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Revision as of 18:17, 11 December 2023
Go back to Cancer Centers list.
Cancer Centers
Healthcare System
Estonia operates a universal health care system primarily funded through the Estonian Health Insurance Fund (EHIF), covering about 94% of the population. It's a semi-autonomous organization, gaining more responsibilities post a 2017 reform. Financing comes from a social payroll tax, state and municipal budgets (just under 11% of total healthcare expenditure), and private expenditure, mainly co-payments (about a quarter of all health expenditure).
The Estonian Ministry of Social Affairs supervises the health care system nationally, with some minor and voluntary input from local municipalities. The Health and Labor Market Policy Department designs health policies, while other agencies assure professional certifications and pharmaceutical quality.
Hospitals, primarily state-owned or affiliated with public legal bodies, along with independent general practitioners, form the healthcare service backbone. Additionally, private primary care centres, pharmacies, and outpatient clinics supplement the services. The system ensures primary care, specialist outpatient care, hospital care, maternity services, emergency care, dental care, prescription drugs, rehabilitation services, home nursing, prostheses, medical devices, and preventive services.
For benefits access, individuals need to be insured with the EHIF, which includes employed persons and their dependents, the retired, registered unemployed, children, students, pregnant women, and other certain groups.
Estonia has a sophisticated, largely digital healthcare system. Providers send claims electronically to the EHIF, and patient data is stored in a decentralized system, the Electronic Health Record (EHR), accessible by authorized providers. These records contribute to health registries for analysis and research, maintaining a centralized health information system.
Administrative or Claims Data
Registries
Database: Andmebaas Cancer Screening Registry
Database: Andmebaas Cancer Registry
Database: Andmebaas Cause of Death
Database: Statistics Estonia Cause of Death
Statistics Estonia: Malignant Tumors
Database: Activity License Registry
Database: Medical Products Registry
Databases for Clinical Trials, Surveys and Biobanks
Survey: The Survey on Health, Ageing and Retirement in Europe (SHARE)
Survey: The Estonian Health Interview Survey (ETeU)
Electronic Health Records
Database: Health Information System
Primary Purpose: Allowing healthcare service providers to see and share patient information and healthcare data across the country.
Sponsor, manager, or home institution: Ministry of Social Affairs (sponsor); Health and Welfare Information Systems Centre - TEHIK (manager).
Number of records: Any Estonian citizen who used a healthcare service since 2008.
Data source: Data inserted by healthcare providers.
Date range: 2008 onwards.
Contact information: Information [2].
Clinical Practices Guidelines
Good Practices Guidelines for Clinical Trials
Primary purpose: To ensure the rights, safety, and well-being of the participant according to the principles of the Declaration of Helsinki [4].
Sponsor, manager or home institution: European Medicines Agency.
Data level: National level.
Cancer Areas of Interest: All.
Availability in English: Yes [5].
Latest Policymaking Initiatives
National Plan: Action Plan for Cancer Control
Sponsor, manager or home institution: Ministry of Social Affairs; National Institute of Health Development; Estonian Cancer Society.
Primary purpose: Reducing the number of cancer cases and deaths, and improving the quality of life of cancer patients.
Data level: National level.
Cancer areas of interest: All.
Information access: Information access [6].
National Plan: Population Health Development Plan 2030
Sponsor, manager or home institution: Ministry of Social Affairs.
Primary purpose: National health plan to increase life expectancy and quality of life during later years, and decrease healthcare inequalities.
Type of information: A detailed plan to deliver on the goals stated above, with data to support policy decisions, which includes cancer-related decision-making.
Data level: National level.
Information access: Information access [7].
Report: The State of Healthcare Integration in Estonia Report
Sponsor, manager or home institution: Estonian Health Insurance Fund.
Primary purpose: Assess healthcare integration in Estonia.
Type of information: Overview of the Estonian healthcare system, information about avoidable admissions to hospitals and specialist visits, hospital stay, NMIS procedures, patient behavior, provider behavior, care continuity, preventive services, and other various information.
Data level: National level.
Information access: Information access [8].
Report: "Quality Bonus System Needs Adjustment" Report
Sponsor, manager or home institution: Estonian Health Insurance Fund.
Primary purpose: Point out flaws in the QBS system and suggest easy-to-make adjustments.
Type of information: Analysis of QBS score distribution including tables and graphs for various data, list of proposals for adjustments to the QBS system with details, among other information.
Data level: National level.
Information access: Information access [9].
Report: Healthcare Costs 2019
Sponsor, manager or home institution: National Institute for Health Development.
Primary purpose: Provide information about healthcare costs for anyone interested in healthcare.
Type of information: Total national health expenditure, comparisons to previous years, share of public sector and other details, household expenditures, and healthcare insurance fund expenditures, among others.
Data level: National level.
Information access: Information access [10].
Guideline: Estonian Handbook for Guideline Development
Sponsor, manager or home institution: Estonian Health Insurance Fund.
Primary purpose: To serve as an up-to-date practical resource for developing health guidelines.
Type of information: Guideline development process, topic proposals, evidence retrieving, report, dissemination of recommendations, among other topics.
Data level: National level.
Information access: Information access [11].
Policy: Marketing Authorization for a Drug
Sponsor, manager or home institution: Medicines Board
Primary purpose: Legislation and Forms to inform the marketing authorization for drugs.
Type of information: Medicine-related laws, regulations, conditions, requirements and statutes related to the authorization of drug marketing, guides, and manuals to inform the process as well as forms that are required to be authorized.
Data level: National level.
Information access: Information access [12].
Policy: Handling of Medicine
Sponsor, manager or home institution: Medicines Board
Primary purpose: Legislation and Forms to inform the handling of drugs.
Type of information: Medicine-related laws, regulations, conditions, requirements and statutes related to the handling of drugs, guides to inform the handling of drugs as well as forms that are required to be authorized to handle drugs.
Data level: National level.
Information access: Information access [13].
Reports: The Health Fund's
Sponsor, manager or home institution: Tervisekassa.
Primary purpose: To outline the vision, mission, and strategic goals of the Health Insurance Fund in Estonia, focusing on ensuring the availability of health insurance benefits and improving healthcare services through prevention, early intervention, and better-coordinated treatment.
Type of information: Health care costs; Medicine costs; Costs of disease prevention; total health costs in general.
Data level: National level.
Access to information: Access Information [14].
Report: EU Country Cancer Profile 2023
Sponsor, manager or home institution: OECD and European Commission.
Primary purpose: To provide reliable data on cancer prevention and care, identifying trends, disparities, and inequalities among EU Member States and regions to guide interventions under Europe's Beating Cancer Plan.
Type of information: National cancer burden; Cancer incidence and mortality; Risk factors for cancer; Early detection programs (screenings); Cancer care performance, The impact of COVID-19 on cancer care.
Data level: National level.
Access to information: Access Information [15].
Report: Cancer in Estonia: morbidity and survival
Sponsor, manager or home institution: Tervise Arengu Instituut.
Primary purpose: To provide comprehensive and up-to-date cancer incidence statistics in Estonia, based on data from the cancer registry, enabling analysis of cancer survival and scientific research.
Type of information: More common cancer sites; Cancer incidence and morbidity; Distribution of primary cases by cancer site and spread at diagnosis; Cancer prevalence and survival.
Data level: National level.
Access to information: Access Information [16].
Compilation: Other Estonian Health Legislation
Information access: Information access [17].
Patient Association: "Gift of Life" Foundation
Primary purpose: To support cancer treatment not covered by the Estonian Health Insurance Fund.
Data level: National level.
Information access: Information access [18].
Compilation: ESMO Patient Guides
Sponsor, manager or home institution: European Society for Medical Oncology
Primary purpose: To translate complex medical language into understandable information for patients.
Available guides: Cancer Care During the COVID-19 Pandemic; Bone Sarcoma; Colorectal Cancer; Non-Small-Cell Lung Cancer; Soft Tissue Sarcomas.
Type of information: Information on each guide varies for each cancer type. Generally, guides provide definitions, explanations of causes, diagnosis, treatment, treatment options, and care after treatment, among others.
Access to information: List of guides [19].
Quality of Life and Palliative Care Research
List of Articles: Quality of Life [20] and Palliative Care [21].
