National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Output measure|
|Short name:||Specialist services claimed through Medicare, 2010|
|Registration status:||Health, Superseded 08/06/2011|
|Description:||Differential rates for specialist service use (out-of-hospital private patient) per 1,000 population.|
|Indicator set:||National Healthcare Agreement (2010) Health, Superseded 08/06/2011|
|Outcome area:||Primary and Community Health Health, Standard 07/07/2010|
|Quality statement:||National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010 QS Health, Superseded 08/06/2011|
Collection and usage attributes
|Computation description:||MBS items for specialist services (approximately 5,000 item numbers).
Rates are directly age-standardised to the Australian population as at 30 June 2001.Presented per 1,000 population.
|Computation:||1,000 × (Numerator ÷ Denominator).|
|Numerator:||Number of specialist services claimed through the Medicare Benefits Schedule or Department of Veterans' Affairs.|
|Numerator data elements:|
|Denominator data elements:|
|Disaggregation data elements:|
|Comments:||Specified Disaggregation: Nationally and by state/territory (of patient's residence): by Indigenous status, remoteness area and SEIFA of residence.
Available Disaggregation: Nationally and by state/territory (of patient's residence): by remoteness area and SEIFA of residence.Most recent data available for 2010 CRC baseline report: 2008-09 with caveats
|Unit of measure:||servicesType|
Indicator conceptual framework
|Framework and dimensions:||Accessibility|
Data source attributes
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
|Further data development / collection required:||Specification: Proxy
Summary information about outpatient services delivered in public hospitals (e.g. occasions of service for each of 23 clinic types) can be related to specialist service types rebated under the Medicare Benefits Schedule. In the medium-term it is recommended that this mapping be pursued further to ensure that differences in the types of specialist services delivered under public and private funding arrangements can be clearly presented.
Long-term reporting of this indicator relies on development and implementation of a unit record collection (including patient demographics) in hospital outpatient settings and further work to map ‘number of specialist services’ provided in public and private settings.Work needs to continue to improve the quality of the Voluntary Indigenous Identifier (VII) in the Medicare database and estimation from the current sample.
|Other issues caveats:||This indicator presents rates for total specialist numbers (including all item numbers specified in calculation conditions). If required, this indicator can be presented separately by broad types of services (e.g. Specialist attendance, Obstetrics, Anaesthetics, Pathology, Diagnostic imaging, Operations, Assistance at operations, Radiotherapy and therapeutic nuclear medicine) as is on the Medicare website and in Australia's Health 2008 (page 368).
MBS item numbers change over time and need to be updated as required.
Disaggregations within individual jurisdictions are subject to data quality considerations.
The indicator as specified is a proxy of the original indicator. The original intent was to measure differentials between private and public specialist services. As private specialist services can not be measured at this time, this indicator measures differentials between different population groups in the use of specialist services claimed through Medicare.
There may be overlap between this and other indicators (e.g. Medicare claims for private sector mental health services are also presented in indicator 28).Department of Veteran's Affairs (DVA) has been identified as a data source, however due to lack of data availability it has not been included in the calculation this reporting cycle. Inclusion in future reporting depends on advice from DVA.
|Related metadata references:|
See also National Healthcare Agreement: P16-People deferring recommended treatment due to financial barriers, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P24-GP-type services, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P26-Dental services, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P27-Optometry services, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P28-Public sector community mental health services, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P29-Private sector mental health services, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P37-Waiting times for radiotherapy and orthopaedic specialists, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P46-Rates of services: Outpatient occasions of service, 2010 Health, Superseded 08/06/2011
Has been superseded by National Healthcare Agreement: PI 25-Specialist services, 2011 Health, Superseded 31/10/2011