Monitoring HIV-indicator condition guided HIV testing in Estonia

HIV Medicine
K RüütelOptTEST by HiE

Abstract

The aim of the study was to assess indicator condition (IC) guided HIV testing in Estonia from 2012-2015. We used Estonian Health Insurance Fund (EHIF) data. EHIF is the core purchaser of health care services in Estonia, covering health care costs for insured people (94% of the total population). After health care services' provision, the provider sends an invoice to EHIF, which includes patient information (e.g. age, gender, diagnoses based on ICD-10) and services provided (e.g. what tests were performed). Among the ICs analysed, the highest proportion of patients tested was among those presenting with infectious mononucleosis-like illness (27-33% of patients) and viral hepatitis (28-32%), the lowest proportion of patients tested was among those presenting with herpes zoster (4-5%) and pneumonia (4-8%). Women were tested somewhat less than men, especially in cases of sexually transmitted infections (9-13% and 18-21%, respectively). Our data shows that IC-guided HIV testing rates are low in Estonia. Therefore, it is critical to follow Estonian HIV testing guidelines, which recommend IC-guided testing. In general, health insurance data can be used to monitor IC-guided HIV testing.

References

Mar 14, 2013·HIV Medicine·J V LazarusUNKNOWN HIV in Europe Initiative Steering Committee
Oct 12, 2013·BMC Infectious Diseases·Paola ScognamiglioUNKNOWN SENDIH Study Group
Apr 3, 2016·Clinical Medicine : Journal of the Royal College of Physicians of London·Lauren Bull, Michael Rayment

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Citations

Apr 18, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Kristi Rüütel On Behalf Of OptTEST By HiE
Jun 4, 2021·BMC Infectious Diseases·Saskia J BogersUNKNOWN HIV Transmission Elimination AMsterdam (H-TEAM) Consortium
May 25, 2021·EClinicalMedicine·S J BogersUNKNOWN HIV Transmission Elimination AMsterdam (H-TEAM) Consortium

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