亞太地區(qū)遠(yuǎn)程醫(yī)療市場調(diào)研和分析報(bào)告（英文版）-2024年1月上傳培訓(xùn)課件

DIGITAL

&TRENDSBeyond

the

pandemic:The

future

of

telehealth

in

A

PACHowdigital

health

platforms

aretransforming

health

careacross

the

Asia-Pacific

regionHow

telehealth

is

transforming

health

care

across

the

Asia-Pacific

regionKey

questionsanswered

inthisreportWhat

are

themain

driversoftelehealthgrowth

intheregion?How

are

differenttelehealthformatsrepresentedacross

theregion?What

are

theheadwindsfacing

telehealthinthe

region??

Greater

consumerfamiliarity

withtelehealth

afterthe

pandemic,

withsurveysshowing

adoptionupticksacross

theregion.?

Some

markets

like

China

and

SouthKoreaareworking

onlayingoutframeworks

forlarge-scale

telehealth

adoption.?

Consumer

trustindigital

privacyisparticularly

low

inadvanceddigitalandhealthcare

markets

suchasJapan,SouthKorea,

andAustralia.?

Theregion’s

increasing

agingandruralpopulationsmake

forlargeconsumergroupsthatcould

benefit

from

telehealth.?

More

than

150

million

patientsinIndia

havebeen

treated

viaagovernment-backedtelehealthsystem.?

Globally,health

careleaders

viewtechinfrastructure

anddataregulationsaspotential

barriers.?

Around30

percentof

Japan’spopulationare

?

Over

23.5

million

Australianshaveaged

65

and

older;

over

60

percent

ofIndia’spopulation

liveinrural

areas.accountsonthenational

digital

healthrecord

system.?

Approval

timelines

fordigitaltherapeuticservices

or

products

across

APAC

rangefrom

3-12

months.2TelehealthTelecareTelemedicineWhatarethemaindrivers

oftelehealthgrowth

inthe

region?1How

the

pandemic

kick-started

digital

health

across

APACTelehealth

adoption

ratein

the

Asia-Pacific

region,byselected

countryWhile

COVID-19

impactedbusinesses,

organizations,

and

institutionsworldwide,the

health

careindustryundoubtedly

took

center

stage.

Thepandemic

acceleratedchangeand

transformed

the

digitalhealthsegment

inparticular.China24%25%47%76%Despite

lockdowns

andsocial

distancingmeasures,

patientsandphysicianscouldstayintouchremotely.

Digitalhealth

services

alsoenabled

people

to

track

thespread

of

the

coronavirus,

monitor

theirsymptoms

autonomously,

andgetquickadviceonline.

Governments

launchedapplicationsthatincludeddigitalcontacttracing,andvaccination

certificates

could

bestored

onmobile

devices.

Consumersacross

allagegroupsquicklybecame

accustomed

tothe

concept

oftelehealth.IndonesiaPhilippinesMalaysiaIndia51%72%48%70%30%70%Inthe

Asia-Pacific

region,

survey

results

revealed

major

boosts

intelehealthadoption

between

2019

and

2021,

particularly

inIndia

andAustralia.Projectionssuggest

adoption

will

surpass50

percent

inall

participating

countries

by2024.29%59%

68%Singapore16%34%60%Australia5%45%56%2019202120244Notes:APAC;

2019

and

2021;

1,750

respondentsSources:

Bain&Company,

ID:1294089Whatarethemaindrivers

oftelehealthgrowth

inthe

region?1Increased

health

care

accessibility

for

aging

and

ruralpopulationsShareof

agingand

rural

population

in

the

Asia-Pacificregion,

byselectedcountryBeyond

theacuteneed

fortelehealth

duringthe

pandemic,many

oftheAPACregion’s

demographic

andinfrastructuralfactorsprovide

sustenance

forthedigitalhealthsegment

to

grow.FullpopulationRuralpopulationAgingpopulationLow

birthratesandagingpopulationsare

concerns

inseveral

of

the

region’scountries.

Asthese

trendscontinue,the

working-age

population

decreases,

whichputspressure

on

theprograms

thatprovide

care

and

support

to

older

adults.InJapan,among

the

oldest

societies

inthe

world,

around30

percent

of

the

populationisaged

65

and

older.64.13%6.80%36.44%13.10%18.57%16.70%IndiaChinaJapanSouthKoreaAnothermajor

argument

forincreased

telehealth

adoption

isthe

APAC

region’slarge

ruralpopulation

ofover

onebillion,particularly

inmanySouthandSoutheastAsiancountries.

Inthesedeveloping

markets,

telehealth

canhelpconsumers

inremote

areas

better

integrateintothe

health

caresystem.

By

providing

patientswith

the

information

theyneed

toconfidently

makemore

informed

health

caredecisions,

many

ofthetraditionalsystematic

barriers

areovercome.

Thisincreasedconnectivity

canparticularly

benefit

archipelago

nationssuchasIndonesia

andthe

Philippines.13.51%16.60%8.05%29.80%0.00%14.10%AustraliaSingapore5Notes:(1)

APAC;

2021;

adults

aged65

years

and

older;values

are

estimates

per100

population;

(2)

APAC;

2022Sources:

(1)

UNDESA,ID:1100149;

(2)

WorldBank,ID:641144;

(3)

Chambers

and

Partners;

DIAGlobalForum,

ID:264729How

aredifferent

telehealth

formatsrepresented

across

the

region?2China:

Plans

for

centralized

digital

health

by

2025NumberofonlinemedicalserviceusersinChina(in

millions)Penetrationrateofonlinemedical

services

inChina(inpercent)Duringthepandemic,theChinesepublicwas

familiarized

with

digitalhealththroughitinerary

andhealthcodes.

Thehealthcode

app

used

citizens’

healthandtravel

datato

generate

ared,

yellow,

or

green

QR

code.

Thecolor

indicated

the

risklevel

of

havingcontracted

thecoronavirus.

Onlyagreen

code,

meaning

norisk,allowed

access

to

most

public

places.362.5434.0%297.8828.9%299.84Health

codes

came

invariousforms,

includingmini-applicationsembedded

intoChinesesuper

apps

WeChat

andAlipay,

or

autonomous

appsrunbyprovincialauthorities.

Thishasprompted

central

government

efforts

to

assimilate

differenthealthcodes

andincrease

compatibility

across

provinces.276.0229.4%239.93214.80Therefore,

theChinesegovernment

hasshared

plans

tocentralize

digital

healthcare

onanationallevel

by2025

as

partofthecountry’slatest

Five-Year

Planfor2021

to

2025.

Theplan

laysoutaframework

tolaunchanationwide

platformthatwould

enablehealthcare

providers

to

interchange

data

andprovide

the

publicwithunifiedhealthinformation.28.5%23.7%WithAliHealth,PingAnGood

Doctor,

andWeDoctor,

the

telehealth

industryinChina

is

home

to

alineup

ofalready

well-established

platforms,

each

offeringonlinemedical

consultationsandmore

to

over

200

million

registered

users.21.7%Jun'20Dec'20Jun'21Dec'21Jun'22Dec'226Notes:(1)

(2)

China;

2020

to

2022Sources:

(1)

(2)

CNNIC,

ID:1296269;

ID:1296275;

(3)

Asia

Times;

DigiChina;

McKinsey

&Company,

ID:1294342How

aredifferent

telehealth

formatsrepresented

across

the

region?2Japan:

A

highly

regulated

market

with

a

significant

demand

for

telehealthShareofdigitalinhealthmanagementin2022Among

the

biggest

healthcare

markets

globally,Japanprovides

anexample

of

thecomplexity

ofnationallegal

frameworks

forthe

approval

andregulation

ofpharmaceuticals,

medical

devices,

andtelemedicine.37%Globalaverage:60%Thelegal

framework

fortelehealth

inJapanislaidoutinthe

Medical

Practitioners’Actbythe

Ministry

of

Health,Labour,and

Welfare.

Prior

to

COVID-19,

aninitialin-person

consultation

or

diagnosiswas

required

before

anytreatment

process

viatelehealth.

Thisguideline

was

revised

inJanuary2022

following

the

increased

usageof

telehealth

during

thepandemic.

Following

the

revision,

telehealth

treatmentsfrom

the

initialconsultation

were

permitted

incertain

cases,suchas

whenconducted

byaphysicianwho

had

treated

the

patientpreviously

or

ifexistingmedical

records

enabled

apatient’streatment.

However,

certain

symptoms

andmedicine

prescriptions

are

alsoexcluded

from

thisregulation,

furtherunderliningthe

complexity

of

telehealth

frameworks.Telehealthmarketsizeby20259%Thedemand

fortelehealth

inJapanisdriven

bythecountry’sagingpopulation

andashortage

of

doctors

and

care

personnel.

Additionally,rural

depopulation

leavesmany

people

invillagesandsmall

towns,

particularlyolder

adults,

with

limitedaccess

tomedical

care.Shareofelectronichealthrecordsin20227Notes:(1)

Japan;

2022;

forecastSources:

(1)

International

TradeAdministration;

(2)

DLAPiper

Intelligence;

EU-Japan

CentreHow

aredifferent

telehealth

formatsrepresented

across

the

region?2South

Korea:

Rising

ambitions

for

telehealth

legalizationTelehealth

figuresrecordedduringtheCOVID-19

pandemic

in

South

Korea

fromFebruary2020

to

January

2023Despite

being

oneof

the

most

advanceddigitalmarkets

worldwide,

SouthKorea

currently

does

nothavealegalframework

supporting

telehealth.

Thenational

government

only

allows

telehealth

practices

asameans

ofexchange

between

medical

professionals

or

incase

ofnationalinfectious

disease

emergencies.

With

the

latterapplyingto

theCOVID-19

pandemic,telehealth

services

were

temporarily

permitted

nationwide

inFebruary2020,

yielding

successful

results.

Patientswith

chronic

diseases

havealsobenefited

from

telehealth

services

astheirmedication

adherence

improved

duetotelehealth

enabling

more

frequent

prescriptions.

BetweenFebruary

2020

andJanuary2023,

more

than

36.6

million

treatments

were

conducted

viatelehealth,

86.2

percentof

thembyneighborhood

clinics.36.61mtreatments

administeredviatelehealthInasurvey

conducted

bythe

Korea

Health

IndustryDevelopment

Institute

inSeptember

2022,

approximately

88percent

of

respondents

statedthey

would

continueto

usetelehealth

inthe

future,ifpossible.

Notably,the

samesurvey

alsorevealed

acorrelation

between

patients’digital

literacy

andthe

perceived

qualityof

theirtelehealthconsultation.

Less

digitallycompetent

clientswere

more

likely

tobedissatisfied

with

theamountof

counselingtimeandinformation

received

duringadigitalconsultation.

InMay2023,

theWorld

HealthOrganizationannounced

thatCOVID-19

isno

longer

aglobalhealth

emergency,

adeclaration

thatposes

arisk

to

telehealth’stemporary

legal

statusinSouthKorea.

Consequently,thecountry’shealth

ministry

iscurrently

striving

foramendments

tothe

Medical

Service

Act.13.79mpatients

servedviatelehealth25kmedicalinstitutionsprovided

remotetreatments8Notes:(1)

South

Korea;February2020

toJanuary

2023Sources:

(1)

Ministry

ofHealth

and

Welfare(South

Korea);Healthcare

ITNews;

(2)

Healthcare

ITNews;

KoreaBiomedical

Review;

The

KoreaHeraldHow

aredifferent

telehealth

formatsrepresented

across

the

region?2Singapore:

A

hub

forlong-term

care

innovationPhases

of

long-term

care(LTC)inSingaporeInthe

2022

World

Indexof

Healthcare

Innovation

publishedbytheFoundationforResearch

on

EqualOpportunity,Singapore

climbed

two

placesto10th.

Thecity-stateranked

second

intheAPAC

market

behind

Australia.Singapore’s

advanceddigitalhealthcare

system

canbeseen

as

amajor

contributortothisachievement,with

the

universal

adoptionof

healthdigitization

among

medical

providers

inthe

country.20152023LTC1.0LTC2.0LTC3.0Asone

ofAPAC’sleadinghealthcare

systems,

Singapore’s

healthcare

providersandtechcompanies

canadvancetelemedicine

throughresearch

anddevelopmentinvestment.

Thisdiffersfrom

the

region’s

developing

markets

thatmustfirstcounteract

existing

structuralproblems,

suchasalackofinternet

infrastructureinrural

areas

or

lower

smartphone

adoption.

Singapore,

therefore,

isahubfortelehealth

startupsaddressing

various

future-facing

issuessuchas

mental

well-being,long-term

treatment

ofchronic

diseases,

anditsrapidlyagingsociety.Tech

nascentTech

growthTech

enabled(pre-2015)(2015-2023)(post-2023)LargelyinstitutionalizedAginginplaceIntegratedCareasneededOmnichannelHolistic

andpersonalizedMedicalized

andstandardizedMultichannelMany

ofthese

services

operate

on

asubregional

level.

Oneisthetech-poweredhealthcare

company

Doctor

Anywhere,

which

has2.5

million

users

across

fiveSoutheast

Asianmarkets,

including

Singapore.

Theomnichannel

company

providespatientswith

virtualandphysicalclinicsaswell

as

home

care

programs.Primarily

offline9Notes:(1)

SingaporeSources:

(1)

Oliver

Wyman;

(2)

DoctorAnywhere;

MediumHow

aredifferent

telehealth

formatsrepresented

across

the

region?2India:

Bridging

the

gap

between

medical

facilities

and

the

rural

populationNumber

of

teleconsultations

viaeSanjeevani

in

India(inmillions)InApril2020,

India’sMinistry

of

HealthandFamily

Welfare

launchedeSanjeevani.

Thetelemedicine

platformwasrolled

out

following

anamendment

to

theIndian

Medical

Council’sregulations

inMarch

2020

thatlaidoutalegal

framework

for

practicingtelemedicine

inthe

country.

Thegovernment-backed

service

isavailable

intwomajor

versions.9.47.5ThefirstiseSanjeevaniOPD,

apatient-to-doctor

system.

Theoutpatientdepartment

(OPD)offers

services

thatincludepatientregistration,

video

consultations,andelectronic

prescriptions.

Insome

Indian

states,theseprescriptions

may

also

bedelivered

viaSMS,helpingtobetterintegrate

patientswithout

asmartphone,

often

inrural

areas.

Likewise,

pharmaceutical

home

delivery

isalsoavailableinsome

states.6.15.43.4Mar

'22Jun'22Sep

'22Dec'22Feb'23Thesecond

iseSanjeevaniAB-HWC,

adoctor-to-doctor

system.

Ithasproven

particularly

successful

inprovidinghealthservices

inruralandmore

isolated

communities.

Across

India,there

aremore

than

150,000

AyushmanBharat

HealthandWellness

Centres

(AB-HWCs).

Thedoctor-to-doctor

service

is

basedon

aso-called

hub-and-spoke

model,

connecting

thepatientand

theirlocal

general

practitioner

with

specialistsatremote

tertiary

healthcare

facilities.totalpatientsservedprovidersonboarded150.7m105.4k111188.9kspokesoperationalizedhubsestablished13.5kDuetoeSanjeevani’s

positive

impacton

healthcare

integration,similar

specialized

systems

havesince

beenlaunchedinIndia,including

one

fordefense

personnel

andveterans

aswell

asoneforHIV

patients.specialties10

Notes:(1)

India;

2022

to2023;

(2)

India;

as

ofAugust

2023Sources:

(1)

Ministry

ofHealth

and

Family

Welfare(GovernmentofIndia),

ID:

1344295;

(2)

eSanjeevani;

(3)

Ministry

ofHealth

and

Family

Welfare(GovernmentofIndia);

ObservatoryofPublic

SectorInnovation;

Press

Information

Bureau(GovernmentofIndia)How

aredifferent

telehealth

formatsrepresented

across

the

region?2Australia:

Bringing

telehealth

to

the

national

levelTotalnumberofMyHealth

RecordsinAustralia

(inmillions)NumberwithuploadeddataAmong

the

earliest

adopters

oftelehealth

across

theAsia-Pacific,even

priortothepandemic,Australiais

considered

oneof

the

region’s

most

mature

digitalhealthmarkets

interms

of

government

backingand

publicreception.

In2012,

theAustraliangovernment

launchedthePersonally

Controlled

Electronic

HealthRecord,

anopt-in

service

connecting

patientsand

healthcare

providers,

enablingthe

exchange

of

selected

healthinformation.23.523.023.222.920.322.722.4Today,the

service

operates

underthenameMy

Health

Record,

and

there

are

morethan

23

million

participants.

Alegislation

changein2019

saw

the

system

switch

toanopt-out

model,

andahealthrecord

was

automatically

created

foreveryAustralian.However,

the

small

disparitybetween

the

total

accountsandthosewithuploaded

data

alsospeaks

to

theservice’s

near-universal

usageinthe

country,withdocument

uploadsincreasing

significantlyin2020

and2021,

likely

duetothepandemic.

Almost

100

percent

of

pharmacies

and

publichospitalsin

Australiaareregistered

withMy

Health

Record,

butpenetration

is

lackingamong

other

healthcare

services,

suchas

specialistsandagedcare

providers.13.25.95.42019202020212022202311

Notes:(1)

(2)

Australia;

2019

to

2023;

data

asofJanuaryeach

year;total

number

for2019

is

as

ofJuly

2018Sources:

(1)

(2)

Australian

DigitalHealth

Agency,ID:1219889;

ID:1223231;

(3)

Health

Advances

Blog;Healthdirect

Australia;HealthyWA;

PrivateHealthcare

AustraliaWhataretheheadwinds

facingtelehealthintheregion?3Trust

levels

in

online

privacy

vary

across

APACWhile

regulatory

barriers

arethe

first

thatdigitalhealthcare

providers

mustovercome,

other

challenges

includebuilding

patienttrustand

understandinghowthese

services

work.

When

itcomes

to

online

privacy,the

greater

amarket’s

digitalmaturity,the

greater

the

consumer

distrust.T

R

U

S

TC

O

N

C

E

R

N45%41%IndiaPakistanIndonesiaThailandPhilippinesVietnamJapanandSouthKorea

–among

themost

mature

healthcare

markets

inthe

APACregion

–showcased

the

highestlevels

of

consumer

concern

regarding

digitalprivacy.

Thiscanbeattributedto

ahigheruser

exposure

to

digitalservices

and,thus,

higherawareness

of

potential

risks.34%23%18%Telehealth

providers,

therefore,

need

to

establish

cybersecurity

measures

andbuildconsumer

trustwhen

itcomes

tohandling

sensitive

datasuchaspatientrecords.

InSingapore’s

largest

personal

data

leak,

around1.5

million

patientfileswerebreached

in2018.11%SingaporeAustraliaSouthKoreaJapan1%2%12%30%12

Notes:(1)

APAC;

September

23

toNovember

14,

2022;

48,580

adult

respondents

worldwide;

original

question:

“Towhat

extent

toyouagree

ordisagreewith

the

following

statement:

People

worry

too

much

about

their

privacy

online.

I’mnotconcerned

about

what

companies

orthe

governmentknow

about

me.”;“Trust”represents

the

share

ofrespondents

who

agreedwith

the

statement,

while

“Concern”

representsthe

shareofthose

who

disagreedSources:

(1)

IPSOS;

(2)

Konrad

Adenauer

StiftungWhataretheheadwinds

facingtelehealthintheregion?3The

rocky

road

to

the

effective

digitalization

of

health

dataPerceivedbarriersto

effective

datautilization

among

health

careleadersTop

factors

that

would

support

healthcareleadersin

health

datautilizationGlobal

surveys

haverevealed

thevariouschallengeshealthcare

leaders

faceintransforming

existingprocesses

anddata

to

thedigitalsphere.

These

cangenerally

becategorized

into

issuesrelating

to

staff,data

processing,

andtechnological

infrastructure.27%23%24%23%More

clarity

abouthowdataisbeingusedwithinmyResistance

amongstaff

toupgradetechnologyAvailability

ofdataspecialists

tomanage

andanalyze

dataMany

ofthesurveyed

healthcare

leaders

expressed

awillingness

and

interest

incollaborating

withotherhospitalsand

healthcare

facilitiesforpeer-to-peerlearning.

Globally,

over

70

percent

oflateadopters

ofdigitalhealthtechnology

stated

thattheycurrently

hadthe

minimal

amountof

expertise

needed

toleveragethe

new

technology.Technologyinfrastructurelimitationshealthcare

facility3%ckiData/regulationsperformancerics/KPIs

tosure22%21%Investing

intechnologyinfrastructure

inmyhealthcarefacilityConcerns20%Apartfrompeer

collaborations,

many

healthcarefacilitiesalsoaimtowork

closely

with

healthcaretechnology

companies,

seeking

supportinaspectssuchasstrategic

vision,integration

of

technologicalsystems

within

theirfacility,or

dataanalysisservices.22%related

todataprivacy/securityStaff’slack

ofknowledgeabout

dataTraining/educatingstaff

onusage13

Notes:(1)

(2)

Worldwide;

December2021

to

February2022;

2,900

respondents;

fromthe

APAC

region,the

surveysincluded

health

careleadersfromAustralia,

China,

India,

Indonesia,

and

SingaporeSources:

(1)

(2)

Philips,

ID:1316676;

ID:1316677Whataretheheadwinds

facingtelehealthintheregion?3Varying

approval

timelines

and

reimbursement

plansRegulatory

framework

for

digital

therapeutics

in

theAsia-Pacific

regionBefore

launching

aplatformor

application,digitalhealthproviders

mustseek

authorization

fromglobalandlocal

regulatory

bodies.

Approval

timelines

varydepending

onthemarket

and

theproduct,withconsumer

healthproducts

notused

fordiagnosisortreatments

being

subjecttoless

stringentregulations.ChinaNMPA6NoJapanPMDA12Outoftheselected

markets,

Japaniscurrently

theonlyone

offering

government

reimbursements

fordigitaltherapeutics,

with

actionstoward

reimbursementbeing

takeninSouthKorea

and

Australia.

Incontrast,China,

as

well

astheSouthand

Southeast

Asianmarkets,

currently

donot

havereimbursement

plansinplace.SouthKoreaYes;

samedatamaypotentially

beusedMFDS6-8Emerging;

dependsontherapeutic

areaIndiaCDSCO6-9NoAustraliaSingaporeTGA4-6HSA3-4NoEmerging;

dependsontherapeutic

areaApartfromgovernment

support,theeligibility

oftelehealth

services

for

insurancecoverage

posesanotherissue

and

may

bedependent

on

therespective

disease.RegulatoryagencyApprovaltimeline

(in

months)Government

reimbursementDisputedareas14

Notes:(1)

APAC;

2022Sources:

(1)

Eversana;(2)

Chambers

and

Partners;

EversanaOutlookWhat

are

themain

driversoftelehealthgrowth

intheregion?How

are

differenttelehealthformatsrepresentedacross

theregion?What

are

theheadwindsfacing

telehealthinthe

region?Withcontact

tracingappsand

digitalvaccination

certificates,

theCOVID-19pandemichasfamiliarized

consumers

of

allageswith

the

concept

ofusingsmart

devicesforhealth-related

needs.

Across

the

APACregion,

demographic

factorssuchasagingandrural

populationsmakeforahugepartofthepatientbasethatcould

benefit

frombetterintegration

intothe

healthcare

system

viatelehealth

services.Theadoptionof

telehealth

ishighlyAswith

manydigital-first

markets,

telehealthmustovercome

varying

challenges

anddependent

on

each

country’srespectivegovernment.

Some

APAC

markets

likeAustraliaandIndia

havegovernment-backed

telehealthservices,

while

others

likeChina

havesharedplansfornationwide

telehealth

ambitions.SouthKorea

isanexample

ofamarket

inwhich

telehealth

was

bannedbefore

thepandemic

but

is

now

inthetr