This paper offers an initial analysis of economic and market issues in the development and deployment of mobile remote physiological monitoring services for medical patients through wireless wearable sensors and actuators. Examining the characteristics of the service technologies and related industries, this study focuses on the structure, participants and roles of standardisation of the layers within the emerging mobile remote physiological monitoring industry. The study concludes that the structure of the emerging mobile remote physiological monitoring industry will be oriented about service provision, be integrated with other personal / patient data storage services and be heavily influenced by the interplay of technological developments, the health market structure, existing players and regulation. Additionally, the keys players are likely to be the system integrators and service providers concentrating on large institutional customers. A focus of the paper is analysing both the causes and implications of a modular, horizontally layered industry structure likely to result from the mix of technologies, suppliers and customers as this market develops. The paper discusses why, although horizontal specialisation is the most likely outcome, there is little risk of key layers becoming commoditised. The paper also discusses the appropriate types and levels of standardisation and equipment certification activities that should be encouraged, along with from which groups and industries the pressure for these will come.

While mobile networks have been enhanced to support a variety of mobile multimedia services such as video telephony and rich data content delivery, a new challenge is being created by the remarkable development of micro-device technologies such as micro processor-chips, sensors, and RF tags. These developments suggest the rapid emergence of the ubiquitous computing environment; computers supporting human life without imposing any stress on the users. The combination of broadband global networks and ubiquitous computing environment will lead to an entirely new class of services, which we call ubiquitous networking services. This paper discusses how to create ubiquitous service environments comparing global networking approaches which are based on fixed and mobile networks. It is shown that the mobile approach is better from service applicability and reliability viewpoints. Networking architecture is proposed which expand 4G mobile cellular networks to real space via gateways on the edges of the mobile network (i.e. mobile terminals). A new set of technical requirements will emerge via this approach, which may accelerate the paradigm shift from the current mobile network architecture and even from the Internet of today.