Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Access to health care compared to need, 2010|
|Description:||Proportion of Australians who accessed health care by type of service and Indigenous Status; Indigenous Australian's level of need for a health care service by type of service.|
|Rationale:||Comparing the rates of health service use and access to the need of Indigenous Australians will help to monitor unmet need and identify areas for improvement.|
|Indicator set:||National Indigenous Reform Agreement (2010)|
Community Services (retired), Superseded 04/04/2011
|Outcome area:||Indigenous people have ready access to suitable and culturally inclusive primary health and preventative services|
Community Services (retired), Standard 21/07/2010
Indigenous, Standard 11/09/2012
|Quality statement:||National Indigenous Reform Agreement: P08-Access to healthcare compared to need, 2010 QS Community Services (retired), Superseded 04/04/2011|
Collection and usage attributes
|Population group age from:||15 years of age, except those who visted dentists or dental professional: from 2 years of age|
Presentation: Percentage (crude and age standardised), rate ratios and rate differences including confidence intervals and relative standard errors for percentages.
The service types to be reported are admitted hospitalisations, casualty/outpatients GP and/or specialist doctor consultations, consultations with other health professional and dental consultation.
For the service type 'admitted hospitalisations', access is recorded based on the last 12 months. For all other services, access is recorded based on the last 2 weeks.
Categories of reasons why did not access services in the last 12 months are: cost, too busy, dislikes, waiting time too long or not available at time required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other not further defined.Additional data are presented by health status. Categories of self−assessed health status are excellent, very good, good, fair and poor. These should be combined into two categories for reporting: excellent/very good/good and fair/poor.
|Computation:||100 x (Numerator ÷ Denominator)|
Measure (1a): Number of people aged 15 years and over who accessed a particular health services in the past 12 months (for hospital admissions) or 2 weeks (for other health services)Measure (1b): Number of persons who needed to access health care but did not
|Numerator data elements:|
|Denominator:||Measure 1a and 1b: Population aged 15 years and over|
|Denominator data elements:|
|Disaggregation data elements:|
Disaggregation Measure 1a: National and state/territory by general health status and Indigenous status
Disaggregation Measure 1b: National, state/territory and remoteness, by reason for not accessing health care (Indigenous Australians only)Most recent data available for 2010 CRC baseline report: 2004-05 NATSIHS/ NHS
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Accessible|
Data source attributes
Every 3 years
Australian Bureau of Statistics
Every 6 years
Australian Bureau of Statistics
|Organisation responsible for providing data:||In the provision of data and quality statement the Australian Bureau of Statistics (ABS) will have regard to the data quality assessments in the Aboriginal and Torres Strait Islander Health Performance Framework (HPF) that are relevant to this indicator.|
|Further data development / collection required:|
Specification: InterimThis indicator requires definitional work on service access and the much more difficult concept of need.
|Other issues caveats:|
The indicator specified in the 2008 Aboriginal and Torres Strait Islander Health Performance Framework can be used for this indicator until data development work is completed for this indicator. See (Indicator 3.12) for more details. http://www.aihw.gov.au/publications/ihw/aatsihpf08r-da/atsihpf08r-c03-12.pdf.This performance indicator has two outcome areas: 'Indigenous Australians achieve health outcomes comparable to the general population' and 'Indigenous people have ready access to suitable and culturally inclusive primary health and preventative services'.
|Related metadata references:|
Has been superseded by National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2011
See also National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010