米国における医師用ITソリューション市場：2007年

In 2006, the US market for physician practice information technology (IT) solutions was composed of integrated practice solutions, stand-alone practice management (PM) systems, stand-alone electronic medical record (EMR) systems, and patient portals.

The following report uses a number of methodologies to gather and present data and analysis. At the outset, a large survey of secondary sources is conducted. These sources act as the basis for the primary research stage, which builds and enhances the quantitative and qualitative attributes of the early research.

Secondary sources include:

• Government Sources:
  • Securities and Exchange Commission filings
  • Food and Drug Administration and patent filings
  • National Center for Health Statistics data
• Physician Practice IT Solution Companies:
  • Annual reports, product brochures, corporate profiles, etc.
  • Internal Databases and Reports:
  • Previous reports on similar⁄related sources

General Internet Searches, Medical Literature, and Newspaper⁄Magazine Searches:

Identifying various centers of specialization and articles that might provide leads for primary research.

The secondary research stage builds the foundation for the primary research.

The primary research methodology has four steps:

Step 1: The first step involves an impartial scan of all the information gathered during the secondary research stage to determine its utility based on the specific requirements of this report. Each piece of information is, thus, either discarded or marked as high or low priority. It is then organized appropriately as determined by the structure and sectioning of the report.

Step 2: At this stage, early assumptions are formed as to the implications of the information for the various physician practice IT solution market segments. These assumptions are then used to determine hypotheses using both inductive and deductive approaches. On the quantitative front, these hypotheses result in full historical and projected market data sets (market sizes [units and US$] and market shares).

Step 3: At this stage, the research is in position for its most important primary phase- expert interviews. Throughout the secondary research, industry and medical experts are identified. These experts are now contacted by telephone and asked to participate in interviews on recent trends and developments in the industry. Interviews are either conducted at the time of the initial call or scheduled at the convenience of the expert. Interview questions are tailored to the expertise of the particular interviewee, although in most cases, the most important questions are asked of all experts. The questions are largely based on the assumptions and hypotheses developed in Step 2, which are then either augmented, discarded, or adjusted, based on the views and positions put forth. Attempts are made, whenever possible, to cross-check the views of various experts against each other and reach positions of consensus on issues and market numbers.

Step 4: The final stage of primary research involves individual and group analysis by Millennium Research Group. All research results are assessed and cross-checked thoroughly to determine their validity, relevance, and weight. From this process, qualitative conclusions are reached and data points finalized.

In addition to Steps 1 through 4 (as outlined above), the following "bottom-up" methodology was followed in developing forecast assumptions for this report.

A comprehensive breakdown of various physician practice IT solutions was prepared using data from several sources including professional associations, government statistics, and private research⁄media sources. Industry experts and practitioners were consulted to ensure accuracy and verify observed trends. As a cross-check, total industry revenues available through 10Ks and other sources were compared against modeled industry revenues.

Using the best estimates of industry experts, practitioners, private research⁄media sources, and in-house experts, year-by-year growth rates and average selling prices were applied individually to each subcategory to derive forecasts. These estimates were cross-checked by industry experts (marketing managers, product managers, CEOs, etc.) and further refined.

Overall findings were compared against market and procedure forecasts published by other sources to ensure reasonable estimates.

LIST OF EXHIBITS

EXECUTIVE SUMMARY

METHODOLOGY

1.0 US PHYSICIAN PRACTICE IT SOLUTIONS MARKET

• 1.1 Market Overview
• 1.2 Market Analysis
  • 1.2.1 Market Definition
    • 1.2.1.1 Market Segments
    • 1.2.1.2 Payment Types
  • 1.2.2 Physician Base
  • 1.2.3 Market Forecast
  • 1.2.4 Market Drivers and Limiters
    • 1.2.4.1 Market Drivers
    • 1.2.4.2 Market Limiters
• 1.3 Competitive Analysis

2.0 INTEGRATED PRACTICE SOLUTION MARKET

• 2.1 Market Overview
• 2.2 Market Analysis
  • 2.2.1 Market Definition
  • 2.2.2 Physician Base
  • 2.2.3 Market Forecast
    • 2.2.3.1 Client⁄Server Market
    • 2.2.3.2 SaaS Market
  • 2.2.4 Market Drivers & Limiters
    • 2.2.4.1 Market Drivers
    • 2.2.4.2 Market Limiters
• 2.3 Competitive Analysis

3.0 STAND‐ALONE PRACTICE MANAGEMENT SYSTEM MARKET

• 3.1 Market Overview
• 3.2 Market Analysis
  • 3.2.1 Market Definition
  • 3.2.2 Physician Base
  • 3.2.3 Market Forecast
    • 3.2.3.1 Client⁄Server Market
    • 3.2.3.2 SaaS Market
  • 3.2.4 Market Drivers & Limiters
    • 3.2.4.1 Market Drivers
    • 3.2.4.2 Market Limiters
• 3.3 Competitive Analysis

4.0 STAND‐ALONE ELECTRONIC MEDICAL RECORD SYSTEM MARKET

• 4.1 Market Overview
• 4.2 Market Analysis
  • 4.2.1 Market Definition
  • 4.2.2 Physician Base
  • 4.2.3 Market Forecast
    • 4.2.3.1 Client⁄Server Market
    • 4.2.3.2 SaaS Market
  • 4.2.4 Market Drivers & Limiters
    • 4.2.4.1 Market Drivers
    • 4.2.4.2 Market Limiters
• 4.3 Competitive Analysis

5.0 PATIENT PORTAL MARKET

• 5.1 Market Overview
• 5.2 Market Analysis
  • 5.2.1 Market Definition
  • 5.2.2 Physician Base
  • 5.2.3 Market Forecast
  • 5.2.4 Market Drivers & Limiters
    • 5.2.4.1 Market Drivers
    • 5.2.4.2 Market Limiters
• 5.3 Competitive Analysis

APPENDIX A: MRG ACRONYMS AND INITIALISMS

• Exhibit 1: Physician Practice IT Solution Market, by Segment, as a % of Total, US, 2006 and 2011
• Exhibit 2: Total PM and EMR System Penetration, by Practice Size, US, 2005- 2011
• Exhibit 3: Integrated Practice Solution Market, by Practice Size, US (US$), 2005-2011
• Exhibit 4: PM System Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 5: Stand‐Alone EMR System Physician Base, by Practice Size, US, 2005-2011
• Exhibit 6: Patient Portal Market, US (US$), 2005- 2011
• Exhibit 7: Competitors in the Physician Practice IT Solution Market, US, 2006

• Exhibit 8: Physician Practice IT Solution Market, by Segment, as a % of Total, US, 2006 and 2011
• Exhibit 9: Office‐Based Physicians, by Practice Size, US, 2005- 2011 (Graphical Format)
• Exhibit 10: Office‐Based Physicians, by Practice Size, US, 2005- 2011 (Tabular Format)
• Exhibit 11: Physician Practice IT Solution Market, by Segment, US (US$), 2005- 2011
• Exhibit 12: Physician Practice IT Solution Market, by Segment and Practice Size, US (US$), 2005- 2011
• Exhibit 13: Physician Practice IT Solution Market Growth, by Segment and Practice Size, US, 2006- 2011
• Exhibit 14: Total PM System Penetration, by Practice Size, US (US$), 2005- 2011 (Graphical Format)
• Exhibit 15: Total PM System Penetration, by Practice Size, US (US$), 2005- 2011 (Tabular Format)
• Exhibit 16: Total EMR System Penetration, by Practice Size, US (US$), 2005- 2011 (Graphical Format)
• Exhibit 17: Total EMR System Penetration, by Practice Size, US (US$), 2005- 2011 (Tabular Format)
• Exhibit 18: Drivers and Limiters of the US Physician Practice IT Solution Market, US
• Exhibit 19: Leading Competitors in Leading Competitors in the Physician Practice IT Solution Market, by Physician Base, as a % of Total, US, 2006
• Exhibit 20: Leading Competitors in the Physician Practice IT Solution Market, by Company and Segment, US, 2006
• Exhibit 21: Other Competitors in the Physician Practice IT Solution Market, US, 2006

• Exhibit 22: Integrated Practice Solution Market, by Practice Size, US (US$), 2005- 2011 (Graphical Format)
• Exhibit 23: Integrated Practice Solution Physician Base, by Practice Size, US, 2005- 2011
• Exhibit 24: Integrated Practice Solution Penetration, by Practice Size, US, 2005- 2011
• Exhibit 25: Integrated Practice Solution Market, by Practice Size, US (US$), 2005- 2011 (Tabular Format)
• Exhibit 26: Integrated Practice Solution Market Growth, by Practice Size, US, 2006- 2011
• Exhibit 27: Integrated Practice Solution Users, by Practice Size and Payment Model, as a % of Total, US, 2005- 2011
• Exhibit 28: Average Selling Price Assumptions for Integrated Practice Solutions, by Practice Size and Payment Model, US (US$), 2006
• Exhibit 29: Client⁄Server Integrated Practice Solution Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 30: Client⁄Server Integrated Practice Solution Market Growth, by Practice Size, 2006- 2011
• Exhibit 31: SaaS Integrated Practice Solution Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 32: SaaS Integrated Practice Solution Market Growth, by Practice Size, 2006- 2011
• Exhibit 33: Drivers and Limiters of the Integrated Practice Solution Market, US
• Exhibit 34: Competitors in the Integrated Practice Solution Market, by Physician Base, US, 2006

• Exhibit 35: Stand‐Alone PM System Market, by Practice Size, US (US$), 2005- 2011 (Graphical Format)
• Exhibit 36: Common Features of PM Systems, US
• Exhibit 37: Stand‐Alone PM System Physician Base, by Practice Size, US, 2005- 2011
• Exhibit 38: Stand‐Alone PM System Penetration, by Practice Size, US, 2005- 2011
• Exhibit 39: Stand‐Alone PM System Market, by Practice Size, US (US$), 2005- 2011 (Tabular Format)
• Exhibit 40: Stand‐Alone PM System Market Growth, by Practice Size, US, 2006- 2011
• Exhibit 41: Stand‐Alone PM System Users, by Practice Size and Payment Model, as a % of Total, US, 2005- 2011
• Exhibit 42: Average Selling Price Assumptions for PM Systems, by Payment Model and Practice Size, US (US$), 2006
• Exhibit 43: Client⁄Server PM System Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 44: Client⁄Server PM System Market Growth, by Practice Size, 2006- 2011
• Exhibit 45: SaaS PM System Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 46: SaaS PM System Market Growth, by Practice Size, 2006- 2011
• Exhibit 47: Drivers and Limiters of the PM System Market, US
• Exhibit 48: Leading Competitors in the PM System Market, by Physician Base, US, 2006
• Exhibit 49: Leading Competitors in the PM System Market, by Physician Base, US, 2006

• Exhibit 50: Stand‐Alone EMR System Market, by Practice Size, US (US$), 2005- 2011 (Graphical Format)
• Exhibit 51: Summary of Eight Core Functionalities of EHRs, US
• Exhibit 52: Stand‐Alone EMR System Physician Base, by Practice Size, US, 2005- 2011
• Exhibit 53: Stand‐Alone EMR System Penetration, by Practice Size, US, 2005- 2011
• Exhibit 54: Stand‐Alone EMR System Market, by Practice Size, US (US$), 2005- 2011 (Tabular Format)
• Exhibit 55: Stand‐Alone EMR System Market Growth, by Practice Size, US, 2006- 2011
• Exhibit 56: Stand‐Alone EMR System Users, by Practice Size and Payment Model,US, 2005- 2011
• Exhibit 57: Average Selling Price Assumptions for Stand‐Alone EMR Systems, by Practice Size and Payment Model, US (US$), 2006
• Exhibit 58: Client⁄Server EMR System Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 59: Client⁄Server EMR System Market Growth, by Practice Size, 2006- 2011
• Exhibit 60: SaaS EMR System Market, by Practice Size, US (US$), 2005- 2011
• Exhibit 61: SaaS EMR System Market Growth, by Practice Size, 2006- 2011
• Exhibit 62: Drivers and Limiters of the EMR System Market, US
• Exhibit 63: Leading Competitors in the EMR System Market, by Physician Base,US, 2006
• Exhibit 64: Leading Competitors in the EMR System Market, by Physician Base, US, 2006

• Exhibit 65: Patient Portal Market, US (US$), 2005- 2011
• Exhibit 66: Patient Portal Physician Base, US, 2005- 2011
• Exhibit 67: Patient Portal Penetration, US, 2005- 2011
• Exhibit 68: Patient Portal Market, US (US$), 2005- 2011
• Exhibit 69: Drivers and Limiters of the EMR Market, US
• Exhibit 70: Leading Competitors in the Patient Portal Market, by Physician Base, US, 2006
• Exhibit 71: Leading Competitors in the Patient Portal Market, by Physician Base, US, 2006