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M2M Research Series 
Connected Care 
in Europe 
Connected Care in Europe is a comprehensive report from 
Berg Insight analysing the latest developments on the telehealth 
and telecare markets in this region. 
This strategic research report from Berg Insight provides you 
with 120 pages of unique business intelligence including 5-year 
industry forecasts and expert commentary on which to base 
your business decisions. 
This report will allow you to: 
Profit from 40 new executive interviews with market 
leading companies. 
Identify key players in the connected care ecosystem. 
Learn about the latest developments in connected care 
devices and services. 
Understand the dynamics of the European healthcare 
and social care systems. 
Evaluate how the adoption of next-generation solutions is 
proceeding. 
Benefit from expert market analysis including detailed 
market forecasts lasting until 2019. 
Berg Insight’s M2M Research Series 
What are the key business opportunities in the emerging wireless M2M/IoT 
market? Berg Insight’s M2M Research Series is a unique series of 20 market 
reports published on a regular basis. Each title offers detailed analysis of a 
specific vertical application area such as smart metering, fleet management or 
vehicle telematics. Once per year we also publish summaries of our research 
with detailed forecasts for the Global and European wireless M2M markets, 
respectively. 
www.berginsight.com 
Order now! 
Please visit our web site to order this 
report and find more information about 
our other titles at www.berginsight.com
This report answers the following questions: 
Connected care systems in use, millions 
(Europe 2013–2019) 
M2M Research Series 
Connected care revenues in Europe will 
reach € 4.8 billion by 2019 
The ageing population and the increasing prevalence of chronic 
diseases will be two of the greatest challenges in Europe during this 
century. It is widely believed that connected care solutions can ease 
the burden on society by enabling more efficient delivery of care 
and allowing people to live independently in their homes for longer. 
Berg Insight’s definition of connected care comprises telecare and 
telehealth solutions that are used for the remote delivery of healthcare 
and social care services. Today, the most common connected care 
solution is the traditional telecare alarm, which includes a wearable 
alarm button that the user presses in the case of an emergency. 
Next-generation telecare systems are technologically more advanced 
and can automatically trigger an alarm, for instance if the user leaves 
home at an unexpected time or forgets to take his or her medicine. 
Furthermore, next-generation telecare solutions include mobile 
telecare alarms that users can carry with them at all times. Telehealth 
solutions involve connected medical devices and monitoring services 
that are used for the remote management of patients with COPD, 
chronic heart failure, diabetes, hypertension, asthma, coronary heart 
disease or chronic kidney disease. 
Traditional telecare is the largest and most mature segment of the 
connected care market with a total of 4.55 million users at the end 
of 2013. In contrast to this, the markets for next-generation telecare 
and telehealth solutions are still in nascent stages. At the end of 2013, 
there were 0.69 million users of next-generation telecare solutions in 
EU28+2, whereas the number of telehealth users reached just 0.06 
million. The total number of people using connected care solutions 
totalled 4.7 million at the end of 2013, as there is some overlap between 
the three solution categories. The market is forecasted to grow at a 
CAGR of 19.8 percent during the next six years to reach 13.7 million 
connected care users by 2019. Berg Insight expects that traditional 
telecare will remain the largest segment of the connected care market 
with 5.6 million users in 2019. However, traditional telecare will be 
closely followed by next-generation telecare and telehealth that are 
growing more quickly and will reach a forecasted 4.9 million users and 
4.7 million users respectively at the end of the forecast period. 
Connected care revenues in the EU28+2 countries reached an 
estimated € 1.7 billion in 2013. This includes revenues from traditional 
telecare solutions, next-generation telecare solutions and telehealth 
solutions. The market is expected to grow at a CAGR of 19.0 
percent between 2013 and 2019 to reach € 4.8 billion at the end 
of the forecast period. Traditional telecare solutions accounted for 
the largest share of the market in 2013, but will not grow as quickly 
as the next-generation telecare and telehealth markets during the 
next six years. 
The traditional telecare equipment market in Europe is highly 
consolidated. The two major players – Tunstall and Legrand – hold 
leading positions in nearly all markets and together account for 70 
percent of telecare unit sales in the region. The next-generation 
telecare market is on the other hand fragmented. In addition to the 
leading telecare equipment vendors, companies active in the next-generation 
market include specialized providers such as Essence 
Group, Telecom Design and Vivago in activity monitoring; Doro, 
Everon and Limmex in mobile telecare; and Evondos, Innospense 
and Medicpen in medication compliance monitoring. The telehealth 
market is similarly a fragmented market that is evolving quickly. 
Many new start-ups as well as well-established solution providers 
from adjacent industries are entering the market. Examples include 
Alere, Apple, BT Group, Comarch, Silverbullet, SHL Telemedicine, 
Telefónica and Voluntis. 
The ongoing digitalization of telephone networks in Europe will 
require massive replacements of PSTN-based telecare systems in 
the coming years. At the same time, there is rising interest in new 
types of solutions that enable social care and healthcare services to 
be delivered more efficiently. Berg Insight expects that these trends 
will catalyse the transition to the next generation of connected care 
solutions. One of the results of this shift will be that software becomes 
more important in a market that has traditionally been hardware-centric 
– a change that can allow new companies to enter the market 
and result in substantial changes in the competitive landscape. The 
transition to digital technologies is good news for mobile network 
operators, as the vast majority of all new connected care systems 
rely on cellular connectivity. In fact, Berg Insight predicts that the 
number of cellular connections will grow from around 0.3 million in 
2013 to more than 7.7 million in 2019. 
Which are the main verticals within connected care? 
What are the main drivers on this market in Europe? 
How many people are using telecare systems in each 
European country? 
What are the general technology trends for connected care 
products? 
How will the digitalisation of telephone networks affect the 
market? 
Which are the leading telecare equipment providers in 
Europe? 
How will the connected care market evolve in the next five 
years? 
Will the markets for telehealth, telecare and smart home 
solutions converge? 
What is the potential market size for wireless M2M 
communication? 
15 
12 
9 
6 
3 
0 
Millions 
2013 2014 2015 2016 2017 2018 2019 
Year
Executive summary 
Glossary 
Table of Contents 
1 Healthcare and social 
care in Europe 
1.1 Introduction 
1.1.1 The ageing population 
1.1.2 Metabolic syndrome and 
lifestyle related 
diseases 
1.2 Chronic diseases 
1.2.1 Cardiovascular diseases 
1.2.2 Hypertension 
1.2.3 Chronic respiratory diseases 
1.2.4 Diabetes 
1.3 Medical conditions 
1.3.1 Autism 
1.3.2 Dementia 
1.3.3 Epilepsy 
1.3.4 Other cognitive and physical 
disabilities 
1.4 Healthcare and social care 
systems 
1.4.1 Healthcare systems 
1.4.2 Social care systems 
1.5 The regulatory environment 
1.5.1 Medical device regulations 
1.5.2 Privacy regulations 
2 Traditional telecare 
solutions 
2.1 Market overview 
2.1.1 Form factors and use cases 
2.1.2 Value chain 
2.1.3 Competitive landscape 
2.2 Solution providers 
2.2.1 Azur Soft 
2.2.2 Bosch Healthcare 
2.2.3 CareTech 
2.2.4 Centra Pulse 
2.2.5 Chubb Community Care 
2.2.6 Eurocross 
2.2.7 Jontek 
2.2.8 Legrand 
2.2.9 TBS Group 
2.2.10 Tunstall Healthcare Group 
2.2.11 Verklizan 
2.2.12 Urmet ATE 
3 Next-generation 
telecare solutions 
3.1 Market overview 
3.1.1 Form factors and use cases 
3.1.2 Value chain 
3.1.3 Competitive landscape 
3.2 Solution providers 
3.2.1 Doro 
3.2.2 Evermind 
3.2.3 Everon 
3.2.4 Evondos 
3.2.5 Essence Group 
3.2.6 Innospense 
3.2.7 Just Checking 
3.2.8 KPN 
3.2.9 Limmex 
3.2.10 Lively 
3.2.11 LOSTnFOUND 
3.2.12 Medicpen 
3.2.13 Merck Serono 
3.2.14 Numera 
3.2.15 Oysta Technology 
3.2.16 Telecom Design 
3.2.17 Vivago 
4 Telehealth solutions 
4.1 Market overview 
4.1.1 Form factors and use cases 
4.1.2 Value chain 
4.1.3 Competitive landscape 
4.2 Solution providers 
4.2.1 Alere 
4.2.2 Apple HealthKit 
4.2.3 BePatient Solutions 
4.2.4 BodyTel 
4.2.5 BT Group 
4.2.6 Comarch 
4.2.7 CSC Scandihealth 
4.2.8 eDevice 
4.2.9 H2AD 
4.2.10 Hope Care 
4.2.11 Medic4All 
4.2.12 Medixine 
4.2.13 Medvivo 
4.2.14 S3 Group 
4.2.15 SHL Telemedicine 
4.2.16 SilverBullet 
4.2.17 Swissmed Mobile 
4.2.18 Qualcomm Life 
4.2.19 Telbios 
4.2.20 Telefónica 
4.2.21 Vitaphone 
4.2.22 Voluntis 
5 Market forecasts and 
conclusions 
5.1 Market trends and analysis 
5.1.1 PSTN network digitalization 
drives transition to IP-based 
telecare systems 
5.1.2 Millions of new cellular 
connections will be needed 
for connected care 
5.1.3 Next-generation activity 
monitoring solutions enable 
new use cases 
5.1.4 Technological developments 
will affect the competitive 
landscape 
5.1.5 Convergence between 
telecare and telehealth 
5.1.6 BYOD will become a viable 
option for telehealth 
5.1.7 The medication compliance 
monitoring market gains 
momentum in Europe 
5.1.8 The interest in mobile 
telecare solutions is growing 
5.2 Market forecasts 
5.2.1 Traditional telecare 
5.2.2 Next-generation telecare 
5.2.3 Telehealth 
5.3 Revenue forecasts 
5.3.1 Traditional telecare 
5.3.2 Next-generation telecare 
5.3.3 Telehealth
About the Author 
Lars Kurkinen is a Senior Analyst with a Master’s 
Degree in Strategic Management from the Aalto University 
School of Science and Technology, Finland. He joined 
Berg Insight in 2010 and his areas of expertise include 
mHealth, smart homes and mobile financial services. 
Berg Insight offers premier business intelligence 
to the telecom industry. We produce concise reports 
providing key facts and strategic insights about pivotal 
developments in our focus areas. Berg Insight also 
offers detailed market forecast databases and advisory 
services. Our vision is to be the most valuable source of 
intelligence for our customers. 
Who should buy this report? Related products 
You can place your order in the following alternative ways: 
1. Place your order online in our web shop at www.berginsight.com 
2. Fax this order sheet to us at fax number: +46 31 711 30 96 
3. Mail this order sheet to us at: Berg Insight AB, Viktoriagatan 3, 411 25 Gothenburg, Sweden 
4. Email your order to: info@berginsight.com 
5. Phone us at +46 31 711 30 91 
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Address Country Postcode 
Telephone FAX Email 
VAT is chargeable on all orders from Sweden. Orders from all other countries in the European Union 
must include the buyer’s VAT Registration number below in order to avoid the addition of VAT. 
Your PO number Your VAT/TVA/IVA/BTW/MWST number 
Reports will be dispatched once full 
payment has been received. For any 
enquiries regarding this, please contact 
us. Payment may be made by credit 
card, cheque made payable to Berg 
Insight AB, Viktoriagatan 3, 411 25 
Gothenburg, Sweden or by direct bank 
transfer to Skandinaviska Enskilda 
Banken, 106 40 Stockholm, Sweden. 
Account Holder: Berg Insight AB 
Account number: 5011 10 402 80 
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Berg Insight AB, Viktoriagatan 3, SE-411 25 Gothenburg, Sweden • Phone +46 31 711 30 91 • Fax +46 31 711 30 96 • www.berginsight.com • info@berginsight.com 
© Berg Insight AB - No. 133 
Order form — TO RECEIVE YOUR COPY OF Connected Care in Europe 
Choose type of format 
Paper copy.........................1000 EUR 
PDF 1-5 user license..........1500 EUR 
PDF corporate license........3000 EUR 
Connected Care in Europe is the foremost source of information 
about the telehealth and telecare solution markets in this region. 
Whether you are an equipment vendor, care provider, telecom 
operator, investor, consultant, or government agency, you will 
gain valuable insights from our in-depth research. 
mHealth and Home Monitoring 
People Monitoring and Safety Solutions 
Smart Homes and Home Automation 
The Global Wireless M2M market

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Connected Care in Europe Market Report

  • 1. See inside for further details M2M Research Series Connected Care in Europe Connected Care in Europe is a comprehensive report from Berg Insight analysing the latest developments on the telehealth and telecare markets in this region. This strategic research report from Berg Insight provides you with 120 pages of unique business intelligence including 5-year industry forecasts and expert commentary on which to base your business decisions. This report will allow you to: Profit from 40 new executive interviews with market leading companies. Identify key players in the connected care ecosystem. Learn about the latest developments in connected care devices and services. Understand the dynamics of the European healthcare and social care systems. Evaluate how the adoption of next-generation solutions is proceeding. Benefit from expert market analysis including detailed market forecasts lasting until 2019. Berg Insight’s M2M Research Series What are the key business opportunities in the emerging wireless M2M/IoT market? Berg Insight’s M2M Research Series is a unique series of 20 market reports published on a regular basis. Each title offers detailed analysis of a specific vertical application area such as smart metering, fleet management or vehicle telematics. Once per year we also publish summaries of our research with detailed forecasts for the Global and European wireless M2M markets, respectively. www.berginsight.com Order now! Please visit our web site to order this report and find more information about our other titles at www.berginsight.com
  • 2. This report answers the following questions: Connected care systems in use, millions (Europe 2013–2019) M2M Research Series Connected care revenues in Europe will reach € 4.8 billion by 2019 The ageing population and the increasing prevalence of chronic diseases will be two of the greatest challenges in Europe during this century. It is widely believed that connected care solutions can ease the burden on society by enabling more efficient delivery of care and allowing people to live independently in their homes for longer. Berg Insight’s definition of connected care comprises telecare and telehealth solutions that are used for the remote delivery of healthcare and social care services. Today, the most common connected care solution is the traditional telecare alarm, which includes a wearable alarm button that the user presses in the case of an emergency. Next-generation telecare systems are technologically more advanced and can automatically trigger an alarm, for instance if the user leaves home at an unexpected time or forgets to take his or her medicine. Furthermore, next-generation telecare solutions include mobile telecare alarms that users can carry with them at all times. Telehealth solutions involve connected medical devices and monitoring services that are used for the remote management of patients with COPD, chronic heart failure, diabetes, hypertension, asthma, coronary heart disease or chronic kidney disease. Traditional telecare is the largest and most mature segment of the connected care market with a total of 4.55 million users at the end of 2013. In contrast to this, the markets for next-generation telecare and telehealth solutions are still in nascent stages. At the end of 2013, there were 0.69 million users of next-generation telecare solutions in EU28+2, whereas the number of telehealth users reached just 0.06 million. The total number of people using connected care solutions totalled 4.7 million at the end of 2013, as there is some overlap between the three solution categories. The market is forecasted to grow at a CAGR of 19.8 percent during the next six years to reach 13.7 million connected care users by 2019. Berg Insight expects that traditional telecare will remain the largest segment of the connected care market with 5.6 million users in 2019. However, traditional telecare will be closely followed by next-generation telecare and telehealth that are growing more quickly and will reach a forecasted 4.9 million users and 4.7 million users respectively at the end of the forecast period. Connected care revenues in the EU28+2 countries reached an estimated € 1.7 billion in 2013. This includes revenues from traditional telecare solutions, next-generation telecare solutions and telehealth solutions. The market is expected to grow at a CAGR of 19.0 percent between 2013 and 2019 to reach € 4.8 billion at the end of the forecast period. Traditional telecare solutions accounted for the largest share of the market in 2013, but will not grow as quickly as the next-generation telecare and telehealth markets during the next six years. The traditional telecare equipment market in Europe is highly consolidated. The two major players – Tunstall and Legrand – hold leading positions in nearly all markets and together account for 70 percent of telecare unit sales in the region. The next-generation telecare market is on the other hand fragmented. In addition to the leading telecare equipment vendors, companies active in the next-generation market include specialized providers such as Essence Group, Telecom Design and Vivago in activity monitoring; Doro, Everon and Limmex in mobile telecare; and Evondos, Innospense and Medicpen in medication compliance monitoring. The telehealth market is similarly a fragmented market that is evolving quickly. Many new start-ups as well as well-established solution providers from adjacent industries are entering the market. Examples include Alere, Apple, BT Group, Comarch, Silverbullet, SHL Telemedicine, Telefónica and Voluntis. The ongoing digitalization of telephone networks in Europe will require massive replacements of PSTN-based telecare systems in the coming years. At the same time, there is rising interest in new types of solutions that enable social care and healthcare services to be delivered more efficiently. Berg Insight expects that these trends will catalyse the transition to the next generation of connected care solutions. One of the results of this shift will be that software becomes more important in a market that has traditionally been hardware-centric – a change that can allow new companies to enter the market and result in substantial changes in the competitive landscape. The transition to digital technologies is good news for mobile network operators, as the vast majority of all new connected care systems rely on cellular connectivity. In fact, Berg Insight predicts that the number of cellular connections will grow from around 0.3 million in 2013 to more than 7.7 million in 2019. Which are the main verticals within connected care? What are the main drivers on this market in Europe? How many people are using telecare systems in each European country? What are the general technology trends for connected care products? How will the digitalisation of telephone networks affect the market? Which are the leading telecare equipment providers in Europe? How will the connected care market evolve in the next five years? Will the markets for telehealth, telecare and smart home solutions converge? What is the potential market size for wireless M2M communication? 15 12 9 6 3 0 Millions 2013 2014 2015 2016 2017 2018 2019 Year
  • 3. Executive summary Glossary Table of Contents 1 Healthcare and social care in Europe 1.1 Introduction 1.1.1 The ageing population 1.1.2 Metabolic syndrome and lifestyle related diseases 1.2 Chronic diseases 1.2.1 Cardiovascular diseases 1.2.2 Hypertension 1.2.3 Chronic respiratory diseases 1.2.4 Diabetes 1.3 Medical conditions 1.3.1 Autism 1.3.2 Dementia 1.3.3 Epilepsy 1.3.4 Other cognitive and physical disabilities 1.4 Healthcare and social care systems 1.4.1 Healthcare systems 1.4.2 Social care systems 1.5 The regulatory environment 1.5.1 Medical device regulations 1.5.2 Privacy regulations 2 Traditional telecare solutions 2.1 Market overview 2.1.1 Form factors and use cases 2.1.2 Value chain 2.1.3 Competitive landscape 2.2 Solution providers 2.2.1 Azur Soft 2.2.2 Bosch Healthcare 2.2.3 CareTech 2.2.4 Centra Pulse 2.2.5 Chubb Community Care 2.2.6 Eurocross 2.2.7 Jontek 2.2.8 Legrand 2.2.9 TBS Group 2.2.10 Tunstall Healthcare Group 2.2.11 Verklizan 2.2.12 Urmet ATE 3 Next-generation telecare solutions 3.1 Market overview 3.1.1 Form factors and use cases 3.1.2 Value chain 3.1.3 Competitive landscape 3.2 Solution providers 3.2.1 Doro 3.2.2 Evermind 3.2.3 Everon 3.2.4 Evondos 3.2.5 Essence Group 3.2.6 Innospense 3.2.7 Just Checking 3.2.8 KPN 3.2.9 Limmex 3.2.10 Lively 3.2.11 LOSTnFOUND 3.2.12 Medicpen 3.2.13 Merck Serono 3.2.14 Numera 3.2.15 Oysta Technology 3.2.16 Telecom Design 3.2.17 Vivago 4 Telehealth solutions 4.1 Market overview 4.1.1 Form factors and use cases 4.1.2 Value chain 4.1.3 Competitive landscape 4.2 Solution providers 4.2.1 Alere 4.2.2 Apple HealthKit 4.2.3 BePatient Solutions 4.2.4 BodyTel 4.2.5 BT Group 4.2.6 Comarch 4.2.7 CSC Scandihealth 4.2.8 eDevice 4.2.9 H2AD 4.2.10 Hope Care 4.2.11 Medic4All 4.2.12 Medixine 4.2.13 Medvivo 4.2.14 S3 Group 4.2.15 SHL Telemedicine 4.2.16 SilverBullet 4.2.17 Swissmed Mobile 4.2.18 Qualcomm Life 4.2.19 Telbios 4.2.20 Telefónica 4.2.21 Vitaphone 4.2.22 Voluntis 5 Market forecasts and conclusions 5.1 Market trends and analysis 5.1.1 PSTN network digitalization drives transition to IP-based telecare systems 5.1.2 Millions of new cellular connections will be needed for connected care 5.1.3 Next-generation activity monitoring solutions enable new use cases 5.1.4 Technological developments will affect the competitive landscape 5.1.5 Convergence between telecare and telehealth 5.1.6 BYOD will become a viable option for telehealth 5.1.7 The medication compliance monitoring market gains momentum in Europe 5.1.8 The interest in mobile telecare solutions is growing 5.2 Market forecasts 5.2.1 Traditional telecare 5.2.2 Next-generation telecare 5.2.3 Telehealth 5.3 Revenue forecasts 5.3.1 Traditional telecare 5.3.2 Next-generation telecare 5.3.3 Telehealth
  • 4. About the Author Lars Kurkinen is a Senior Analyst with a Master’s Degree in Strategic Management from the Aalto University School of Science and Technology, Finland. He joined Berg Insight in 2010 and his areas of expertise include mHealth, smart homes and mobile financial services. Berg Insight offers premier business intelligence to the telecom industry. We produce concise reports providing key facts and strategic insights about pivotal developments in our focus areas. Berg Insight also offers detailed market forecast databases and advisory services. Our vision is to be the most valuable source of intelligence for our customers. Who should buy this report? Related products You can place your order in the following alternative ways: 1. Place your order online in our web shop at www.berginsight.com 2. Fax this order sheet to us at fax number: +46 31 711 30 96 3. Mail this order sheet to us at: Berg Insight AB, Viktoriagatan 3, 411 25 Gothenburg, Sweden 4. Email your order to: info@berginsight.com 5. Phone us at +46 31 711 30 91 Family/Surname Forename Position Company M2M Research Series Address Country Postcode Telephone FAX Email VAT is chargeable on all orders from Sweden. Orders from all other countries in the European Union must include the buyer’s VAT Registration number below in order to avoid the addition of VAT. Your PO number Your VAT/TVA/IVA/BTW/MWST number Reports will be dispatched once full payment has been received. For any enquiries regarding this, please contact us. Payment may be made by credit card, cheque made payable to Berg Insight AB, Viktoriagatan 3, 411 25 Gothenburg, Sweden or by direct bank transfer to Skandinaviska Enskilda Banken, 106 40 Stockholm, Sweden. Account Holder: Berg Insight AB Account number: 5011 10 402 80 BIC/SWIFT: ESSESESS IBAN: SE92 5000 0000 0501 1104 0280 Please charge my credit card VISA Mastercard Card number Cardholder’s name Signature Billing address Postcode Country We enclose our cheque payable to Berg Insight AB Please invoice me Signature Date Expiry date (MM/YY) CV code / Berg Insight AB, Viktoriagatan 3, SE-411 25 Gothenburg, Sweden • Phone +46 31 711 30 91 • Fax +46 31 711 30 96 • www.berginsight.com • info@berginsight.com © Berg Insight AB - No. 133 Order form — TO RECEIVE YOUR COPY OF Connected Care in Europe Choose type of format Paper copy.........................1000 EUR PDF 1-5 user license..........1500 EUR PDF corporate license........3000 EUR Connected Care in Europe is the foremost source of information about the telehealth and telecare solution markets in this region. Whether you are an equipment vendor, care provider, telecom operator, investor, consultant, or government agency, you will gain valuable insights from our in-depth research. mHealth and Home Monitoring People Monitoring and Safety Solutions Smart Homes and Home Automation The Global Wireless M2M market