Summary

The global e-health market has seen significant growth, with projections indicating a value of $234.5 billion by 2023, an increase of 160%. Despite a decrease in funding amounts for HealthTech startups, from $44 billion in 2021 to $23.3 billion in 2022, investment levels remain higher than those observed in 2020. The French e-health market reflects this expansion, where investment by e-health startups has risen considerably, reaching 1.052 billion euros in 2022. This market surge is fueled by an aging population, an increase in chronic diseases and technological advances, notably AI and connected health objects.

At the same time, the adoption of teleconsultations has risen substantially due to factors such as the COVID-19 pandemic. Despite this, the e-health sector faces challenges such as professional and patient distrust, cybersecurity issues and regulatory hurdles. Nevertheless, major players, including GAFAMs and startups, continue to invest and innovate in the sector, even if GAFAMs' involvement has its limits, as evidenced by Amazon's decision to shut down its Amazon Care telehealth service.

Assessing e-health market trends in France

The French e-health market is experiencing remarkable growth, forming a crucial segment of the broader HealthTech ecosystem that includes Biotech, MedTech and e-health. This "healthtech" market has seen its sales rise from around 2.7 billion euros to an estimated 3 billion euros. The French healthtech ecosystem is home to an impressive 2,000 companies, with a predominance of biotech, medical technology and, in particular, around 200 e-health startups.

Driven by government investment under the Health Innovation Plan 2030, the e-health sector is not just a driver of growth, but a transformative force in healthcare. It is revolutionizing patient care, with shared medical records and teleconsultation becoming commonplace. The dynamism of the French e-health market is also evidenced by the substantial investment in e-health startups, which have benefited from a massive influx of funds. In 2022 alone, these startups raised over €1 billion, and projections for 2025 suggest a potential increase to over €1.2 billion. This maturation augurs continued expansion in the years ahead.

The boom in e-health demand is also fuelled by changing demographics and health concerns. An ageing population and the increasing prevalence of chronic diseases are driving this rise in demand. Telemedicine, in particular, has seen phenomenal growth, largely facilitated by advances in connected technologies and smartphone apps that track physiological and physical data. Teleconsultations have risen dramatically, from a negligible percentage before March 2020 to over one-fifth of all hospital visits.of all GP activity by April 2020, well above pre-pandemic levels.

Patients, particularly the elderly and those with chronic illnesses, are important target groups for telemedicine services. The number of beneficiaries of the "Allocation personnalisée d'autonomie", an assistance program for dependent elderly people. Similarly, a majority of people over 70 suffer from chronic or long-term health problems, underpinning the demand for e-health solutions, which is set to grow as the population ages. While new e-health solutions are generating enthusiasm among professionals and patients alike, they are not without their challenges.

Many healthcare professionals are concerned about medical confidentiality and liability issues associated with e-health tools. Patients are wary of the efficiency, price, quality and effectiveness of e-health tools

A look at the main innovators and pioneers

The eHealth landscape is crisscrossed by a dynamic set of players, each bringing cutting-edge innovations and novel approaches to revolutionize healthcare delivery and management. Here's a look at the major companies shaping the future of e-health.

  • Alphabet (Google's parent company) Alphabet, the parent company of technology giant Google, is at the forefront of integrating technology into healthcare. With a life sciences department that collaborates with biotech and pharmaceutical companies, Alphabet is on the lookout for innovations in healthcare, from diabetes management tools to bioelectronic devices to combat rheumatoid arthritis. Google DeepMind's foray into the analysis of eye scans using machine learning illustrates Alphabet's program to harmonize healthcare with technological progress.
  • Apple Apple's venture into the healthcare sector is marked by its HealthKit, ResearchKit and CareKit platforms, which facilitate the creation of FDA-compliant integrated healthcare applications. Apple's foray into wearable technology with the Apple Watch embodies its commitment to transforming everyday devices into health-monitoring essentials, equipped with capabilities to detect a range of medical conditions with remarkable accuracy.
  • Amazon Care Although Amazon's venture into direct healthcare delivery with Amazon Care was short-lived, the pilot project symbolized the potential of tech giants to disrupt traditional healthcare delivery models. Amazon Care aimed to combine virtual care with home visits and medication delivery services, paving the way for comprehensive healthcare models using digital platforms.

Startups in the e-health sector

  • Doctolib, France's e-health start-up ecosystem is breathtakingly diverse.poustouflante, with start-ups in fields such as robotic surgical systems, health monitoring devices and the creation of artificial hearts for transplants. doctolib, a medical appointment scheduling service, received significant funding, illustrating the prowess and potential of startups in harnessing technology for healthcare advances.

Other key players Beyond the headliners, the e-health market is also colored by companies specializing in telemedicine, medical device manufacturers and various incumbents in different sectors. With each segment - from information systems to remote patient monitoring - dominated by a combination of pure players, diversified publishers and public operators, the e-health scene is a mosaic of expertise and innovation. All in all, these companies and startups highlight the many facets of e-health, demonstrate the powerful interplay between technology and healthcare, and pave the way for progressively more connected and efficient healthcare management

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  • Number of pages : 30 pages
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  • Last update : 25/10/2023
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Summary and extracts

1 Market overview

1.1 Presentation and scope of study

According to theWorld Health Organization, the term e-health refers to "the use of information and communication technologies (ICT) for health". This definition includes a first major domain called Health Information System (HIS) or Hospital Information System (HIS), encompassing all solutions for thethese include all solutions for exchanging information between hospitals, doctors and patients, such as the computerized medical record or the carte vitale system. E-health also encompasses other fields:

  • Telemedicine : this covers a range of medical procedures carried out at a distance;
  • Telehealth: primarily concerned with monitoring and prevention;
  • Technological devices for patients or m-health (mobile applications, connected objects, etc.);
  • Technological devices for providers;
  • Technological devices for public and industrial players;

The global e-health market is booming. According to an assessment by Frost & Sullivan, the global e-health market is expected to reach a value of $234.5 billion in 2023, marking a 160% increase over 2019.[Bpi]. The total amount of funds raised by e-health start-ups worldwide is following the same dynamic.

Telemedicine in particular isa very promising segment within telehealth. The number of patients is steadily increasing, with the practicestimulated by the development of connected objects andm-health via smartphone applications, for example, which measure physiological and physical data that can be analyzed for future medical treatments.

On the French market, the healthcare sector is directly linked to public investment.as part of the Plan Innovation Santé 2030, the government has made "Santé Numérique" one of the three priority choices in its national acceleration strategy.lération nationale, proof that the e-health sector represents not only a real growth driver, but also a way of modernizing the various treatments available to patients. We should also mention the widespread use of the Dossier Médical Partagé (digital health record) and teleconsultation.

What's more, more and more investors are turning to e-health startups. In 2022, the total value of funds raised by these startups will amount to 1.052 billion euros. In 2025, it is estimated that they will raise over 1.2 billion euros, an increase of 14% on the 2022 figure. The French e-health market is thus gaining in maturity and will continue to grow in the years to come. [Mind Health]

This boom is mainly attributable to growing demand linked to an aging population and a significant increase in chronic diseases.

It reflects a real revolution in healthcare, marked by the transformation of medical practices and relationships between market players (such as healthcare professionals).

1.2 A growing global market

The global healthtech market

The HealthTech ecosystem brings together : Biotech, MedTech and E-health. The evolution of the global HealthTech market therefore gives an idea of the evolution of the global e-health market, or at least of the ecosystem in which it evolves.

In ****, $** billion was raised for HealthTech startups, a sector ...

1.3 In France, a promising market

Sales in the French e-health market

As previously stated,e-health is part of "healthtech" and encompasses innovations in the use of information and communication technologies (***) for health-related activities. Its sales are estimated at * billion euros in **** in France [***]

The French healthtech ecosystem comprises over *,*** companies, including *** biotech, *,*** medtech and *** e-health start-ups. ...

2 Demand analysis

2.1 Determinants of professional demand

Platform architecture, services and core repositories

Source: ****

Professional structures capable of adopting e-health innovations

Healthcare professionals working in private practice or in healthcare institutions are important targets for e-health players. Here is an overview of the French medical landscape.

Physician density by region France, ****, number of doctors per **,*** inhabitants Source: ****

The ...

2.2 Determinants of patient demand for e-health solutions

APA (***) beneficiaries

For telemedicine, the target groups are people suffering from chronic illnesses, the elderly and dependent, and people exposed to the phenomenon of a medical desert.

The Allocation personnalisée d'autonomie (***) was set up to provide assistance to people aged ** or over who are dependent and losing their autonomy. It ...

2.3 Barriers to e-health adoption

Professionals' lack of confidence

According to a study conducted by MACSF in ****, healthcare professionals were wary of e-health for a variety of reasons. **% of those surveyed considered digital healthcare tools to be a threat to medical confidentiality. In addition, **% of healthcare professionals deplored the lack of clarity surrounding e-health objects in ...

2.4 The central role of public authorities

The national e-health **** strategy is structured around four key priorities[***]: Develop connected medicine, enabling remote monitoring or interpretation of medical data via applications ; Encourage collaboration between healthcare professionals, citizens and economic players; Simplify administrative procedures for patients (***); Reinforce the security of healthcare information systems. Some of the actions in the national ...

3 Market structure

3.1 E-health: a vast field

E-health has a wide range of applications, which France Biotech analyzes in the following graph, concerning the areas of expertise of e-health companies in France.

Areas of e-health application France, ****, % of total Source: ****

Connected objects account for **% of the activity of e-health companies in France, digital diagnostics and patient telemonitoring for ...

3.2 The different players

Major players

Typical players vary according to the e-health segment under consideration[***]:

The information systems segment is dominated on the one hand bypure players and diversified publishers, and on the other by public operators . The telemedicine segment is dominated by telemedicine specialists and medical device manufacturers . The telehealth sector is facing ...

3.3 GAFA's major role in e-health

The intervention of GAFA

Over the past ** years, the GAFAMs (***) have paved the way for the progressive industrialization of healthcare. Previously, healthcare was strictly the preserve of health professionals, as a major pillar of solidarity. But as needs have exploded, payers such as GAFA have been forced to question the limits ...

3.4 France 2030 and the structuring of digital healthcare

Digital health is one of the key sectors of France ****, and in particular of its *.* billion euro" Innovation Santé **** " program. It is the subject of a dedicated €*** million strategy.

Two years after its launch, the "Santé numérique" acceleration strategy has met the triple challenge of structuring the sector:

Involving the ...

4 Offer analysis

4.1 An offer that spans the entire value chain

E-health service providers are present along the entire value chain, from prevention to consultation, diagnosis, treatment and follow-up.

Prevention and information: applications; connected objects; online information or discussion platforms; serious games (***). Consultation : online appointment booking; teleconsultation; patient medical records. Diagnosis / therapeutic decision: tele-expertise; tele-imaging; connected medical equipment; patient medical record. Inpatient ...

4.2 A wide range of products and services

The range of e-health products and services on offer is highly fragmented, depending on the customer (***). The market can thus be segmented according to the following typology:

Healthcare information systems

This first segment is largely dominated by products linked to the Hospital Information System (***). This not only improves patient care, but ...

4.3 Price overview

Connected devices

When it comes to connected health devices, the offer is very broad, andprice ranges can vary enormously depending on the quality of the devices. In the connected watch market , for example, entry-level products can be purchased for as little as ** euros, while more sophisticated models can cost up to ...

5 Regulations

5.1 Current regulations

Telemedicine regulationsThe first regulations concerning telemedicine date back to ****, with article ** of law ****-***. According to the French Ministry of Health and Solidarity, telemedicine covers a range of activities, including telemedicine, telemedicine, telemedicine, telemedicine, telemedicine, telemedicine and telemedicine.teleconsultation, tele-expertise, telemonitoring, teleassistance and medical regulation. In ****, telemedicine became part of common ...

6 Positioning the players

6.1 Segmentation

  • Withings
  • FitBit
  • Doctolib
  • InnovHealth
  • Umanlife
  • Simplify
  • Cerner
  • Cegedim
  • Acetiam
  • Parsys
  • Qare (HealthHero)
  • Omnidoc
  • Maincare
  • Ortif- Outil Régional de Télémédecine d’Île-de-France
  • Alan
  • NEHS Digital
  • Mediprix
  • Docaposte

List of charts

  • Ten years of global funding for HealthTech innovation
  • Funds raised in e-health
  • Physician density by region
  • Percentage of general practitioners using basic e-health tools
  • Adoption of the shared medical record (DMP) by type of practitioner
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Latest news

"Doctors are going to love it": a French AI launched by Docaposte | French generative AI for doctors from Docaposte - 18/10/2023
  • Docaposte is a digital subsidiary of La Poste, specializing in digital trust, including electronic signature, remote identity verification, archiving and data storage.
  • Three French technology partners have joined Docaposte in a generative artificial intelligence initiative: LightOn (which has developed its own LLM language model), Aleia (an artificial intelligence SaaS platform) and NumSpot (a sovereign cloud company).
  • Docaposte launches "MedAssistance", a generative AI offering for the healthcare sector.
  • This offering can help caregivers access information more easily and obtain more reliable results.
  • Docaposte is in contact with numerous hospitals, particularly since its acquisition of Maincare, a healthcare software publisher, last March.
  • La Poste Group also acquired start-up Openvalue in April 2021.
Médiprix expands its pharmacy chain - 04/08/2023
  • Médiprix recently raised 16 million euros to accelerate the development of its network.
  • The Médiprix platform modernizes the market for digital e-health solutions for pharmacies.
  • The Médiprix network currently comprises 220 pharmacies, and is expanding at a rate of 30 new pharmacies a year.
  • Médiprix, based in Montpellier, employs around fifteen people.
  • Médiprix sales, including Medilab's business, total 10 million euros.
  • The Medilab laboratory, owned by Médiprix, markets some 250 product references.
  • Médiprix derives its revenues from membership fees, digital subscriptions, its central referencing system, the sale of furniture and graphic services.
  • Médiprix is planning to set up a subsidiary in Spain.
Withings, the French company challenging Apple in connected healthcare - 20/04/2023
  • Withings has 350 employees and is ranked in the French Tech 120 program for the third year running.
With Dassault and Bouygues, La Poste creates Numspot, a new French player in trusted cloud services - 29/03/2023
  • - 4 partners involved in the project
  • - 6,500 Docaposte employees
  • - Docaposte expects sales to top one billion euros in 2023
  • - 400 data scientists at Numspot's disposal
  • - Objective of providing a complete trusted cloud offering
  • - Market launch in the second half of 2023
Digital identity: La Poste subsidiary Docaposte could take over the former Imprimerie Nationale - 13/03/2023
  • Imprimerie Nationale, 34% owned by the French State and 66% by Caisse des Dépôts
  • IN Groupe has become a key player in secure documents and online identity
  • Some 60 million secure documents are produced every year in its plants for French authorities, companies and some thirty government partners
  • Docaposte (sales €826 million) is a subsidiary of the French Post Office,
Doctolib buys Dutch company Siilo to facilitate communications between healthcare professionals. - 02/03/2023
  • Silo has 500,000 users who exchange an average of 40 million messages a month
  • 14 million euros raised since its creation
  • 40 employees
  • Doctolib - a medical appointment scheduling solution used by 70 million people in Europe
  • Sales up 24% year-on-year, excluding acquisition of Siilo
  • The company has raised 500 million euros from Bpifrance and Eurazeo in 2022, on a valuation of 5.8 billion euros

Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Withings
FitBit
Doctolib
InnovHealth
Umanlife
Simplify
Cerner
Cegedim
Acetiam
Parsys
Qare (HealthHero)
Omnidoc

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