全球醫療保健資料互通性成長機會 – 到2028年的預測

一個超越整合目的是實現語義互通性的系統

互通性是指在不同系統和應用程式之間交換資料和利用輸入資料的能力。醫療保健通常使用電子健康記錄（EHR）系統、臨床決策支援系統（CDSS）、電腦化醫囑輸入系統（CPOE）、藥房管理系統（PMS）、實驗室管理系統（LMS）和其他醫療保健領域。在其他醫療保健IT 應用程式（例如所使用的各種系統）之間共用資料的能力。

儘管最終需求是開發語義系統，但目前透過應用程式介面（API）可以最有效地實現互通性。 API 可以定義為提供從基本資料集存取到完整程式流程的任何內容。這些代碼可以由應用程式供應商或第三方開發和提供。同時，人們越來越重視以標準格式共用資料以實現語義互通性。快速醫療保健互通性資源（FHIR）標準接受美國政府衛生與公眾服務部的新法規和推廣。 FHIR 由 Health Level 7 組織開發，提供了一個資料交換框架，目前在處理非結構化資料方面存在局限性，並為建立更健壯的資料交換提供了基礎。

互通性是時代的需求。隨著各種醫療保健 IT 應用程式產生的資料呈指數級成長，系統必須能夠理解資料並向最終用戶提供可操作的見解。為了實現互通性，主要的醫療保健相關人員認知到需要投資於數位基礎設施功能，以促進患者資訊的相互交換並支持循證護理。監管機構也制定了政策，提倡主要醫療保健 IT 供應商之間實現完全互通。其目的是推廣標準化、協作性、多學科、模組化和基於 API 的先進數位醫療保健方法。為了實現理想的未來狀態並遵守美國醫療保險和醫療補助服務中心（CMS）以及健康資訊科技協調員辦公室（ONC）制定的政策/法規，醫療保健生態系統必須應對財務和技術挑戰。

該市場是由資料整合和企業資料交換的強勁成長推動的。企業主患者指數這個新細分市場正逐漸加快步伐，並將在預測期內（2024 -2028年）呈現最快成長。從地區來看，美國和歐洲將佔收益佔有率最大，亞太地區預計將逐漸趕上歐洲。技術供應商和 ICT 公司支持政府和產業參與者提高全球患者資料的可近性。

互通性支援從穿戴式裝置存取資料，並透過數位前門協調與患者建立雙向通訊。此外，技術進步，特別是動態人工智慧（機器學習、自然語言處理、對話式人工智慧、生成式人工智慧）的使用，加速了不同標準之間的資料轉換過程以及從輸入資料中解讀意義的過程。互通性市場的成長將由政策制定者和所有參與技術開發、採購和利用的決策相關人員的共同努力推動。

這項研究重點關注全球醫療保健資料市場，共用對可用機會的見解，並強調推動成長的新興監管和技術能力。本報告分析了影響市場的主要趨勢，包括資料互通性的現狀、疫情後不斷變化的市場需求、成長動力和障礙以及關鍵成長機會。此外，還將介紹在該領域取得進展的主要供應商和新參與企業。

目錄

戰略問題

• 為什麼成長越來越困難？
• The Strategic Imperative 8（TM）
• 關鍵策略要務對醫療資料互通性市場的影響
• 成長機會推動Growth Pipeline Engine（TM）

成長機會分析

• 分析範圍
• 對市場的不同看法
• 按模組化應用市場區隔
• 互通性概述 - 簡介
• 互通性概述－產業融合帶來新的成長機會
• 病患資料交換中的相關人員互動
• 透過互通性提高效率
• 實現互通性的策略
• 互通性的主要挑戰
• 推動資料互通性工作的關鍵因素
• 不斷變化的監管義務
• 2020年法規義務
• 法規義務 -2022年
• 法規義務 -2023
• 不斷變化的監管義務
• 有關互通性的全球法規
• 成長指標
• 生長促進因子
• 成長抑制因素
• 預測假設
• 收益預測
• 收益預測考察
• 依部門分類的收益預測
• 依部門分類的收益預測考察
• 依地區收益預測
• 依地區收益預測考察
• 競爭環境
• 主要比賽
• 收益佔有率
• 市場佔有率分析
• C2A（Companies to Action） - Optum
• C2A（Companies to Action） - Salesforce
• C2A（Companies to Action） - InterSystems
• C2A（Companies to Action） - Oracle
• 大型科技公司在促進互通性方面的作用

分析成長機會：企業資料交換

• 成長指標
• 收益預測
• 地區收益預測
• 收益預測考察

成長機會分析：整合

• 成長指標
• 收益預測
• 按子區隔的收益預測
• 地區收益預測
• 收益預測考察

成長機會分析：主患者指數

• 成長指標
• 收益預測
• 地區收益預測
• 收益預測考察

成長機會宇宙

• 成長機會1：企業主患者指數
• 成長機會2：基於人工智慧的生成解決方案，加速互通性工作
• 成長機會3：正確的數位化前門
• 成長機會4：將個人設備的資料整合到 EHR 中

下一步

Systems to Move Beyond Integration Toward Semantic Interoperability

Interoperability refers to the ability to exchange data among different systems or applications and make use of the incoming data. In healthcare, this generally means the ability to share data between electronic health record (EHR) systems and other health IT applications, such as a clinical decision support system (CDSS), computerized physician order entry (CPOE) system, pharmacy management system (PMS), laboratory management system (LMS), and various other systems used in the healthcare space.

While the ultimate need is to develop semantic systems, interoperability is currently most efficiently achieved through application program interfaces (APIs). APIs can be defined to provide access to basic data sets all the way to complete program processes. These codes can be developed and provided by application vendors or developed by third parties. Meanwhile, to achieve semantic interoperability, there is increased emphasis on sharing data in a standard format. The Fast Healthcare Interoperability Resources (FHIR) standard has received new rules and promotion by the US government's Department of Health and Human Services. Developed by the Health Level 7 organization, FHIR provides a framework for data exchange that, while currently limited in its ability to handle unstructured data, still provides a foundation on which to build more robust data exchanges.

Interoperability is the need of the hour. As the data generated by different health IT applications grows exponentially, there is a need to make systems understand the data and provide actionable insights to end users. To achieve interoperability, major healthcare stakeholders acknowledge the need to invest in digital infrastructure capabilities that facilitate cross-continuum patient information exchange and support evidence-based care. Regulatory agencies are also embracing policies that advocate for major health IT vendors to become fully interoperable with one another. The objective is to drive a progressive digital healthcare approach, one that is standardized, collaborative, and multi-disciplinary yet modular and API-based. To achieve the desired future state and adhere to the policies/rules developed by the US Centers for Medicare and Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC), the healthcare ecosystem needs to overcome financial and technological challenges.

The market is driven by strong growth in the data integration and enterprise data exchange segments. The newer segment, the enterprise master patient index, is gradually gaining pace and will witness the fastest growth during the forecast period (2024-2028). Regionally, the United States and Europe will command the largest revenue share, with Asia-Pacific gradually catching up with Europe. Technology vendors and ICT companies support government and industry players to improve patient data accessibility globally.

Interoperability will lead to accessing data from wearables and establishing two-way communication with patients, orchestrated by digital front doors. Further, technological evolution, especially the use of dynamic AI (machine learning, natural language processing, conversational AI, and generative AI), will accelerate the process of data conversion between different standards and decipher meaning from the incoming data. Interoperability market growth will be driven by joint efforts among policy-makers and all decision-making stakeholders involved in technology development, procurement, and utilization.

This study will focus on the global healthcare data market, sharing insights about the opportunities available and highlighting new regulatory and technical capabilities that are driving growth. The report will analyze the main trends impacting the market, including the present state of data interoperability, the changing post-pandemic market requirements, growth drivers and barriers, and significant growth opportunities. In addition, the report will profile leading vendors and new entrants that are making headway in this space.

Table of Contents

Strategic Imperatives

• Why is it Increasingly Difficult to Grow?
• The Strategic Imperative 8™
• The Impact of the Top 3 Strategic Imperatives on the Healthcare Data Interoperability Market
• Growth Opportunities Fuel the Growth Pipeline Engine™

Growth Opportunity Analysis

• Scope of Analysis
• Different Views of the Market
• Market Segmentation by Modular Applications
• Interoperability Overview-Introduction
• Interoperability Overview-Industry Convergence Leads to New Growth Opportunities
• Stakeholder Interplay in Patient Data Exchange
• Efficiency Gains with Interoperability
• Measures to Achieve Interoperability
• Primary Challenges Pulling the Interoperability Behind
• Main Factors Driving Data Interoperability Initiatives
• Evolving Regulatory Mandates
• Regulatory Mandates-2020
• Regulatory Mandates-2022
• Regulatory Mandates-2023
• Evolving Regulatory Mandates
• Global Regulation for Interoperability
• Growth Metrics
• Growth Drivers
• Growth Restraints
• Forecast Assumptions
• Revenue Forecast
• Revenue Forecast Discussion
• Revenue Forecast by Segment
• Revenue Forecast Discussion by Segment
• Revenue Forecast by Region
• Revenue Forecast Discussion by Region
• Competitive Environment
• Key Competitors
• Revenue Share
• Market Share Analysis
• Companies to Action-Optum
• Companies to Action-Salesforce
• Companies to Action-InterSystems
• Companies to Action-Oracle
• Role of Big Tech Companies in Advancing Interoperability

Growth Opportunity Analysis: Enterprise Data Exchange

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Region
• Revenue Forecast Discussion

Growth Opportunity Analysis: Integration

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Subsegment
• Revenue Forecast by Region
• Revenue Forecast Discussion

Growth Opportunity Analysis: Master Patient Index

• Growth Metrics
• Revenue Forecast
• Revenue Forecast by Region
• Revenue Forecast Discussion

Growth Opportunity Universe

• Growth Opportunity 1: Enterprise Master Patient Index
• Growth Opportunity 2: Generative AI-based Solutions to Speed Interoperability Initiatives
• Growth Opportunity 3: The Right Digital Front Door
• Growth Opportunity 4: Data from Personal Devices Integrated into EHR

Next Steps

• Your Next Steps
• Why Frost, Why Now?
• List of Exhibits
• Legal Disclaimer