National Health Performance Authority, Healthy Communities: Very high GP attenders, 2012–13
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Very high GP attenders, 2012–13|
National Health Performance Authority (retired), Retired 01/07/2016
|Description:||Percentage of people who attended a GP 20 times or more in the year.|
Collection and usage attributes
|Population group age to:||All ages|
Very high GP attenders are persons who had 20 or more GP attendances between 1 July 2012 and 30 June 2013.
GP attendances are Medicare benefit-funded patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. GP attendances exclude services provided by practice nurses and Aboriginal and Torres Strait Islander health practitioners on a GP’s behalf.
In terms of 'Broad Type of Service' Groups, GP attendances comprise all items in Broad Type of Service Group 'A' – GP/VRGP non-referred attendances, 'M' – non-referred Enhanced Primary Care and 'B' – Non-referred other attendances as published in quarterly and annual Medicare Benefits Schedule (MBS) statistics by the Department of Human Services and the Department of Health.
Counts of persons who utilised services on the MBS in 2012–13, were created using the unique Medicare Patient Identification Numbers (PINs). Persons who had 20 or more GP attendances in 2012–13 (year of service) were allocated to this cohort at the Australia level, based on the number of GP attendances in the reference year for the PIN in question.
Rates (expressed as a percentage) were directly age-standardised to the 2001 Australian population. In undertaking age standardisation of MBS data, the age of each person was determined from the last MBS service of any type for each PIN, processed by the Department of Human Services up to and including 30 June 2014 for records with a date of service in 2012–13. Where the age for an individual was clearly invalid, it was classified as a data error and excluded in performing the age standardisation process. All MBS services for each individual provided in 2012–13 and processed by 30 June 2014, were attributed to the five year age group (0–4, 5–9, 10–14,…, 80–84, 85+) in question.
For MBS data, Medicare Local and SA3 were determined using the enrolment postcode for each person from the last MBS service of any type, provided in 2012–13 and processed by the Department of Human Service by 30 June 2014. All MBS services for each individual provided in 2012–13 and processed by 30 June 2014, were attributed to the postcode in question. Since some postcodes cross regional boundaries, MBS postcode level data were allocated to Medicare Local and SA3 regions using concordance files provided by ABS showing the percentage of the population in each postcode in each region – however each person’s cohort was as determined at the Australia level.
In the postcode to SA3 geographic correspondence file obtained from the ABS, the percentages of the population in a region for a number of postcodes either did not equal or sum to 100%. This was due to boundary misalignment between the original postcode and other maps. Where necessary, the Authority has rescaled these percentages to ensure totals sum to 100%. A small number of postcodes which did not map to a Medicare Local catchment were categorised separately as 'Other' and excluded – these individual numbers were very low.
Before MBS data are published by NHPA all confidential data cells are suppressed.
100 x (Numerator ÷ Denominator)
Age standardised using the direct method.
|Numerator:||Number of people who had 20 or more GP attendances in the year.|
|Numerator data elements:|
|Denominator data elements:|
|Disaggregation:||By Medicare Local catchments, Medicare Local peer groups and SA3|
|Disaggregation data elements:|
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||PAF-Equity of access|
Data source attributes
National Health Performance Authority-Performance and Accountability Agreement
|Organisation responsible for providing data:||Department of Health|
|Accountability:||National Health Performance Authority|
|Further data development / collection required:||Specification: Long-term|
Source and reference attributes
National Health Performance Authority
National Health Performance Authority-Performance and Accountability Framework.
Healthy Communities: Frequent GP attenders and their use of health services in 2012–13, Technical Supplement.