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National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termSpecialist services claimed through Medicare, 2010
METeOR identifier:Help on this term394822
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termDifferential rates for specialist service use (out-of-hospital private patient) per 1,000 population.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this termMBS 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:Help on this term1,000 × (Numerator ÷ Denominator).
Numerator:Help on this termNumber of specialist services claimed through the Medicare Benefits Schedule or Department of Veterans' Affairs.
Numerator data elements:Help on this term
Data Element / Data SetData Element
Medicare item number
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal population
Denominator data elements:Help on this term
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Census-based plus administrative data
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Guide for use
Data source type: Census-based plus administrative data
Disaggregation data elements:Help on this term
Data Element / Data SetData Element
Person (address)—Australian postcode
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory, remoteness area and SEIFA of residence
Comments:Help on this termSpecified 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

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termservicesType
Format:Help on this termNNNN.N

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
Data SourceMedicare (MBS) data
Frequency
Monthly
Data custodian
Department of Health

Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
Frequency
Periodic
Quality statement
ABS Indigenous experimental estimates and projections, QS
Data custodian
Australian Bureau of Statistics

Accountability attributes

Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this termSpecification: 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:Help on this termThis 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.

Relational attributes

Related metadata references:Help on this term

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

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