The use of infertility treatment in Estonia is increasing again and largely due to the patient’s own funding
18 JULY 2018
Estonian State Agency of Medicines data shows that 2863 assisted reproductive technology (ART) cycle procedures took place in 2017. Compared with 2016, it has increased by 5%. Over the past three years (2014–2016), the number of ART cycles decreased. However, the level of 2013, when there were 3097 ART cycles, has not been achieved yet. Data is available at health statistics and health research database.
Infertility treatment increased most – about by one third - in age group 41 and older. Almost half of the ART cycles were performed for age group 34 and younger. However, compared to 2016, the number of ART cycles in this age group has decreased by 2%.
The most – about by one third – increased use of IUI method. In IUI sperm is placed directly in the woman’s womb with a special catheter. IUI is performed for male infertility or for female factor infertility due to cervical issues. The costs of this method is not covered by state.
Most common used ART method was ICSI – 36% of all ART cycles were performed using ICSI method. ICSI method is used in case of sever male infertility. Another popular method was FET – 33% of all ART cycles were performed using FET method.
In previous years most commonly two embryos were transferred during one procedure. In 2017 this trend changed and the most common was the single embryo transplantation. Therefor the number of transferred embryos and zygotes decreased about 8% compared to 2016.
Last year the fertility treatment increased, but national spending on that declined. Th artificial insemination related cost formed 1.398 million euros total, which was tenth less than in 2016.
In 2016 with clinical pregnancy ended 803 artificial inseminations, which is 29% of performed ART cycles.
In 2017, 430 children was born via artificial insemination in Estonia according to Estonian Medical Birth Registry. Which is 61 children more than in 2016 and it accounts 3% of all live births.
12 JUNE 2018
04 JUNE 2018
Last year, there were 23,750 health care professionals in practice in Estonia, an increase of 1.6% compared to 2016.
Last year, the number of physicians was 4,569 and it increased by 0.5%. The average age of physicians was 51 years and it has not changed over the last year. The average age of our family doctors continues to grow and was 55 years in 2017. One-fifth of them are 65 years of age or older. At the same time, the number of family nurses has increased by 4%. The number of family nurses was 1,242 and their average age was 47 years.
In 2017, 3.5 physicians and 6.5 nursing staff, including 6.2 nurses per 1,000 inhabitants were in Estonia. In 2015, the average number of physicians per 1,000 inhabitants in the European Union countries was similar, but the number of nursing staff was almost one and a half times bigger - 8.6.
54% of physicians worked full-time, one-quarter worked less and one-fifth with a bigger workload. Most of the nurses (67%) worked full-time, but a one-tenth with a bigger workload.
Health care personnel data is available in the Health Statistics and Health Research Database. Statistics on health care personnel working in the Hospital Masterplan hospitals can be found here and the division of health care providers by the number of employees is published under “Health care providers” (table TTO15).
12 JUNE 2018
Data of 2017 geriatric assessments have been published in database.
In 2017, the service was provided by four hospitals. During last six years, the number of geriatric assessment service providers declined by almost three times. Therefore the service availability descended and the number of geriatric assessments decreased by 15% compared to 2016 (553 to 468).
Geriatric assessment refers to evaluating the overall health, functional and social condition of grown up individuals with multiple coping disorders together with implementing a tailored service plan by a team of specialists consisting of a physician (specially trained to provide help for geriatric patients), nurse, social worker and other specialists (if required). Persons are assessed on a regular evaluating basis (i.e. persons assessed several times in a given year are evaluated on multiple occasions).
04 JUNE 2018
In 2017, other European countries health care providers presented medical bills to Estonian Health Insurance Fund of up to 7 million EUR for Estonian travellers, workers or pensioners staying temporarly or living for longer and who had used health care services in that country, which is almost 2% less than a year before.
It is a cost that does not include scheduled treatment, or medical bills submitted under the "Directive of the European Parliament and of the Council on the application of patients' rights in cross-border healthcare", which, in addition to the aforementioned 7 million, is another 7 million EUR.
Health insured in Estonia, used health care services in 30 European countries. If in 2015 and 2016 most of the health care services were used in Germany, then in 2017 most medical bills were submitted from Finland.
In Estonia, around 7,000 people from Europe in a year used the health care services, and this number has remained stable over the last three years. Most (over four thousand) of these people came from Finland.
Both foreign men and women used the most general surgical service in Estonia. Followed by orthopedics and internal medicine services. Other European countries' insured persons are mainly provided with outpatient services in central and regional hospitals.
Data is published in Health Statistics and Health Research Database.