Diagnostics and therapeutic procedures

DEFINITIONS

Age group – in health care statistics a child is considered to be a person aged 0 to 14 years, while an adult is a person aged 15 years and older.

Assisted reproductive technology (ART) – all treatments or procedures that include the in vitro handling of both human oocytes and sperm or of embryos for the purpose of establishing a pregnancy.

County – location of health care service provider. It is classified according to the Classification of Administrative and Settlement Units of Estonia (EHAK) (see classifications). Until 2017, data by the counties is distributed by the administrative division that existed before administrative reform (October 2017). Data starting from 2018 is distributed by new administrative division.

Embryo – the product of the division of the zygote to the end ofthe embryonic stage, 8 weeks after fertilization.

Health care provider or health care facility – a legal person whose principal or ancillary activity is to provide health care services. Health care providers (except family doctor's offices) must have an activity licence issued by the Health Board.

Health care service – activities of health care personnel (doctor, dentist, nurse, midwife), aimed at preventing, diagnosing or curing a disease, an injury or poisoning, at alleviating human suffering, at preventing the state of health of a patient from worsening or exacerbating and at improving the patient’s health.

Health care services are divided into three types: outpatient health care service, or outpatient care, day care and inpatient health care service, or hospital care.

In vitro fertilisation – an ART procedure that includes following stages:

Live birth – delivery of a child showing evidence of life (breathing, heartbeat, pulsation of the umbilical cord or definite movement of voluntary muscles) irrespective of the duration of pregnancy.

Not one's own patient – the attending physician of the patient is not an employer of an institution carrying out the research.

Type of provider of health care services – health care providers are divided into the following types: hospitals, family doctor's offices, specialist health care providers, dental care providers, emergency medical care providers, rehabilitation care providers, diagnostics providers, nursing care providers and other providers (see classifications).

METHODOLOGY

The aim of the collection and production of diagnostics and treatment statistics is to provide an overview of the volume of work done by health care service providers in accordance with the type of health care service provider and the way the service is rendered.

The data is collected from all institutions providing health care services which hold a relevant activity licence and from family physicians working with practice lists in accordance with the Health Care Services Organisation Act (HCSOA) and decree by the Minister of Social Affairs on the basis of the HCSOA.

The following tables included in the annual health care statistics report “Health Care Institution“ serve as the basis for the production of diagnostics and treatment statistics:

The data source for morphological analyses is annual health care statistics report "Hospital".

Accountable persons are all legal persons conducting relevant research and providing treatment (in laboratory analysis statistics: all institutions which make or buy analyses), excluding blood centres, emergency medical care and dental care institutions. The information about the research conducted and treatment provided by blood centres, emergency medical care and dental care institutions is available in the relevant sections of the Health Statistics and Health Research Database.

For the period 2011–2013, the National Institute for Health Development collected artificial insemination data from health care providers. The statistics on artificial insemination in the following years are based on data collected by the State Agency of Medicines.

CLASSIFICATIONS

Classification of Administrative and Settlement Units of Estonia (EHAK)

This classification is used upon submission of regional statistics. Regional health care statistics are submitted by 15 counties. Information about Tallinn and Tartu is submitted separately. Until 2017, data by the counties is distributed by the administrative division that existed before administrative reform (October 2017). Data starting from 2018 is distributed by new administrative division. This classification system is available on the webpage of the Statistics Estonia in the "List of classifications" section.

List of health care services compiled by Estonian Health Insurance Fund (EHIF)

It is used to classify laboratory analyses. Classificator is available at Riigi Teataja (in Estonian).

Classification of hospitals

On the basis of the services they provide hospitals are divided into seven types: regional hospitals, central hospitals, general hospitals, local hospitals, special hospitals, rehabilitation hospitals and nursing care hospitals. Requirements for different hospital types are laid down in Decree No. 103 Requirements for Hospital Types, issued by the Minister of Social Affairs on 19 August 2004.

Surgical procedures classification NOMESCO, version 1.6 (NCSP).

This classification is used to code and submit endoscopic diagnostic procedures. The classification is available on the webpage of the Nordic Centre for Classifications in Health Care.

Classification of health care service provider

On the basis of the type of provided health care service the health care service providers are divided in the following way:

The health care service providers mentioned above are classified in descending order of rank, i.e., if one facility provides several health care services, it is classified as an facility providing a relevant service mentioned afore in the list.

CONTACT

Marika Inno

Department of Health Statistics

National Institute for Health Development

Phone: +372 659 3816

E-mail: Marika.Inno[ät]tai.ee

 

Contact for data about artificial insemination:

Julia Šved-Pantelejeva

Department of Health Statistics

National Institute for Health Development

E-mail: julia.sved-pantelejeva[at]tai.ee

 

Updated: 30.06.2021