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1848453

全球遠端醫療市場：預測至 2032 年—按組件、交付方式、交付模式、應用、最終用戶和地區進行分析

Telehealth Market Forecasts to 2032 - Global Analysis By Component (Hardware, Software, Services), Mode of Delivery, Delivery Model, Application, End User and By Geography
出版日期: | 出版商: Stratistics Market Research Consulting | 英文 200+ Pages | 商品交期: 2-3個工作天內

價格

根據 Stratistics MRC 的數據，遠端保健到 2025 年，全球遠端醫療市場規模將達到 1,495 億美元，到 2032 年將達到 6,817 億美元，預測期內複合年成長率為 24.2%。

遠端醫療是指透過數位通訊技術提供醫療保健服務和訊息，實現遠距會診、診斷、治療和監測。這包括視訊會議、行動醫療應用程式、穿戴式裝置和電子健康記錄，使患者和醫療服務提供者無論身處何處都能保持聯繫。遠端醫療改善了醫療保健服務的可近性，尤其是在農村和醫療資源匱乏的地區，提高了醫療服務的便利性、成本效益和連續性。它還支持慢性病管理、心理健康服務和預防保健。隨著技術的進步和醫療保健系統的不斷發展，遠端醫療在擴展以患者為中心、及時且可擴展的全球醫療保健服務方面將繼續發揮關鍵作用。

遠端醫療需求不斷成長

遠端醫療需求的不斷成長是推動遠端醫療市場發展的關鍵因素。農村和醫療服務不足地區患者需求的不斷成長，以及虛擬諮詢的便利性，正在促進遠距醫療的普及。遠端醫療使患者能夠及時獲得醫療專業人員的幫助，突破地域限制，減少就醫次數，並改善慢性病管理。隨著醫療系統將可近性和效率置於優先地位，遠距醫療解決方案正成為現代醫療基礎設施的重要組成部分，不僅能夠改善患者預後，還能減輕傳統醫療機構的壓力。

資料隱私和安全問題

資料隱私和安全問題是遠端醫療市場發展面臨的重大限制。透過數位平台傳輸敏感的醫療資訊會增加資料外洩、身分盜竊和未授權存取的風險。網路安全措施不足以及對資料保護條例執行不一致會削弱病患的信任，並阻礙遠距醫療的普及。醫療服務提供者必須投資強大的加密技術、安全的平台以及符合監管要求，以確保資訊的保密性和完整性。如果不解決這些問題，遠端醫療的發展可能會受到限制，尤其是在嚴格監管的環境中。

技術進步

科技進步為遠端醫療的拓展提供了巨大機會。人工智慧和雲端基礎平台的創新正在提升遠距離診斷、監測和個人化護理的能力。這些工具能夠改善病人參與，簡化工作流程，並實現即時數據共用。隨著數位健康生態系統的發展，遠端醫療將變得更加可擴展、高效和便利。與電子健康記錄和預測分析的整合進一步支持了主動式醫療。持續投資於科技是解鎖新功能並在全球推廣遠端醫療的關鍵。

數位基礎設施有限

數位基礎設施的匱乏對遠端醫療市場的發展構成威脅，尤其是在新興市場。網路連線不足、缺乏智慧型裝置以及數位素養低下限制了遠距醫療的有效性。這些障礙阻礙了醫療服務的公平性，並加劇了都市區人口之間的差距。如果不增加對寬頻網路擴展、設備普及和教育的投入，遠端醫療的普及程度可能仍然不均衡。解決基礎設施的挑戰對於確保提供全面、可靠且永續的遠端醫療服務至關重要。

新冠疫情的影響：

新冠疫情顯著加速了遠端醫療的普及，使其從小眾服務轉變為主流醫療解決方案。封鎖、保持社交距離以及醫院人滿為患，都推動了對虛擬諮詢和遠端監測的需求。遠端醫療確保了醫療服務的連續性，尤其是在慢性病治療和心理健康支持方面。即使在疫情結束後，遠距醫療的遠端醫療，並促使政府進行監管改革，以及對虛擬醫療基礎設施的長期投資。

預計在預測期內，患者群體將是最大的群體。

由於人們對遠端醫療的認知不斷提高，以及遠距醫療的便利性和易用性，預計患者群體將在預測期內佔據最大的市場佔有率。患者越來越傾向於選擇遠距諮商進行常規體檢、慢性病管理和心理健康支持。遠距醫療使人們能夠在家中接受治療，從而減少旅行和等待時間。使用者友善應用程式、穿戴式裝置和個人化平台的興起提升了患者體驗。隨著醫療保健越來越以消費者為中心，患者對遠距服務的需求將繼續影響市場動態。

預計遠距心臟病學領域在預測期內將實現最高的複合年成長率。

受心血管疾病盛行率上升和及時診斷需求增加的推動，遠距心臟病學領域預計將在預測期內實現最高成長率。遠端心電圖監控、與循環系統的虛擬會診以及人工智慧主導的分析工具正在改善患者預後並減少急診就診次數。遠距心臟病學能夠為高風險患者，特別是偏遠地區的患者，提供持續的醫療服務。隨著醫療系統將早期檢測和預防性護理置於優先地位，遠距心臟檢測與數位平台的整合正在迅速擴展，從而推動心臟護理領域的成長和創新。

佔比最大的地區：

由於快速的都市化、不斷成長的醫療保健需求以及政府推動數位醫療的舉措，亞太地區預計將在預測期內佔據最大的市場佔有率。中國、印度和日本等國家正在投資遠端醫療基礎設施和行動醫療技術。該地區龐大的人口、日益加重的慢性病負擔以及不斷提高的網路普及率推動了市場潛力。在官民合作關係和創新中心的推動下，亞太地區在遠端醫療的普及和擴充性繼續保持領先地位。

複合年成長率最高的地區：

在預測期內，北美預計將實現最高的複合年成長率，這得益於其先進的醫療基礎設施、有利的監管環境和較高的數位素養。該地區正受益於人工智慧、穿戴式科技和雲端基礎平台領域的強勁投資。疫情期間，遠端醫療的普及率激增，並因持續的健保改革和消費者需求而保持強勁成長勢頭。領先的企業、研究機構和支持性的政策框架使北美在遠端醫療創新和發展方面處於領先地位。

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目錄

第1章執行摘要

第2章 引言

  • 概述
  • 相關利益者
  • 分析範圍
  • 分析方法
    • 資料探勘
    • 數據分析
    • 數據檢驗
    • 分析方法
  • 分析材料
    • 原始研究資料
    • 二手研究資訊來源
    • 先決條件

第3章 市場趨勢分析

  • 促進要素
  • 抑制因素
  • 市場機遇
  • 威脅
  • 應用分析
  • 終端用戶分析
  • 新興市場
  • 感染疾病疫情的影響

第4章 波特五力分析

  • 供應商的議價能力
  • 買方議價能力
  • 替代產品的威脅
  • 新參與企業的威脅
  • 公司間的競爭

5. 全球遠端醫療市場（按組成部分分類）

  • 硬體
    • 監視器
    • 醫療周邊設備
    • 網路裝置
  • 軟體
    • 整合軟體
    • 獨立軟體
  • 服務
    • 即時服務
    • 儲存傳輸服務
    • 遠端患者監護

第6章 全球遠端醫療市場以交付方式分類

  • 網路為基礎的交付
  • 雲端基礎的交付
  • 現場供應

7. 全球遠端醫療市場按交付模式分類

  • 醫療服務提供者與病患之間
  • 醫療保健提供者之間
  • 患者之間

第8章 全球遠端醫療市場（按應用分類）

  • 遠距醫療諮詢
  • 遠距病理診斷
  • 遠端心臟診斷
  • 遠距皮膚病學
  • 遠距放射學
  • 遠距精神病學
  • 其他用途

9. 全球遠端醫療市場（按最終用戶分類）

  • 醫療保健提供者
  • 付款人
  • 病人
  • 其他最終用戶

第10章 全球遠端醫療市場（按地區分類）

  • 北美洲
    • 美國
    • 加拿大
    • 墨西哥
  • 歐洲
    • 德國
    • 英國
    • 義大利
    • 法國
    • 西班牙
    • 其他歐洲
  • 亞太地區
    • 日本
    • 中國
    • 印度
    • 澳洲
    • 紐西蘭
    • 韓國
    • 亞太其他地區
  • 南美洲
    • 阿根廷
    • 巴西
    • 智利
    • 其他南美洲
  • 中東和非洲
    • 沙烏地阿拉伯
    • 阿拉伯聯合大公國
    • 卡達
    • 南非
    • 其他中東和非洲地區

第11章：主要趨勢

  • 合約、商業夥伴關係和合資企業
  • 企業合併（M&A）
  • 新產品發布
  • 業務拓展
  • 其他關鍵策略

第12章 企業概況

  • Teladoc Health
  • Amwell（American Well）
  • MDLIVE
  • Doctor On Demand
  • Babylon Health
  • Ping An Good Doctor
  • Practo
  • Maple
  • Doxy.me
  • HealthTap
  • Hims & Hers Health
  • LifeStance Health
  • GoodRx
  • Terveystalo
  • SmartClinix
Product Code: SMRC31625

According to Stratistics MRC, the Global Telehealth Market is accounted for $149.5 billion in 2025 and is expected to reach $681.7 billion by 2032 growing at a CAGR of 24.2% during the forecast period. Telehealth refers to the delivery of healthcare services and information through digital communication technologies, enabling remote consultations, diagnosis, treatment, and monitoring. It encompasses video conferencing, mobile health apps, wearable devices, and electronic health records to connect patients with healthcare providers regardless of location. Telehealth improves access to care, especially in rural or underserved areas, and enhances convenience, cost-efficiency, and continuity of care. It supports chronic disease management, mental health services, and preventive care. As technology advances and healthcare systems evolve, telehealth continues to play a vital role in expanding patient-centered, timely, and scalable medical services across the globe.

Market Dynamics:

Driver:

Rising Demand for Remote Healthcare

The rising demand for remote healthcare is a major driver of the telehealth market. Increasing patient needs in rural and underserved areas, coupled with the convenience of virtual consultations, are fueling adoption. Telehealth enables timely access to medical professionals without geographic barriers, reducing hospital visits and improving chronic disease management. As healthcare systems prioritize accessibility and efficiency, remote care solutions are becoming integral to modern medical infrastructure, enhancing patient outcomes and reducing strain on traditional healthcare facilities.

Restraint:

Data Privacy & Security Concerns

Data privacy and security concerns are significant restraints in the telehealth market. The transmission of sensitive medical information over digital platforms raises risks of breaches, identity theft, and unauthorized access. Inadequate cybersecurity measures and inconsistent compliance with data protection regulations can erode patient trust and hinder adoption. Healthcare providers must invest in robust encryption, secure platforms, and regulatory alignment to ensure confidentiality and integrity. Without addressing these concerns, telehealth growth may be limited, especially in highly regulated environments.

Opportunity:

Technological Advancements

Technological advancements offer substantial opportunities for telehealth expansion. Innovations in artificial intelligence and cloud-based platforms are enhancing remote diagnostics, monitoring, and personalized care. These tools improve patient engagement, streamline workflows, and enable real-time data sharing. As digital health ecosystems evolve, telehealth becomes more scalable, efficient, and accessible. Integration with electronic health records and predictive analytics further supports proactive care. Continued investment in technology is key to unlocking new capabilities and expanding telehealth's reach globally.

Threat:

Limited Digital Infrastructure

Limited digital infrastructure poses a threat to telehealth market growth, particularly in developing regions. Inadequate internet connectivity, lack of access to smart devices, and low digital literacy restrict the effectiveness of virtual care. These barriers prevent equitable healthcare delivery and widen the gap between urban and rural populations. Without targeted investments in broadband expansion, device accessibility, and education, telehealth adoption may remain uneven. Addressing infrastructure challenges is essential to ensure inclusive, reliable, and sustainable remote healthcare services.

Covid-19 Impact:

The COVID-19 pandemic significantly accelerated telehealth adoption, transforming it from a niche service to a mainstream healthcare solution. Lockdowns, social distancing, and overwhelmed hospitals drove demand for virtual consultations and remote monitoring. Telehealth enabled continuity of care, especially for chronic conditions and mental health support. Post-pandemic, its value remains evident, with healthcare systems integrating digital tools into routine practice. The crisis highlighted telehealth's potential for scalable, resilient care delivery, prompting regulatory reforms and long-term investment in virtual health infrastructure.

The patients segment is expected to be the largest during the forecast period

The patients segment is expected to account for the largest market share during the forecast period, due to growing awareness, convenience, and accessibility. Patients increasingly prefer virtual consultations for routine checkups, chronic disease management, and mental health support. Telehealth empowers individuals to engage in their care from home, reducing travel and wait times. The rise of user-friendly apps, wearable devices, and personalized platforms enhances patient experience. As healthcare becomes more consumer-centric, patient demand for remote services continues to shape market dynamics.

The telecardiology segment is expected to have the highest CAGR during the forecast period

Over the forecast period, the telecardiology segment is predicted to witness the highest growth rate, due to rising cardiovascular disease prevalence and the need for timely diagnostics. Remote ECG monitoring, virtual consultations with cardiologists, and AI-driven analysis tools are improving patient outcomes and reducing emergency visits. Telecardiology enables continuous care for high-risk patients, especially in remote areas. As healthcare systems prioritize early detection and preventive care, telecardiology's integration into digital platforms is expanding rapidly, driving growth and innovation in cardiac care.

Region with largest share:

During the forecast period, the Asia Pacific region is expected to hold the largest market share, due to rapid urbanization, growing healthcare demand, and government initiatives promoting digital health. Countries like China, India, and Japan are investing in telemedicine infrastructure and mobile health technologies. The region's large population, rising chronic disease burden, and expanding internet penetration contribute to strong market potential. With increasing public-private partnerships and innovation hubs, Asia Pacific continues to lead in telehealth adoption and scalability.

Region with highest CAGR:

Over the forecast period, the North America region is anticipated to exhibit the highest CAGR, owing to advanced healthcare infrastructure, favorable regulations, and high digital literacy. The region benefits from strong investment in AI, wearable tech, and cloud-based platforms. Telehealth adoption surged during the pandemic and remains robust due to ongoing reimbursement reforms and consumer demand. With leading players, research institutions, and supportive policy frameworks, North America is at the forefront of telehealth innovation and expansion.

Key players in the market

Some of the key players in Telehealth Market include Teladoc Health, Amwell (American Well), MDLIVE, Doctor On Demand, Babylon Health, Ping An Good Doctor, Practo, Maple, Doxy.me, HealthTap, Hims & Hers Health, LifeStance Health, GoodRx, Terveystalo and SmartClinix.

Key Developments:

In May 2025, Doxy.me, a leading HIPAA-compliant telehealth platform, acquired and relaunched Telehealth.org to establish a comprehensive hub for virtual healthcare. This strategic move expands Telehealth.org's offerings beyond its original focus on behavioral health to support professionals across all medical specialties navigating virtual care.

In April 2025, Hims & Hers Health Inc saw its stock surge over 40% following collaboration with Novo Nordisk to provide the obesity medication Wegovy via its telehealth platform, expanding access and enhancing service offerings for weight management.

Components Covered:

  • Hardware
  • Software
  • Services

Mode of Deliveries Covered:

  • Web-based Delivery
  • Cloud-based Delivery
  • On-premise Delivery

Delivery Models Covered:

  • Provider-to-Patient
  • Provider-to-Provider
  • Patient-to-Patient

Applications Covered:

  • Teleconsultation
  • Telepathology
  • Telecardiology
  • Teledermatology
  • Teleradiology
  • Telepsychiatry
  • Other Applications

End Users Covered:

  • Providers
  • Payers
  • Patients
  • Other End Users

Regions Covered:

  • North America
    • US
    • Canada
    • Mexico
  • Europe
    • Germany
    • UK
    • Italy
    • France
    • Spain
    • Rest of Europe
  • Asia Pacific
    • Japan
    • China
    • India
    • Australia
    • New Zealand
    • South Korea
    • Rest of Asia Pacific
  • South America
    • Argentina
    • Brazil
    • Chile
    • Rest of South America
  • Middle East & Africa
    • Saudi Arabia
    • UAE
    • Qatar
    • South Africa
    • Rest of Middle East & Africa

What our report offers:

  • Market share assessments for the regional and country-level segments
  • Strategic recommendations for the new entrants
  • Covers Market data for the years 2024, 2025, 2026, 2028, and 2032
  • Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)
  • Strategic recommendations in key business segments based on the market estimations
  • Competitive landscaping mapping the key common trends
  • Company profiling with detailed strategies, financials, and recent developments
  • Supply chain trends mapping the latest technological advancements

Free Customization Offerings:

All the customers of this report will be entitled to receive one of the following free customization options:

  • Company Profiling
    • Comprehensive profiling of additional market players (up to 3)
    • SWOT Analysis of key players (up to 3)
  • Regional Segmentation
    • Market estimations, Forecasts and CAGR of any prominent country as per the client's interest (Note: Depends on feasibility check)
  • Competitive Benchmarking
    • Benchmarking of key players based on product portfolio, geographical presence, and strategic alliances

Table of Contents

1 Executive Summary

2 Preface

  • 2.1 Abstract
  • 2.2 Stake Holders
  • 2.3 Research Scope
  • 2.4 Research Methodology
    • 2.4.1 Data Mining
    • 2.4.2 Data Analysis
    • 2.4.3 Data Validation
    • 2.4.4 Research Approach
  • 2.5 Research Sources
    • 2.5.1 Primary Research Sources
    • 2.5.2 Secondary Research Sources
    • 2.5.3 Assumptions

3 Market Trend Analysis

  • 3.1 Introduction
  • 3.2 Drivers
  • 3.3 Restraints
  • 3.4 Opportunities
  • 3.5 Threats
  • 3.6 Application Analysis
  • 3.7 End User Analysis
  • 3.8 Emerging Markets
  • 3.9 Impact of Covid-19

4 Porters Five Force Analysis

  • 4.1 Bargaining power of suppliers
  • 4.2 Bargaining power of buyers
  • 4.3 Threat of substitutes
  • 4.4 Threat of new entrants
  • 4.5 Competitive rivalry

5 Global Telehealth Market, By Component

  • 5.1 Introduction
  • 5.2 Hardware
    • 5.2.1 Monitors
    • 5.2.2 Medical Peripheral Devices
    • 5.2.3 Network Equipment
  • 5.3 Software
    • 5.3.1 Integrated Software
    • 5.3.2 Standalone Software
  • 5.4 Services
    • 5.4.1 Real-time Services
    • 5.4.2 Store-and-Forward Services
    • 5.4.3 Remote Patient Monitoring

6 Global Telehealth Market, By Mode of Delivery

  • 6.1 Introduction
  • 6.2 Web-based Delivery
  • 6.3 Cloud-based Delivery
  • 6.4 On-premise Delivery

7 Global Telehealth Market, By Delivery Model

  • 7.1 Introduction
  • 7.2 Provider-to-Patient
  • 7.3 Provider-to-Provider
  • 7.4 Patient-to-Patient

8 Global Telehealth Market, By Application

  • 8.1 Introduction
  • 8.2 Teleconsultation
  • 8.3 Telepathology
  • 8.4 Telecardiology
  • 8.5 Teledermatology
  • 8.6 Teleradiology
  • 8.7 Telepsychiatry
  • 8.8 Other Applications

9 Global Telehealth Market, By End User

  • 9.1 Introduction
  • 9.2 Providers
  • 9.3 Payers
  • 9.4 Patients
  • 9.5 Other End Users

10 Global Telehealth Market, By Geography

  • 10.1 Introduction
  • 10.2 North America
    • 10.2.1 US
    • 10.2.2 Canada
    • 10.2.3 Mexico
  • 10.3 Europe
    • 10.3.1 Germany
    • 10.3.2 UK
    • 10.3.3 Italy
    • 10.3.4 France
    • 10.3.5 Spain
    • 10.3.6 Rest of Europe
  • 10.4 Asia Pacific
    • 10.4.1 Japan
    • 10.4.2 China
    • 10.4.3 India
    • 10.4.4 Australia
    • 10.4.5 New Zealand
    • 10.4.6 South Korea
    • 10.4.7 Rest of Asia Pacific
  • 10.5 South America
    • 10.5.1 Argentina
    • 10.5.2 Brazil
    • 10.5.3 Chile
    • 10.5.4 Rest of South America
  • 10.6 Middle East & Africa
    • 10.6.1 Saudi Arabia
    • 10.6.2 UAE
    • 10.6.3 Qatar
    • 10.6.4 South Africa
    • 10.6.5 Rest of Middle East & Africa

11 Key Developments

  • 11.1 Agreements, Partnerships, Collaborations and Joint Ventures
  • 11.2 Acquisitions & Mergers
  • 11.3 New Product Launch
  • 11.4 Expansions
  • 11.5 Other Key Strategies

12 Company Profiling

  • 12.1 Teladoc Health
  • 12.2 Amwell (American Well)
  • 12.3 MDLIVE
  • 12.4 Doctor On Demand
  • 12.5 Babylon Health
  • 12.6 Ping An Good Doctor
  • 12.7 Practo
  • 12.8 Maple
  • 12.9 Doxy.me
  • 12.10 HealthTap
  • 12.11 Hims & Hers Health
  • 12.12 LifeStance Health
  • 12.13 GoodRx
  • 12.14 Terveystalo
  • 12.15 SmartClinix

List of Tables

  • Table 1 Global Telehealth Market Outlook, By Region (2024-2032) ($MN)
  • Table 2 Global Telehealth Market Outlook, By Component (2024-2032) ($MN)
  • Table 3 Global Telehealth Market Outlook, By Hardware (2024-2032) ($MN)
  • Table 4 Global Telehealth Market Outlook, By Monitors (2024-2032) ($MN)
  • Table 5 Global Telehealth Market Outlook, By Medical Peripheral Devices (2024-2032) ($MN)
  • Table 6 Global Telehealth Market Outlook, By Network Equipment (2024-2032) ($MN)
  • Table 7 Global Telehealth Market Outlook, By Software (2024-2032) ($MN)
  • Table 8 Global Telehealth Market Outlook, By Integrated Software (2024-2032) ($MN)
  • Table 9 Global Telehealth Market Outlook, By Standalone Software (2024-2032) ($MN)
  • Table 10 Global Telehealth Market Outlook, By Services (2024-2032) ($MN)
  • Table 11 Global Telehealth Market Outlook, By Real-time Services (2024-2032) ($MN)
  • Table 12 Global Telehealth Market Outlook, By Store-and-Forward Services (2024-2032) ($MN)
  • Table 13 Global Telehealth Market Outlook, By Remote Patient Monitoring (2024-2032) ($MN)
  • Table 14 Global Telehealth Market Outlook, By Mode of Delivery (2024-2032) ($MN)
  • Table 15 Global Telehealth Market Outlook, By Web-based Delivery (2024-2032) ($MN)
  • Table 16 Global Telehealth Market Outlook, By Cloud-based Delivery (2024-2032) ($MN)
  • Table 17 Global Telehealth Market Outlook, By On-premise Delivery (2024-2032) ($MN)
  • Table 18 Global Telehealth Market Outlook, By Delivery Model (2024-2032) ($MN)
  • Table 19 Global Telehealth Market Outlook, By Provider-to-Patient (2024-2032) ($MN)
  • Table 20 Global Telehealth Market Outlook, By Provider-to-Provider (2024-2032) ($MN)
  • Table 21 Global Telehealth Market Outlook, By Patient-to-Patient (2024-2032) ($MN)
  • Table 22 Global Telehealth Market Outlook, By Application (2024-2032) ($MN)
  • Table 23 Global Telehealth Market Outlook, By Teleconsultation (2024-2032) ($MN)
  • Table 24 Global Telehealth Market Outlook, By Telepathology (2024-2032) ($MN)
  • Table 25 Global Telehealth Market Outlook, By Telecardiology (2024-2032) ($MN)
  • Table 26 Global Telehealth Market Outlook, By Teledermatology (2024-2032) ($MN)
  • Table 27 Global Telehealth Market Outlook, By Teleradiology (2024-2032) ($MN)
  • Table 28 Global Telehealth Market Outlook, By Telepsychiatry (2024-2032) ($MN)
  • Table 29 Global Telehealth Market Outlook, By Other Applications (2024-2032) ($MN)
  • Table 30 Global Telehealth Market Outlook, By End User (2024-2032) ($MN)
  • Table 31 Global Telehealth Market Outlook, By Providers (2024-2032) ($MN)
  • Table 32 Global Telehealth Market Outlook, By Payers (2024-2032) ($MN)
  • Table 33 Global Telehealth Market Outlook, By Patients (2024-2032) ($MN)
  • Table 34 Global Telehealth Market Outlook, By Other End Users (2024-2032) ($MN)

Note: Tables for North America, Europe, APAC, South America, and Middle East & Africa Regions are also represented in the same manner as above.