{"id":155161,"date":"2017-05-22T12:26:34","date_gmt":"2017-05-22T09:26:34","guid":{"rendered":"https:\/\/www.tehnopol.ee\/diagnostic-match-makes-hiv-testing-more-targeted-2\/"},"modified":"2024-03-13T11:11:15","modified_gmt":"2024-03-13T09:11:15","slug":"diagnostic-match-makes-hiv-testing-more-targeted-2","status":"publish","type":"post","link":"https:\/\/www.tehnopol.ee\/en\/diagnostic-match-makes-hiv-testing-more-targeted-2\/","title":{"rendered":"Diagnostic Match makes HIV testing more targeted"},"content":{"rendered":"

Diagnostic Match is a decision-making support platform for primary care providers that automates the process of detecting whether a patient falls into an HIV risk group. The solution looks at other conditions to flag patients who are at risk for HIV so that they can be tested as early as possible.<\/span><\/p>\n

\u201cThe solution consists of a digital decision-making platform that helps find HIV-positive patients through indicator diseases,\u201d says Diagnostic Match project manager Grete Kikas in introducing the idea. The system looks for illnesses that are co-morbid with HIV, such as hepatitis B and C, herpes zoster, fungal infections, recurrent lung infections, tuberculosis and others, and helps general practitioners to make the decision on whom to test for HIV.<\/p>\n

The idea for Diagnostic Match originated with the Estonian Society of Family Doctors, which also collaborated on developing the solution. \u201cOne key to our success is that we have developed very good synergy between the team and our partners in cooperation,\u201c says Kikas. \u201cThe Society of Family Doctors has provided very good input \u2013 the whole project evolved out of their needs. I feel we\u2019re doing something really good that will actually help resolve a problem.\u201d<\/p>\n

Finding HIV risk group in a matter of seconds<\/h3>\n

Kikas says that during the pilot project, they noticed that it took general practitioners seven minutes to gather the information needed to find HIV-positive people on the basis of indicator conditions. \u201cAppointments with general practitioners only last ten minutes and if they spend seven minutes of that time dealing with the HIV topic, that steals an awful amount of time away,\u201d says Kikas. \u201cSo we\u2019re trying to automate the process so that it would be a matter of seconds, as easy and routine as possible.\u201d<\/p>\n

Kikas emphasizes that decision-making support has to be integrated into the existing system. \u201cIf it were in the form of a separate app, it\u2019s very likely that doctors won\u2019t find the time to use it. But if it\u2019s on their own desktop, they will be aware of it and there\u2019s no barrier with regard to the ability to use it,\u201d she says.<\/p>\n

In this manner, digital algorithms have been developed to allow patient health records to be automatically pulled from the health information system. This shows any indicator conditions and whether the patient has previously been tested for HIV. If the algorithm finds that the patient has been diagnosed as having an indicator condition, the physician will be shown a recommendation that HIV testing be considered.<\/p>\n

From idea to prototype<\/h3>\n

The first step in developing the system was to map the need in collaboration with GPs.<\/p>\n

For years, Estonia has been among the world\u2019s countries with the fastest spread of HIV. According to the Estonian Health Board, more than 9,475 people have been diagnosed with HIV, while the number of those infected is thought to be as high as 12,000. About 25 new HIV cases per 100,000 inhabitants are registered each year in Estonia compared to an average of 6 new cases in Europe as a whole.<\/p>\n

\u201cMany people don\u2019t know they carry the virus and general practitioners don\u2019t know whom to test. About 50% of people get their HIV diagnosis too late in the game. Physicians must be made more aware of the necessity of HIV testing,\u201d says Kikas.<\/p>\n

She adds that they hope the solution will also lessen the stigma associated with HIV. She explains that it\u2019s often assumed people living with HIV are drug abusers or sex workers, yet in fact HIV positive people can also be ordinary schoolteachers. \u201cDuring the brief appointment, general practitioners don\u2019t consider that the schoolteacher might already have been diagnosed with some indicator condition which based on treatment guidelines, means that they should be tested for HIV.\u201d<\/p>\n

Furthermore, because of the stigma associated with HIV, it\u2019s frequently awkward for doctors to ask whether a patient falls into a risk group. \u201cBut if the information is automatically displayed on their screen, that part of the job has been done, because the patient is already in a risk group.\u201d<\/p>\n

Once the need was mapped and the idea committed to paper, Diagnostic Match took part in the HIVdigital competition held in Estonia, which is focused on problems related to HIV. A hackathon held as part of HIVdigital yielded a prototype that was functional in practice and in the final round of the competition, Diagnostic Match was selected from among five projects as the winner. The prize was 40,000 euros of seed capital for developing the digital solution.<\/p>\n

Awaiting new challenges<\/h3>\n

\u201cWe\u2019re currently in a phase where we have a working prototype and are starting to work on a real product in March,\u201c says Kikas. \u201cI\u2019d like the product to be operational in practice by June 2017.\u201d<\/p>\n

At the moment, a solution is being developed for the Estonian market. \u201cWe started with GPs, but we\u2019ve got to the point that there\u2019s actually demand for the product from other healthcare workers and specialities. When a person has dealings with the healthcare system, the given doctor, nurse, occupational health physician, or gynaecologist should already see a notification if a patient has been diagnosed with specific indicator conditions and the treatment guidelines recommend that HIV testing be considered. We\u2019ve talked with professional associations a great deal and they, too, see that they need this tool and HIV testing reminders based on previous diagnoses,\u201d says Kikas.<\/p>\n

In the future, the Diagnostic Match team plans to develop algorithms for foreign markets as well. The Finnish and Danish medicine markets are being eyed. \u201cIt will be a completely new challenge as to how to get the algorithm working elsewhere. We are looking forward to meeting the challenge, because there\u2019s a need for it,\u201d says Kikas.<\/p>\n","protected":false},"excerpt":{"rendered":"

Diagnostic Match is a decision-making support platform for primary care providers that automates the process of detecting whether a patient falls into an HIV risk group. The solution looks at other conditions to flag patients who are at risk for HIV so that they can be tested as early as possible. \u201cThe solution consists of […]<\/p>\n","protected":false},"author":26,"featured_media":155162,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_s2mail":"","footnotes":""},"categories":[42],"tags":[],"class_list":["post-155161","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-success-story"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/users\/26"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/comments?post=155161"}],"version-history":[{"count":1,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155161\/revisions"}],"predecessor-version":[{"id":155412,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/posts\/155161\/revisions\/155412"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/media\/155162"}],"wp:attachment":[{"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/media?parent=155161"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/categories?post=155161"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tehnopol.ee\/en\/wp-json\/wp\/v2\/tags?post=155161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}