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市場調查報告書

美國的門診電子病歷 (EHR) 市場

US Ambulatory Electronic Health Record Market: 2015-2020

出版商 Frost & Sullivan 商品編碼 344414
出版日期 內容資訊 英文 151 Pages
商品交期: 最快1-2個工作天內
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美國的門診電子病歷 (EHR) 市場 US Ambulatory Electronic Health Record Market: 2015-2020
出版日期: 2015年10月30日 內容資訊: 英文 151 Pages
簡介

美國正在從以金額為主的醫療報酬制度、醫療費支付機關(保險公司等)之重組、電子病歷最佳利用指南朝門診診療機關的電子病歷引進發展中,在大診療機關為了維持收益性及擴大市佔率而吸收整合小規模診療所之下,生產性、投資效果低的電子病歷,預測將被具有短期成本競爭力、遠端讀取、診療資訊技術互通性的雲端型所取代。

本報告以美國的門診電子病歷 (EHR) 市場為焦點,提供今後轉變的預測,以及市場參與者所面臨的課題分析等最新的調查資訊。

第1章 摘要整理

  • 重要發現 - 成為電子病歷引進的契機
  • 門診電子病歷市場 - 主要課題與發展
  • 重要發現 - 供給市場預測和門診電子病歷的預測收益
  • 市場促進因素和阻礙因素
  • 範圍與市場區隔
  • 這個調查所闡明的主要疑問點
  • 測量值
  • 經營團隊的觀點
  • 三大預言

第2章 市場概要

  • 市場背景
  • 市場簡述 - HCIT (醫療資訊技術)
  • 數位醫療市場區隔
  • 個人·合作夥伴經營型門診診療機關 - 簡述
  • 中小門診診療機關 - 簡述
  • 大型門診診療機關 - 簡述

第3章 簡介 - 美國的醫生診療

  • 美國的醫生診療 - 市場發展史
  • 美國醫生診療的人口動態
  • 患者門診統計 - 樂觀及指數的統計價值
  • 美國醫生供給的擴大 - 嚴格的限制
  • 美國的醫生供給 - 也可能成為法規的起因
  • 診療機關各規模門診醫生數

第4章 簡介 - 電子病歷

  • 電子病歷最大活用目的 - 變動的醫療品質定質化
  • 轉移到電子病歷技術發展藍圖
  • 電子病歷的成熟階段
  • 被識為PHM (族群健康經營管理) 實行技術的電子病歷
  • 電子病歷引進由於優點廣為認知而加速
  • 超越診療機關大小的電子病歷 - 急速且順利進展
  • 電子病歷引進 - 在成熟化的同時也留下大幅改善的空間
  • MU階段 2 (有意義利用第二階段) 的引進率低的理由
  • MU階段 2功能的提高 - 2010年及2013年
  • 具有相輔相成關係的電子病歷引進和更換的理由
  • 電子病歷最大的優點與問題點
  • 美國政府 - 希望到達電子病歷普及的成熟階段
  • 電子病歷懲罰條例免除的展望
  • 最受歡迎的電子病歷的功能
  • 電子病歷的課題前3名
  • 支援ICD10電子病歷的準備情形
  • 實證365日的有意義利用
  • 電子病歷審核方法的變化與對應
  • 減輕課題緩和電子病歷有意義利用法的CMS (醫療保險醫療補助服務中心)
  • 流通結構
  • 電子病歷技術平台的引進
  • 理想的電子病歷環境表現出來的5個特徵

第5章 電子病歷的利用費設定

  • 電子病歷的利用費模式
  • 電子病歷的總持有成本
  • 利用費分析 - 中小診療機關電子病歷的內部部署 vs. 雲端利用:第一年及再診斷費
  • 第一年利用費比較 - 中小診療機關電子病歷的內部部署 vs. 雲端利用
  • 第一年利用費比較 - 大型診療機關電子病歷的內部部署 vs. 雲端利用
  • 總持有成本 - 電子病歷的內部部署 vs. 雲端利用

第6章 推動·阻礙因素及趨勢 - 門診電子病歷市場

  • 市場推動要素
  • 推動要素說明
  • 阻礙市場要素
  • 阻礙因素說明

第7章 預測及趨勢 - 門診電子病歷市場

  • 測量值
  • 收益預測的前提和定義
  • 收益預測的前提
  • 預測收益
  • 預測收益考察
  • 預測收益 - 各市場區隔
  • 預測收益考察 - 各市場區隔

第8章 需求分析

  • 滲透度分析 - 個人·合作夥伴經營型診療機關門診電子病歷
  • 滲透度分析 - 中小診療機關門診電子病歷
  • 滲透度分析 - 大型診療機關門診電子病歷
  • 滲透度分析 - 其他診療機關門診電子病歷

第9章 市場區隔分析

  • 測量值 - 個人·合作夥伴經營型診療機關門診電子病歷
  • 預測收益 - 個人·合作夥伴經營型診療機關門診電子病歷
  • 測量值 - 中小診療機關門診電子病歷
  • 預測收益 - 中小診療機關門診電子病歷
  • 測量值 - 大型診療機關門診電子病歷
  • 預測收益 - 大型診療機關門診電子病歷
  • 測量值 - 其他診療機關門診電子病歷
  • 預測收益 - 其他診療機關門診電子病歷
  • 診療機關門診電子病歷考察

第10章 競爭環境

  • 競爭結構
  • 近幾年顯著的吸收整合
  • 門診電子病歷 - 值得注意的重要企業
  • 供給企業選舉定規 - 確實的策略性採購應該遵守3等級
  • 功能性 - 門診電子病歷前3名公司
  • 供給企業的專門性 - 門診診療機關之間細分化
  • 按市場佔有率順序來看的門診電子病歷供給前十大企業
  • 邁向最高度意義利用認證的最大公司門診電子病歷供給企業
  • 基於客戶價值參數評估門診電子病歷供給企業的實際成果
  • 比較分析 - 門診電子病歷供給企業的實際成果評估
  • 綜合排行榜 - 可用性
  • 綜合排行榜 - 客戶支援
  • 綜合排行榜 - 互通性
  • 綜合排行榜 - 臨床性實用性
  • athenahealth, Inc
  • Amazing Charts
  • eClinicalWorks
  • NextGen Healthcare Information Systems, LLC
  • McKesson Provider Technologies
  • EPIC Systems
  • Cerner Corporation
  • Allscripts
  • Practice Fusion
  • GE Healthcare

第11章 結論

  • 結論 - 三大預言
  • 免責事項

第12章 附錄

  • 調查方法
  • 使用縮寫一覽
  • 資訊來源
  • 參考資料一覽

參考資料一覽

目錄
Product Code: NFA7-01-00-00-00

What to Expect as the Focus Shifts from Adoption to Optimization

This study analyzes trends in the US ambulatory electronic health records (EHR) market, predicts changes in market measurements through 2020, and provides an analysis of challenges facing market participants. Value-based reimbursement provisions, payer consolidation, and EHR optimization agendas will accelerate adoption among ambulatory practices. Large practices and hospitals will continue to acquire smaller practices to maintain profitability and enhance market share. On-premise EHR's lack of productivity and low return on investment will compel practices to switch to cloud-based platforms, which are cost competitive in the short term, remotely accessible, and more compatible to practice healthcare information technology.

Table of Contents

1. EXECUTIVE SUMMARY

Executive Summary

  • 1. Key Findings-What Triggered EHR Adoption
  • 2. Key Findings-What Triggered EHR Adoption (continued)
  • 3. Ambulatory EHR Market-Major Issues and Developments
  • 4. Ambulatory EHR Market-Major Issues and Developments (continued)
  • 5. Key Findings-Supply Market Outlook and Ambulatory EHR Revenue Forecast
  • 6. Key Findings-Supply Market Outlook and Ambulatory EHR Revenue Forecast (continued)
  • 7. Key Market Drivers and Restraints
  • 8. Scope and Segmentation
  • 9. Scope and Segmentation (continued)
  • 10. Key Questions this Study will Answer
  • 11. Measurements
  • 12. Measurements (continued)
  • 13. CEO's Perspective
  • 14. Executive Summary-3 Big Predictions

2. MARKET OVERVIEW

Market Overview

  • 1. Market Background
  • 2. Market Snapshot-HCIT
  • 3. Digital Health Market Segmentation-First Level
  • 4. EHR Market Segmentation
  • 5. Solo/Partner Ambulatory Practices-Snapshot
  • 6. Small-to-medium Ambulatory Practices-Snapshot
  • 7. Large Ambulatory Practices-Snapshot

3. INTRODUCTION TO US PHYSICIAN PRACTICES

Introduction to US Physician Practices

  • 1. US Physician Practice-Market Evolution
  • 2. US Physician Practice Demographics
  • 3. Patient Visit Statistics-Optimistic and Exponential
  • 4. Growth of US Physician Supply-Highly Restricted
  • 5. US Physician Supply-Likely to Receive Regulatory Impetuses
  • 6. Percent of Ambulatory Physicians by Practice Size

4. INTRODUCTION TO EHR

Introduction to EHR

  • 1. EHR Optimization Objectives-Consistent with Changing Clinical Quality Measures
  • 2. EHR Technology Migration Roadmap
  • 3. EHR Technology Migration Roadmap (continued)
  • 4. EHR Maturity Stages
  • 5. EHR Perceived as a PHM Enabler
  • 6. Perceived EHR Benefits Accelerated Adoption
  • 7. EHR Adaptation across Ambulatory Practice Sizes-Exponential and Consistent
  • 8. EHR Adoption-Maturing but with a Significant Scope for Improvement
  • 9. Reasons for Low MU Stage 2 Adoption
  • 10. MU Stage 2 Capability Improvement-2010 and 2013
  • 11. Reasons for EHR Adoption and Replacement Complement Each Other
  • 12. Top EHR Benefits and Concerns
  • 13. US Government-Keen to Establish EHR Adoption Maturity
  • 14. EHR Penalty Exemption Outlook
  • 15. Most Preferred EHR Features
  • 16. EHR Top 3 Challenges
  • 17. ICD-10 Readiness
  • 18. Demonstrating MU for 365 Days
  • 19. Complying with Changing EHR Audit Measures
  • 20. CMS Relaxes EHR MU Measures to Mitigate Challenges
  • 21. Distribution Structure
  • 22. Adoption of EHR Technology Platforms
  • 23. Five Characteristics of an Ideal EHR Environment

5. EHR PRICING

EHR Pricing

  • 1. EHR Pricing Model
  • 2. EHR Pricing TCO
  • 3. Price Analysis-On-premise versus Cloud-based EHR: Base Year and Recurring Price
  • 4. Base Year Price Comparison-On-premise versus Cloud-based EHR for Small-to-medium Practices
  • 5. Base Year Price Comparison-On-premise versus Cloud EHR for Large Practices
  • 6. TCO-On-premise versus Cloud-based EHR

6. DRIVERS, RESTRAINTS, AND TRENDS-AMBULATORY EHR MARKET

Drivers, Restraints, and Trends-Ambulatory EHR Market

  • 1. Market Drivers
  • 2. Drivers Explained
  • 3. Drivers Explained (continued)
  • 4. Drivers Explained (continued)
  • 5. Drivers Explained (continued)
  • 6. Market Restraints
  • 7. Restraints Explained
  • 8. Restraints Explained (continued)
  • 9. Restraints Explained (continued)
  • 10. Restraints Explained (continued)

7. FORECASTS AND TRENDS-AMBULATORY EHR MARKET

Forecasts and Trends-Ambulatory EHR Market

  • 1. Measurements
  • 2. Measurements (continued)
  • 3. Forecast Assumptions and Definitions
  • 4. Forecast Assumptions and Definitions (continued)
  • 5. Forecast Assumptions
  • 6. Revenue Forecast
  • 7. Revenue Forecast Discussion
  • 8. Percent Revenue Forecast by Segment
  • 9. Revenue Forecast by Segment
  • 10. Revenue Forecast by Segment Discussion

8. DEMAND ANALYSIS

Demand Analysis

  • 1. Penetration Analysis-Ambulatory EHR for Solo/Partner Practices
  • 2. Penetration Analysis-Ambulatory EHR for Small-to-medium Practices
  • 3. Penetration Analysis-Ambulatory EHR for Large Practices
  • 4. Penetration Analysis-Ambulatory EHR for Other Practices

9. SEGMENT ANALYSIS

Segment Analysis

  • 1. Measurements-Ambulatory EHR for Solo/Partner Practices
  • 2. Revenue Forecast-Ambulatory EHR for Solo/Partner Practices
  • 3. Measurements-Ambulatory EHR for Small-to-medium Practices
  • 4. Revenue Forecast-Ambulatory EHR for Small-to-medium Practices
  • 5. Measurements-Ambulatory EHR for Large Practices
  • 6. Revenue Forecast-Ambulatory EHR for Large Practices
  • 7. Measurements-Ambulatory EHR for Other Practices
  • 8. Revenue Forecast-Ambulatory EHR for Other Practices
  • 9. Ambulatory EHR for Practices Discussion
  • 10. Ambulatory EHR for Practices Discussion (continued)

10. COMPETITIVE ENVIRONMENT

Competitive Environment

  • 1. Competitive Structure
  • 2. Competitive Structure (continued)
  • 3. Competitive Structure (continued)
  • 4. Competitive Structure (continued)
  • 5. Competitive Structure (continued)
  • 6. Competitive Structure (continued)
  • 7. Competitive Structure (continued)
  • 8. Competitive Structure (continued)
  • 9. Competitive Structure (continued)
  • 10. Recent Notable Deals
  • 11. Recent Notable Deals (continued)
  • 12. Ambulatory EHR Market-Key Companies to Watch
  • 13. Ambulatory EHR Market-Key Companies to Watch (continued)
  • 14. Vendor Selection Methodology-Follow 3 Steps to Ensure Strategic Sourcing
  • 15. Functional Capabilities-Top Ambulatory EHR Vendors
  • 16. Functional Capabilities-Top Ambulatory EHR Vendors (continued)
  • 17. Vendor Engagement-Fragmented among Ambulatory Practices
  • 18. Top 10 Ambulatory EHR Vendors in Order of Market Share
  • 19. Largest EHR Vendors Drive Highest Ambulatory MU Attestation
  • 20. EHR Vendor Performance on Client Value Parameters
  • 21. Comparative Analysis-EHR Vendor Performance
  • 22. Consolidated Ranking-Ease of Use
  • 23. Consolidated Ranking-Client Support
  • 24. Consolidated Ranking-Interoperability
  • 25. Consolidated Ranking-Clinical Usability
  • 26. athenahealth, Inc
  • 27. Amazing Charts
  • 28. eClinicalWorks
  • 29. NextGen Healthcare Information Systems, LLC
  • 30. McKesson Provider Technologies
  • 31. EPIC Systems
  • 32. Cerner Corporation
  • 33. Allscripts
  • 34. Practice Fusion
  • 35. GE Healthcare

11. THE LAST WORD

The Last Word

  • 1. 3 Big Predictions
  • 2. Legal Disclaimer

12. APPENDIX

Appendix

  • 1. Methodology
  • 2. List of Acronyms Used
  • 3. Sources
  • 4. Sources (continued)
  • 5. List of Exhibits
  • 6. List of Exhibits (continued)
  • 7. List of Exhibits (continued)
  • 8. List of Exhibits (continued)

List of Exhibits

  • Ambulatory EHR Market: Research Methodology, US, 2015
  • Ambulatory EHR Market: Market Engineering Measurements, US, 2015
  • HCIT Market: Revenue Forecast, Global, 2014-2015
  • HCIT Market: Regional Sales, Global, 2014
  • Ambulatory EHR Market: Market Segmentation, US, 2015
  • Ambulatory EHR Market: Projected Physician Supply, US, 2013-2020
  • Ambulatory EHR Market: Projected Physician Supply and Demand, US, 2013-2020
  • Ambulatory EHR Market: Percent of Ambulatory Physicians by Practice Size, US, 2014-2020
  • Ambulatory EHR Market: Technology Evolution Roadmap, US, 2005-2015
  • Ambulatory EHR Market: EHR Penetration across Ambulatory Practice Sizes, US, 2014-2020
  • Ambulatory EHR Market: Percent of Providers Adopting Any, Basic, and Fully Functional EHRs, US, 2006-2013
  • Ambulatory EHR Market: MU Stage 2 Readiness-Ambulatory Physicians, US, 2013
  • Ambulatory EHR Market: Percent of EHRs Adhering to MU Objectives, US, 2010 and 2013
  • Ambulatory EHR Market: Reasons to Purchase EHR for the First Time, US, 2014
  • Ambulatory EHR Market: Reasons to Replace EHR, US, 2014
  • Ambulatory EHR Market: Penalty Outlook for Not Demonstrating EHR MU, US, 2015-2020
  • Ambulatory EHR Market: Penalty Outlook for Not Demonstrating EHR MU, US, 2015-2020
  • Ambulatory EHR Market: Coveted EHR Features, US, 2014
  • Ambulatory EHR Market: Distribution Structure, US, 2015
  • Ambulatory EHR Market: Comparative Price-On-premise vs. Cloud Platform for Limited Requirement, US, 2015
  • Ambulatory EHR Market: Comparative Price-On-premise vs. Cloud Platform for Comprehensive Requirement, US, 2015
  • Ambulatory EHR Market: Comparative Price-On-premise vs. Cloud Platform for Limited Requirement for Small-to-medium practices, US, 2015
  • Ambulatory EHR Market: Comparative Price-On-premise vs. Cloud Platform for Comprehensive Requirement for Large Practices, US, 2015
  • Ambulatory EHR Market: TCO-On-premise vs. Cloud Platform for Limited Requirement, US, 2015
  • Ambulatory EHR Market: TCO-On-premise vs. Cloud Platform for Comprehensive Requirement, US, 2015
  • Physician Practice EHR Market: Key Market Drivers, US, 2015-2020
  • Case Study: Percent of Patients with Improved Tobacco Cessation, Rhode Island, 2012
  • Case Study: Percent of Patients with Well Controlled Asthma, Cincinnati, 2012
  • Ambulatory EHR Market: Physician Supply-demand Outlook, US, 2013 and 2025
  • Ambulatory EHR Market: Primary Care-Physician Supply-demand Outlook, US, 2013 and 2025
  • Ambulatory EHR Market: Key Market Restraints, US, 2015-2020
  • Ambulatory EHR Market: Market Engineering Measurements, US, 2015
  • Ambulatory EHR Market: Revenue Forecast, US, 2014-2020
  • Ambulatory EHR Market: Percent Revenue Forecast by Segment, US, 2014-2020
  • Ambulatory EHR Market: Revenue Forecast by Segment, US, 2014-2020
  • Ambulatory EHR Market: Penetration Analysis for Solo/Partner Practices, US, 2015
  • Ambulatory EHR Market: Penetration Analysis for Small-to-medium Practices, US, 2015
  • Ambulatory EHR Market: Penetration Analysis for Large Practices, US, 2015
  • Ambulatory EHR Market: Penetration Analysis for Other Practices, US, 2015
  • Ambulatory EHR Market : Market Engineering Measurements for Solo/Partner Practices, US, 2015
  • Ambulatory EHR Market: Revenue Forecast for Solo/Partner Practices, US, 2014-2020
  • Ambulatory EHR Market : Market Engineering Measurements for Small-to-medium Practices, US, 2015
  • Ambulatory EHR Market: Revenue Forecast for Small-to-medium Practices, US, 2014-2020
  • Ambulatory EHR Market: Market Engineering Measurements for Large Practices, US, 2015
  • Ambulatory EHR Market: Revenue Forecast for Large Practices, US, 2014-2020
  • Ambulatory EHR Market: Market Engineering Measurements for Other Practices, US, 2015
  • Ambulatory EHR Market: Revenue Forecast for Other Practices, US, 2014-2020
  • Ambulatory EHR Market: Competitive Structure, US, 2015
  • Ambulatory EHR Market: Select Market Participants By Tiers of Competition, US, 2015
  • Ambulatory EHR Market: Competitive Structure, US, 2015
  • Ambulatory EHR Market: Notable Industry Deals, US, 2015
  • Ambulatory EHR Market: Market Share and Products of Select Companies, US, 2015
  • Ambulatory EHR Market: Number of EHR MU Attestations by Vendor, US, 2014
  • Ambulatory EHR Market: Vendors Client Value Ratings, US, 2014
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