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National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termAccess to services compared to need, 2010
METeOR identifier:Help on this term395101
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termProportion of people who accessed health services by health status.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termSocial Inclusion and Indigenous Health Health, Standard 07/07/2010
Indigenous, Endorsed 11/09/2012
Quality statement:Help on this termNational 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:Help on this term15 years of age, except those who visted dentists or dental professional: from 2 years of age
Computation description:Help on this term

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.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Calculated separately for each type of service and by categories of self-assessed health status.

Numerator:Help on this termNumber 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:Help on this term
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons admitted to hospital in the last 12 months
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data element categories: Hospitalised in the last 12 months, not hospitalised in the last 12 months, not applicable
Data Element / Data SetData Element
Persons admitted to hospital in the last 12 months
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data element categories: Hospitalised in the last 12 months, not hospitalised in the last 12 months, not applicable
Data Element / Data SetData Element
Persons who visited casualty/emergency or outpatients
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data element categories: Visited casualty/emergency or outpatients, not visited casualty/emergency or outpatients, not applicable
Data Element / Data SetData Element
Persons who visited casualty/outpatients in the last 12 months
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data element categories: Visited casualty/emergency or outpatients, not visited casualty/emergency or outpatients, not applicable
Data Element / Data SetData Element
Persons who consulted other health professional
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data element categories: Consulted other health professional, did not consult other health professional, not known, not stated, not applicable
Data Element / Data SetData Element
Persons who consulted other health professional
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data element categories: Consulted other health professional, did not consult other health professional, not known, not stated, not applicable
Data Element / Data SetData Element
Persons who consulted a dentist or dental professional
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data element categories: Consulted a dentist or dental professional, did not consult a dentist or dental professional, not applicable, not stated
Data Element / Data SetData Element
Persons who consulted a dentist or dental professional
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data element categories: Consulted a dentist or dental professional, did not consult a dentist or dental professional, not applicable, not stated
Denominator:Help on this termPopulation aged 15 years and over
Denominator data elements:Help on this term
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Disaggregation data elements:Help on this term
Data Element / Data SetPerson—Indigenous status, code N
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data Element / Data SetPerson—Indigenous status, code N
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—area of usual residence, geographical location code (ASGC 2001)
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Used for disaggregation by state/territory, remoteness area and SEIFA of residence
Data Element / Data SetData Element
Person—area of usual residence, geographical location code (ASGC 2001)
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Used for state/territory disaggregation by Indigenous status
Data Element / Data SetData Element
General health status
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
Data element codes: Excellent, very good, good, fair, poor, not applicable
Data Element / Data SetData Element
General health status
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data element codes: Excellent, very good, good, fair, poor, not applicable
Comments:Help on this term

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.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termN[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termEffectiveness

Accessibility

Data source attributes

Data sources:Help on this term
Data SourceABS 2004-05 National Health Survey (NHS)
Frequency
Every 3 years
Data custodian
Australian Bureau of Statistics

Data SourceABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Frequency
Every 6 years
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 Bureau of Statistics
Further data development / collection required:Help on this term

Specification: Interim

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:Help on this term

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.

Relational attributes

Related metadata references:Help on this term

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

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