National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2012
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||PI 08-Access to health care compared to need, 2012|
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 (2012)|
Indigenous, Superseded 13/06/2013
|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:|
All ages except for:
Crude rates are calculated for Indigenous Australians.
Age-standardised rates are calculated for Indigenous and non-Indigenous Australians.
95% 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: Number, rate per 100 persons (percentage), rate ratio, rate difference, confidence intervals, and relative standard error.
Types of services are: admitted hospitalisations; casualty/outpatients GP and/or specialist doctor consultations; consultations with other health professionals; and dental consultations.
For 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 for reasons did not visit a health care service 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.
Categories for reporting self-assessed health status are excellent/very good/good and fair/poor.
Crude rate: 100 x (Numerator ÷ Denominator).
Age-standardised rate: calculated using the direct method with the 2001 Australian population as at 30 June as the standard. Ten year age groups are used from 0-4 to 55 years and over to be consistent with published estimates by the ABS.
Rate ratio: Indigenous age-standardised rate divided by non-Indigenous age-standardised rate.Rate difference: Indigenous age-standardised rate minus non-Indigenous age-standardised rate.
(1a): Number of persons 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:|
Measure 1a and 1b: Total population of all people except for:
|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:|
NO NEW DATA FOR 2012 REPORTING.
Most recent data available: 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 (NHS), thus measure (1b) is currently unable to be reported for the non-Indigenous Australian population.
Data from the NATSIHS are available for remote and very remote areas. The NHS does not cover very remote areas.
This indicator meets two COAG specific outcome areas: Indigenous Australians 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 NIRA target (Close the life expectancy gap within a generation) is 2006; baseline year for this indicator is 2004-05; 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:|
The Australian Institute of Health and Welfare (AIHW) is currently undertaking work on the concept of access compared to need for Indigenous Australians to better define and measure this indicator in the future.
Source and reference attributes
|Steward:||National Indigenous Reform Agreement Performance Information Management Group|
|Related metadata references:|
See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2012
Supersedes National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2011
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