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National Healthcare Agreement: P29-Private sector mental health services, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termPrivate sector mental health services, 2010
METeOR identifier:Help on this term394959
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termAmbulatory mental health services provided by private psychiatrists, GPs and allied health providers (including psychologists, occupational therapists and social workers).
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011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statement:Help on this termNational Healthcare Agreement: P29-Private sector mental health services, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this termInclude Better Access Medicare Benefits Schedule (MBS) items claimed by allied health professionals (including occupational therapists and social workers) in addition to private psychiatrists, GPs and psychologists.

Inclusive of all mental-health related MBS items and includes some ambulatory-equivalent admitted patient mental health service contacts.

Consultant psychiatrist services include MBS items 134, 136, 138, 140, 142, 289, 291, 293, 296, 297, 299, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344, 346, 348, 350, 352, 353, 355, 356, 357, 358, 359, 361, 364, 366, 367, 369, 370, 855, 857, 858, 861, 864, 866, 14224

GP and other services include MBS items 170, 171, 172, 2574, 2575, 2577, 2578, 2704, 2705, 2707, 2708, 2710, 2712, 2713, 2721, 2723, 2725, 2727

Clinical psychologist services include MBS items 80000, 80005, 80010, 80015, 80020

Other allied health services include MBS items 10956, 10968, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 82000, 82015

Presented per 1,000 population.

Rates are directly age-standardised to the Australian population as at 30 June 2001.
Computation:Help on this term1,000 × (Numerator ÷ Denominator)
Numerator:Help on this termNumber of ambulatory mental health service contacts provided by private psychiatrists, general practitioners, clinical psychologists and other allied health providers (including registered psychologists, occupational therapists and social workers) claimed through the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA).
Numerator data elements:Help on this term
Data Element / Data SetData Element
MBS item number
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Used to identify mental health services
Data Element / Data SetData Element
Service contact—service contact date
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 by-product 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 by-product 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.
Data Element / Data SetData Element
Person—date of birth
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—sex
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Comments:Help on this termSpecified disaggregation: Nationally and by state/territory (of patient residence): by sex, 10 year age groups, Indigenous status, remoteness area, SEIFA of residence and major service streams (see 'Other issues caveats' below).

Available disaggregation: Nationally and by state/territory (of patient residence): by sex, 10 year age groups, remoteness area, SEIFA of residence and major service streams (see 'Other issues caveats' below).

Data for 2008-09 is currently available.

Most recent data available for 2010 CRC baseline report: 2008-09

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termNN[NN].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

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this termSpecification: Interim

All relevant Medical Benefits Scheme (MBS) mental health items should be included as an interim measure. In the longer term, look at better balance of GP activity on mental health, information about activity beyond the specified health professions and improve Indigenous identification in MBS data. This includes the development of an adjustment factor for MBS data using data from a currently available sample. 

Not all private mental health services are covered by the MBS, including those provided in support of accident or crime compensation cases and DVA-funded cases. Further development of this indicator should attempt to cover the gap of non-MBS items through investigation of the possibility of using private health insurance data.
Other issues caveats:Help on this termMajor service streams are private psychiatrists, general practitioners, clinical psychologists and other allied health providers (including registered psychologists, occupational therapists and social workers).

MBS item numbers change over time and need to be updated as required.

Disaggregations within individual jurisdictions are subject to data quality considerations. Some disaggregations may result in numbers too small for publication. 

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 advice from DVA.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: P21-Treatment rates for mental illness, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P25-Specialist services claimed through Medicare, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P28-Public sector community mental health services, 2010 Health, Superseded 08/06/2011

Has been superseded by National Healthcare Agreement: PI 29-Private sector mental health services, 2011 Health, Superseded 30/10/2011

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