1 6.3
7.6
6.4 7.4
7.5 7.5 3.6
6.6 6.1
5.1 7.3 6.6
7.8 6.8 7.8
6.0 5.6 4.8 5.4
3.8 2.6 3.4

South India Brazil US Spain China Germany UK Turkey Denmark
Africa

Awareness and openness for mHealth 10 most mature
Regulatory environment, reimbursement and business model
Technology 1 immature
Impact

First pillar: Awareness and openness for mHealth

Detailed scores
6.0
7.8 5.7
7.8 5.6
6.8 5.2
6.0 5.1
5.6 5.1
5.4 5.0
4.8 4.8
3.8 4.7
3.4 4.7
2.6

7.6 9.2 5.9 4.8 4.5 5.6 4.5
4.5 2.6
7.9 6.4 7.7 7.3 6.8 1.9
5.2 5.1 3.0 4.2 3.3

India China Brazil South Spain Turkey Germany US Denmark UK
Africa
10 most mature
Encouraging environment
Current use of mHealth 1 immature

• The emerging markets score high in doctors encouraging patients to use mHealth as well as patients
using mHealth solutions
• The most established mHealth market today, the US, scores very low in awareness and openness of
mHealth. The same could be said of the UK. Reasons may be due to physicians who are already using
mHealth are more aware of its possible drawbacks


Second pillar: Regulatory environment, reimbursement
and business model
Detailed scores
6.0
7.5 5.7
7.5 5.6
7.4 5.2
7.3 5.1
6.6 5.1
6.6 5.0
6.4 4.8
6.1 4.7
5.1 4.7
3.6

6.9 8.5 6.7
8.6 7.2 6.1 5.3 6.1
5.5
3.0
8.1 6.6 8.2 5.9 5.9 7.1 7.5 6.0 4.7 4.2

South Spain Brazil UK Germany Denmark India Turkey US China
Africa
10 most mature
Reimbursement and business model
Encouraging regulatoryand legal environment 1 immature

• Developed and emerging countries have no significant differences on reimbursement, and the
regulatory and legal environment
• According to survey respondents, too few proven business models and an unsupportive regulatory
environment are key barriers to mHealth
• China’s score is the lowest for both dimensions in this pillar, with 83% indicating there are too few
proven business models (survey average is 64%)

Third pillar: Technology

Detailed scores
6.0
8.1 5.7
7.6 5.6
6.6 5.2
6.5 5.1
6.3 5.1
5.1 5.0
5.1 4.8
4.7 4.7
4.1 4.7
3.4

9.0
9.4 7.7 5.1 6.0
5.5 5.2 2.3
4.9 1.7
7.3 5.7 5.5 7.8 6.5 7.2
4.7 5.0 3.3 5.2

Denmark US Germany South UK Spain Turkey Brazil China India
Africa
10 most mature
Access and security
Interoperability 1 immature

• In technology, the developed markets e.g., US, Denmark or Germany are ahead
• The higher smartphone penetration, a much higher emphasis on interoperability with existing systems,
as well as a more advanced access and security features lead to a perception of high readiness for
mHealth from a technological point of view


Fourth pillar: Impact

Detailed scores
6.0
8.2 5.7
6.9 5.6
6.5 5.2
6.2 5.1
6.2 5.1
5.1 5.0
4.4 4.8
4.3 4.7
3.8 4.7
2.4

7.2
5.9 5.9 6.0 7.0 4.6 4.2 4.2 3.9
9.1 7.9 7.1 2.3
6.4 5.4 5.5 4.6 4.4 3.7 2.4
India China US South Brazil UK Turkey Spain Germany Denmark
Africa
10 most mature
Impact on institution
Impact on Healthcare system 1 immature

• The emerging markets and the US score high in this pillar
• The impact on institutions is measured by the expected impact on medical care, on the relationships
with patients and on internal operations. For example, 92% of physicians in India expected a noticeable
effect of mHealth in 3 years. In Denmark, only 80% believe this is the case
• The impact on healthcare can be illustrated by the following figure: 52% of physicians in India believe
the widespread adoption of mHealth is inevitable, vs. 34% in Denmark

3. Top ten findings of the survey

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Finding #1 – mHealth could enable a disruptive move from
doctor-directed care towards a more personalised,
consumer- oriented model

46% Patients believe that mHealth offers them convenient
access to providers as well as the possibility to reduce
their own healthcare costs
Driver for patients

of surveyed 50%
Reduce own healthcare costs Convenient access to provider
40%
patients expect Access to a greater choice of
applications 30% Ability to obtain information

more 20%
10%
convenient Access better quality healthcare 0%
Encouragement from my
healthcare provider

access to
healthcare
Manage a particular medical Encouragement from my
condition healthcare payer

providers Manage aspects of my life from
my mobile phone
Greater control over own health

through
mHealth Drivers


Finding #2 – Patients with health issues are most likely to
use mHealth products and services

Patients with chronic diseases like diabetes are better

82% informed about mHealth, more likely to be using
mHealth services and more likely to pay for them

mHealth adoption for patients with chronic
diseases vs. survey average

of patients with 100%
82%
poorly 80% 74%
79%
72%
68%
62% 64%
managed 60%
49% 47%
conditions 40%

engage in some 20%

sort of mHealth 0%
(vs. 64% Familarity with term
mHealth
Engage in mHealth Currently use 1 or more apps

survey Survey average
Patients with poorly managed conditions
average) Healthcare spending >30% of income

Finding #3 – Patients are highly price sensitive, mainly
because they think healthcare payers should bear the
costs
Patients in emerging markets are willing to pay more

20% than those in developed ones – likely reflecting the
higher proportion of all healthcare costs they have to pay
themselves
Patients willingness to pay
60%
of patients in
emerging 44%

countries would 40%
33%
pay more than 27%
30%

$5 annually 20% 20%
20%
for an mHealth 16%
10%
service, vs. 10%
in developed 0%
Nothing Up to $1 per year Between $1-$5 per year More than $5 per year

countries Developed countries Emerging countries

(1 of 2)

Finding #4 – Payers and – to a lower extent physicians –
see the potential for improving quality of care and
reduced costs...
Payers seem more optimistic about the potential for

40% mHealth in promoting better health through greater
patient involvement in care and reduced healthcare costs

Drivers for physicians and Payers
of payers Lower overall cost of care for
encourage patients
Reduction in administrative
40%

30%
Easier access to care

Reach previously unreachable
patients to time for medical personnel
20%
patients

monitor their Encouragement by regulators
10%
Improved quality of care

condition
0%

through Ubiquity of smartphones
More efficient internal
processes

mHealth Opportunity to provide new
services
Patient expectations/demand

(vs. 25% of Expectation of medical
personnel

physicians) Medical Doctor Payers


(2 of 2)

Finding #4 – … but physicians are concerned that
mHealth will make patients too independent

Patients are aware of this reluctance among physicians.

44% 60% of active users of mHealth say that patients and
technology companies are more interested in mHealth
than physicians
Barriers for physicians and payers

of physicians
Other areas needing Existing reimbursement
are worried investment
40%

30%
structure

Lack of information on
that mHealth mHealth 20%
Lack of compatibility

will make Culture of medical
10%

patients too
0% Lack of evidence
professionals

independent Privacy and security issues Lack of necessary technology

Lack of interest by key users Regulatory and legal barriers

Medical Doctor Payers

Finding #5 – Payers are more likely to cover mHealth
services than physicians are to provide them

Physicians frequently cite existing payment structures as

70% a barrier to their greater deployment of mHealth yet
reimbursement seems to be less an issue among payers
than expected
Services doctor plan to offer and payer
100%
plan to pay for in the next three years

of payers plan 83%
80%
to pay for 65%
71%
67% 69% 68%68%
73%
69%
66%
70%
61%
mobile access to 60% 55%
47%
EMR in the next 40%
three years, but
only 55% of 20%

physicians plan 0%
to offer this Text-based Telephone Administrative
consultations consultations comm.
Drug
adherence
Remote
Patient
Monitoring
General health Access EMR
data remotely

service Doctors plan to offer Payers plan to pay for

(1 of 2)

Finding #6 – Emerging markets will lead the way in
mHealth
mHealth is less disruptive to healthcare in emerging

61% markets because for a majority, it is not a substitution to
care but rather the only access
High patient expectations in emerging countries:
mHealth will change how…
80%

of surveyed
patients in 60%

emerging
40%
markets are
aware of term 20%

“mobile health”
(vs. 37% in 0%
I seek Providers I manage I measure I manage my I manage any I Providers
information send me overall health and share my medication chronic communicate monitor my
developed on health
issues
general
information
vital health
data
conditions with my condition and
provider compliance

markets) Developed markets
Source: PwC analysis based on EIU research, 2012
Emerging markets

PwC 21

(2 of 2)

Finding #6 – Emerging markets will lead the way in
mHealth
More mHealth services are covered by payers in

43% emerging markets than in developed countries

Services payers have already begun to pay for
50%

of payers in 45% 43%
38% 39%
40% 37%
emerging 35% 34% 33%
35%

markets pay or 30%
29%
25%
24%
plan to pay for 25%
21%
23% 23% 23%

20%
telephone 15%
consultations 10%

(vs. 29% in 5%
0%
developed Telephone Video Text based Administrative
consultations consultations consultations comm.
Remote
Patient
General health Access EMR
data remotely

markets) Developed markets
Monitoring

Emerging markets

(1 of 2)

Finding #7 – A tale of two countries – India and the UK

For India, mHealth address pressing healthcare needs;

0.6 for the UK, it is an added luxury

Drivers for patients
70%

physicians per 60%

1,000 50%

inhabitants are 40%

practicing in 30%

India (vs. 2.2 20%

per 1,000 in the 10%
UK) 0%
Reduce own Convenient Ability to obtain Greater control Access better Encouragement Encouragement
healthcare costs access to information over own health quality from my from healthcare
provider healthcare healthcare payer
provider
India UK

(2 of 2)

Finding #7 – A tale of two countries – India and the UK

Lower cost for patients is the leading driver of mHealth

88% in India, whereas the reduction of administrative time is
a leading concern of physicians in the UK with the NHS
system.
Drivers for physicians and payers
Lower overall cost of care
of India Reduction in
for patients
50%
administrative time for Easier access to care
respondents do medical personnel
40%
30%
engage in Encouragement by
regulators 20%
Reach previously
unreachable patients

mHealth 10%
0%

activity Ubiquity of smartphones Improved quality of care

(vs. just 52% Opportunity to provide More efficient internal
new services processes
of UK Expectation of medical Patient
personnel expectations/demand
respondents)
India UK

(1 of 2)

Finding #8 – Focus on solutions, not technology

To create real value and identify business models,

64% companies must focus on solutions that address the
needs of stakeholders (payer, provider, patients) directly

Exciting possibilities, but too few business models

of physicians 6%
and payers say
mHealth has
exciting 30%

possibilities but
too few proven 64%
business models
Agree
Neither agree or disagree
Disagree

(2 of 2)

Finding #8 – Focus on solutions, not technology

Immense high dropout rates illustrates the need for

48% engaging, integrated, interoperable, and intelligent apps

Example for PwC Six Success principles:
WellDoc Diabetes manager
Integrated Socialized
• Integrated into existing • Improves treatment and
healthcare plans, personal medication while providing

of surveyed lifestyles, and clinical process
• Utilizes multiple technologies
personal coaching, direct
physician support, and
caregiver linkage
patients who Interoperability
• Incorporated into Allscripts

have used an
electronic health record system Outcome Oriented
• Enables data from app to be • Demonstrated clinical success
accessed by physicians through in trials
mHealth app EHR • Demonstrated economic
success in the reduction of
Intelligent
discontinued it • App provides real time alerts
and intelligent guidance for
health care costs

after the first users based on data inputted
• Doctors receive clear,
Engaging
• Patients can configure settings,
actionable data that they can
six months use as a basis for
recommendations
messaging, tonality, and
interaction modes


Finding #9 – Technology still presents challenges for
mHealth adopters

Lack of interoperability, standards and integration into

47% existing IT-systems impedes uptake of the fragmented
mHealth market

mHealth services used by physicians/ payers
integrated into...
of surveyed 60%
53%

physicians say
that mHealth 40% 37%

applications 27%

they use will 20%
23%

15%
not work with
their
organisation’s 0%
IT systems of my IT systems of local IT system of the
organisation hospitals and national healthcare
IT systems
accessible by
Health data
systems that
IT clinics system colleagues in other patients can access
organisations directly

Finding #10 – Regulators could encourage advances in
mHealth, but the survey shows otherwise

Surveyed physicians and payers see little encouragement

45% for mHealth by regulators, due to regulatory and legal
barriers
mHealth advances are being held up by
regulation created for older technologies that
does not translate well to newer ones

of physicians 12%

and payers
think mHealth 45%
advances are
held up by 43%
regulation
Agree
Neither agree or disagree
Disagree

4. Country breakdown

PwC 29

(1 of 2)

Overview of key data

Expectation of physicians and healthcare payers
1
11%
Agree

about the widespread adoption of mHealth 33% 56%
Neither agree or
disagree
Disagree

Services physicians would like to offer and payers Services physicians would like to offer and payers plan to reimburse for in the next 3 years

2 plan to reimburse for in the next 3 years
100%
80%
60% 49%
59%
69% 70% 74%
60%
91%
65% 66%
80%
71% 65%
60%
78%
51%
75%

40%
20%
0%
Text based Telephone Video Administrative Drug Remote General health Access EMR
consultations consultations consultations comm. adherence Patient data remotely
Monitoring
Doctors plan to offer Payers plan to reimburse

Top 3 drivers and barriers for patients Patients
Brazil Emerging countries (excl. Brazil)

3
Drivers Barriers

and physicians (including average of the peer group)
Reduce own healthcare 52% Cost 55%
costs 54% 48%

Convenient access to 34% Lack of relevant 36%
provider 52% applications 39%

Access better quality 29% Lack of knowledge 31%
healthcare 22% about services 44%

0% 20% 40% 60% 0% 20% 40% 60%

Doctor

Drivers Barriers

Easier access to care 49% Lack of compatibility 40%
28% 24%

31% Privacy and security 37%
Patient expectations/demand 35%
25% issues

Reach previously unreachable 31% Culture of medical 37%
patients 32% professionals 29%

0% 20% 40% 60% 0% 20% 40% 60%

PwC 30

(1 of 2)

Brazil - Potential and services

Widespread adoption of mHealth services in my country is inevitable in the near future

11%
Agree

Neither agree or
33% disagree
56%
Disagree

Services physicians would like to offer and payers plan to reimburse for in the next 3 years
100% 91%
74% 80% 78% 75%
80% 69% 70% 65% 66% 71% 65%
59% 60% 60%
60% 49% 51%
40%
20%
0%
Text-based Telephone Video Administrative Drug Remote General health Access EMR
consultations consultations consultations comm. adherence Patient data remotely
Monitoring

(2 of 2)

Brazil - Top 3 drivers and barriers for patients
and physicians
Brazil Emerging countries (excl. Brazil)
Patients

Drivers Barriers

Reduce own healthcare 52% 55%
costs 54% Cost 48%
Convenient access to 34% Lack of relevant 36%
provider 52% applications 39%

0% 20% 40% 60% 0% 20% 40% 60%

Physicians
Drivers Barriers

Easier access to care 49% 40%
28% Lack of compatibility
24%

Patient expectations/demand 31% Privacy and security 37%
25% issues 35%
Reach previously unreachable 31% Culture of medical 37%

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

China - Potential and services


5%
15%
Agree

Neither agree or
disagree
Disagree

80%

120% 100% 100% 97% 97%
100% 89% 97% 90% 91% 85% 89%
97%
81%
94%
77%
80% 69% 67%
60%
40%
20%
0%
Text-based Telephone Video Administrative Drug adherence Remote Patient General health Access EMR
consultations consultations consultations comm. Monitoring data remotely


(2 of 2)

China - Top 3 drivers and barriers for patients
and physicians
China Emerging countries (excl. China)
Patients

Drivers Barriers

Convenient access to provider 45% 35%
49% Cost 53%

Reduce own healthcare costs 36% Lack of relevant 31%
58% applications 40%

Ability to obtain information 31% Lack of knowledge 28%
30% about services 45%

0% 20% 40% 60% 80% 0% 20% 40% 60%

Physicians

Drivers Barriers

More efficient internal 44% Existing reimbursement 49%
processes 26% structure 25%

38% Lack of necessary 38%
Improved quality of care 34%
27% technology

Reduction in administrative 33% Privacy and security 38%
time for medical personnel 27% issues 34%

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

Denmark - Potential and services


7%

Agree

30%
Neither agree or
disagree
63% Disagree

100% 84%
80% 71%
58% 65% 58% 60% 58% 60%
55% 58%
60% 48% 45% 49% 48%
40% 42%
40%
20%
0%


(2 of 2)

Denmark - Top 3 drivers and barriers for
patients and physicians
Denmark Developed countries (excl. Denmark)
Patients

Drivers Barriers

33% Cost 47%
Ability to obtain information 27% 48%


Reduce own healthcare 29% Lack of relevant 36%
costs 35% applications 30%

0% 20% 40% 0% 20% 40% 60%

Physicians

Drivers Barriers

Reach previously unreachable 42% Regulatory and legal 44%
patients 21% barriers 23%

33% Lack of information on 42%
Easier access to care 27%
33% mHealth

31% Culture of medical 36%
44% professionals

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

Germany - Potential and services


13%

33% Agree

Neither agree or
disagree
Disagree

53%

100%
77% 80%
80% 70% 67% 71% 70% 70%
63% 61% 61%
50% 55%
60%
39%
40% 31% 25% 27%
20%
0%
Text based Telephone Video Administrative Drug adherence Remote Patient General health Access EMR


(2 of 2)

Germany - Top 3 drivers and barriers for
Germany Developed countries (excl. Germany)
Patients

Drivers Barriers

Reduce own healthcare 41% Lack of knowledge 46%
costs 32% about services 39%

Greater control over own 39% Cost 40%
health 30% 50%

Access better quality 31% Privacy or security 38%
healthcare 27% concerns 25%

0% 20% 40% 60% 0% 20% 40% 60%

Physicians

Barriers
Drivers

33% Existing reimbursement 40%
Improved quality of care structure 28%
43%

31% Lack of necessary 31%
Patient expectations/demand technology 30%
24%

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

India - Potential and services


9%
Agree

31% Neither agree or
disagree
60% Disagree

100% 85% 83% 83% 78%
80%
75% 73% 73% 79% 73% 73% 71% 77% 73% 77% 77%
65%
60%
40%
20%
0%


(2 of 2)

India - Top 3 drivers and barriers for
India Emerging countries (excl. India)
Patients

Drivers Barriers

58.00% Cost 53%
Reduce own healthcare costs 52% 48%

55.00% Lack of relevant 47%
Convenient access to provider 47% applications 36%

40.00% My provider is unwilling 36%
Ability to obtain information 28% to work with mHealth 19%

0% 20% 40% 60% 80% 0% 20% 40% 60%

Physicians

Drivers Barriers

Lower overall cost of care for 42% Lack of interest by key 37.50%
patients 23% users 19%

Reach previously unreachable 40% Culture of medical 33.30%

Reduction in administrative 35% Lack of information on 33.3 %
time for medical personnel 26% mHealth 27%

0% 20% 40% 60% 0% 20% 40%


(1 of 2)

South Africa - Potential and services


19%
Agree

Neither agree or
disagree
23% 59%
Disagree

100% 83% 83%
76% 76% 76% 70%
80%
58% 58% 60% 61%
60% 50% 52% 58% 50%
58%
38%
40%
20%
0%


(2 of 2)

South Africa - Top 3 drivers and barriers for
South Africa Emerging countries (excl. South Africa)
Patients

Drivers Barriers
Lack of knowledge about
82% 71%
Reduce own healthcare costs services 34%
46%
Cost
55% 53%
Convienient access to provider 47% 48%
Privacy or security
Greater control over own 42% 39%
concerns 27%
health 30%

0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80%

Physicians
Drivers Barriers

Lower overall cost of care for 38% Privacy and security 45%
patients 24% issues 36%

31% professionals

Reach previously unreachable 33% Lack of information on 31%
patients 31% mHealth 28%

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

Spain - Potential and services


12%
Agree

Neither agree or
53% disagree
35%
Disagree

100% 84% 87% 84% 80%
80% 69% 69% 71% 66%
58% 60% 63% 62% 62% 62%
60% 51% 51%
40%
20%
0%


(2 of 2)

Spain - Top 3 drivers and barriers for
Spain Developed countries (excl. Spain)
Patients

Drivers Barriers

Convenient access to 47% Cost 58%
provider 44% 45%

Access better quality 38% Lack of relevant 32%
healthcare 25% applications 31%

Greater control over own 33% Lack of knowledge 32%
health 31% about services 42%

0% 20% 40% 60% 0% 20% 40% 60% 80%

Physicians
Drivers Barriers

37% professionals

49% Lack of information on 33%
29% mHealth

More efficient internal 38% Privacy and security 33%
processes 26% issues 39%

0% 20% 40% 60% 80% 0% 20% 40% 60%


(1 of 2)

Turkey - Potential and services


13%
Agree

Neither agree or
disagree
31% 56%
Disagree

100% 87%
76% 76%
80% 63% 59% 64% 62% 63% 65%
61% 62% 61% 55% 61%
60% 45% 50%
40%
20%
0%


(2 of 2)

Turkey - Top 3 drivers and barriers for
Turkey Emerging countries (excl. Turkey)
Patients

Drivers Barriers

provider 47% 49%

Reduce own healthcare 40% Lack of relevant 40%
costs 57% applications 38%


0% 20% 40% 60% 0% 20% 40% 60%

Physician
Drivers Barriers

Reach previously unreachable 34% Lack of necessary 44.7 %
patients 31% technology 32%

More efficient internal 29% Regulatory and legal 28.90%
processes 31% barriers 18%

26% Other areas needing 26.30%
Patient expectations/demand 17%
26% investment

0% 20% 40% 0% 20% 40% 60%


(1 of 2)

United Kingdom - Potential and services


5%

Agree

36% Neither agree or
disagree
59%
Disagree

100% 82% 91%
80% 69% 71% 69% 66%
54% 51% 59% 60%
60% 51% 52%
46%
40% 33% 27%
26%
20%
0%
Text based Telephone Video Administrative Drug adherence Remote Patient General health Access EMR


(2 of 2)

United Kingdom - Top 3 drivers and barriers
for patients and physicians
UK Developed countries (excl. UK)
Patients

Drivers Barriers

provider 44% 48%


27% Lack of relevant 28%
Ability to obtain information 26% applications 32%

0% 20% 40% 60% 0% 20% 40% 60%

Physicians

Drivers Barriers

Improved quality of care 40% Lack of interest by key 33%
42% users 18%

Patient expectations/demand 36% Privacy and security 33%
23% issues 39%

Reduction in administrative 36% Lack of necessary 33%
time for medical personnel 34% technology 29%

0% 20% 40% 60% 0% 20% 40% 60%


(1 of 2)

United States - Potential and services

0%

30% Agree

Neither agree or
disagree
Disagree
70%

100%
72% 66% 74% 77%
80% 69% 68%
56% 60% 54% 58% 54% 55% 58%
60% 44%
40% 23% 26%
20%
0%


(2 of 2)

United States - Top 3 drivers and barriers
for patients and physicians
US Developed countries (excl. US)
Patients

Drivers Barriers

Reduce own healthcare 53% Cost 46%
costs 28% 49%

Convenient access to 50% Lack of knowledge 35%
provider 43% about services 42%

25% Own not a mobile device 28%
Ability to obtain information 28% 13%

0% 20% 40% 60% 0% 20% 40% 60%

Physicians
Drivers Barriers

44% Existing reimbursement 49%
41% structure


Easier access to care 33% Lack of evidence 31%
33% 20%

0% 20% 40% 60% 0% 20% 40% 60%


5. Global contacts

PwC 51

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