Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||PI 08-Access to health care compared to need, 2011|
Interim measure: There are two measures for this indicator:
(1a): Proportion of Australians accessing health care, by type of service and Indigenous status
(1b) Level of need for a health care service, by type of service and Indigenous status.
|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 (2011)|
Indigenous, Superseded 01/07/2012
|Outcome area:||Indigenous Australians achieve health outcomes comparable to the broader population|
Indigenous, Standard 21/07/2010
Collection and usage attributes
|Population group age from:||15 years of age, except those who visited dentists or dental professional: from 2 years of age|
Crude rates are calculated for Indigenous Australians; age-standardised rates are calculated for Indigenous and non-Indigenous Australians.
Confidence intervals and relative standard errors are calculated for crude and age-standardised rates;
Rate ratios and rate differences are calculated for Indigenous: non-Indigenous.
Presentation: Per 100 persons (percentage).
Types of services are: admitted hospitalisations; casualty/outpatients GP and/or specialist doctor consultations; consultations with other health professionals; and dental consultation.
For service type ‘admitted hospitalisations’, access is recoded based on the last 12 months. For all other services, access is recorded based on the last 2 weeks.
Categories for reporting of self-assessed health status are excellent/very good/good and fair/poor.
|Computation:||100 x (Numerator ÷ Denominator).|
(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)
(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:|
(1a): National and State and Territory by:
Type of service, by self-assessed health status, by Indigenous status (age standardised rates).
Type of service for Indigenous Australians (crude rates).
Type of service, by Indigenous status (age standardised rates).
(1b) Indigenous only:
National and state/territory, by type of service, by reasons did not visit.
Non-remote and remote, by type of service, by reasons did not visit.
|Disaggregation data elements:|
Most recent data available for 2011 CRC report: 2004-05 NATSIHS (Indigenous); 2004-05 NHS (non-Indigenous).
Indicator 3.12 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.
Data were not collected on level of need for a health service in the National Health Survey. Thus measure (1b) is currently unable to be reported for the non-Indigenous Australians population.
Rates are directly age standardised to the 2001 Australian ERP.
This indicator meets two COAG specific outcome areas: Indigenous Australian achieve health outcomes comparable to the broader population and Indigenous people have ready access to suitable and culturally inclusive primary health and preventative services.
Baseline year for this indicator is 2006; target year is 2031.
|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
|Reporting requirements:||National Indigenous Reform Agreement.|
|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: Interim.|
|Related metadata references:|
Supersedes National Indigenous Reform Agreement: P08-Access to health care compared to need, 2010
Has been superseded by National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2012
See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2011
See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2012