National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Access to services compared to need, 2010|
|Registration status:||Health, Superseded 08/06/2011|
|Description:||Proportion of people who accessed health services by health status.|
|Indicator set:||National Healthcare Agreement (2010) Health, Superseded 08/06/2011|
|Outcome area:||Social Inclusion and Indigenous Health Health, Standard 07/07/2010|
Indigenous, Endorsed 11/09/2012
|Quality statement:||National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010 QS Health, Retired 12/03/2015|
Collection and usage attributes
|Population group age from:||15 years of age, except those who visted dentists or dental professional: from 2 years of age|
Rates are directly age-standardised to the Australian population as at 30 June 2001.
Limited to people aged 15 years or over.
The service types to be reported are Admitted hospitalisations; Casualty/outpatients; General Practioner (GP) and/or specialist doctor consultations; Consultations with other health professional; and Dental consultation.
Categories of self-assessed health status are Excellent; Very good; Good; Fair; and Poor. These should be combined into two categories for reporting: Excellent/very good/good; and Fair/poor.
For the 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.
100 x (Numerator ÷ Denominator)
Calculated separately for each type of service and by categories of self-assessed health status.
|Numerator:||Number of people aged 15 years and over who accessed a particular health services in the past 12 months (for hospital admissions) or 2 weeks (for other health services)|
|Numerator data elements:|
|Denominator:||Population aged 15 years and over|
|Denominator data elements:|
|Disaggregation data elements:|
Specified disaggregation: Nationally and by state/territory: by service type and self assessed health status; with components of Indigenous status, remoteness area and SEIFA of residence.
Available disaggregation: Nationally and by state/territory: by service type and self assessed health status; with components of Indigenous status, remoteness area and SEIFA of residence.
Most recent data available for 2010 CRC baseline report: 2004-05.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Effectiveness|
Data source attributes
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Bureau of Statistics|
|Further data development / collection required:|
From 2010–11, this indicator may be derived from the Australian Bureau of Statistics (ABS) Patient Experience Survey. Service types in scope for 2011 CRC reporting are GPs, specialists, hospital emergency and hospital admissions; access to dentists will be available for 2012 reporting and beyond.
In the immediate future years the NATSIHS will remain the best data source for Indigenous Australians, as disaggregation of the Patient Experience Survey by Indigenous status within states/territories is unlikely to be possible. As the NATSIHS is conducted every 6 years, mechanisms for more frequent reporting of this indicator by Indigenous status should be investigated.
Modelling of imputed need for health services among population groups could be considered to enhance usefulness of administrative data on differential access to health services.
|Other issues caveats:|
Disaggregations within individual jurisdictions are subject to data quality considerations. Some disaggregations may result in numbers too small for publication.
The scope of the source collections is limited to persons usually resident in private dwellings. Persons usually resident in non-private dwellings such as hotels, motels, hospitals, nursing homes and short-stay caravan parks were not included in the surveys. Estimates for non-Indigenous people exclude those living in very remote areas of Australia.
|Related metadata references:|
See also National Healthcare Agreement: P15-Waiting times for public dentistry, 2010 Health, Superseded 08/06/2011
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: P46-Rates of services: Outpatient occasions of service, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P47-Rates of services: Non-acute care separations, 2010 Health, Superseded 08/06/2011
See also National Healthcare Agreement: P48-Rates of services: Hospital procedures, 2010 Health, Superseded 08/06/2011
Has been superseded by National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2011 Health, Superseded 31/10/2011
See also National Indigenous Reform Agreement: P08-Access to health care compared to need, 2010 Community Services (retired), Superseded 04/04/2011