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National Indigenous Reform Agreement: P08-Access to health care 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 health care compared to need, 2010
METeOR identifier:Help on this term396666
Registration status:Help on this termCommunity Services (retired), Superseded 04/04/2011
Description:Help on this termProportion of Australians who accessed health care by type of service and Indigenous Status; Indigenous Australian's level of need for a health care service by type of service.
Rationale:Help on this termComparing the rates of health service use and access to the need of Indigenous Australians will help to monitor unmet need and identify areas for improvement.
Indicator set:Help on this termNational Indigenous Reform Agreement (2010) Community Services (retired), Superseded 04/04/2011
Outcome area:Help on this termIndigenous people have ready access to suitable and culturally inclusive primary health and preventative services Indigenous, Endorsed 11/09/2012
Community Services (retired), Standard 21/07/2010
Quality statement:Help on this termNational Indigenous Reform Agreement: P08-Access to healthcare compared to need, 2010 QS Community Services (retired), Superseded 04/04/2011

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

Presentation: Percentage (crude and age standardised), rate ratios and rate differences including confidence intervals and relative standard errors for percentages.

The service types to be reported are admitted hospitalisations, casualty/outpatients GP and/or specialist doctor consultations, consultations with other health professional and dental consultation.

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.

Categories of reasons why did not access services in the last 12 months are: cost, too busy, dislikes, waiting time too long or not available at time required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other not further defined.

Additional data are presented by health status. 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.
Computation:Help on this term100 x (Numerator ÷ Denominator)
Numerator:Help on this term

Measure (1a): 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)

Measure (1b): Number of persons who needed to access health care but did not
Numerator data elements:Help on this term
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 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 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 element codes: Hospitalised in the last 12 months, not hospitalised in the last 12 months, not applicable

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 element codes: Hospitalised in the last 12 months, not hospitalised in the last 12 months, not applicable

Data source type: Survey
Data Element / Data SetData Element
Persons who visited casuality/emergency or outpatients
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Visited casualty/emergency or outpatients, not visited casualty/emergency or outpatients, not applicable

Data source type: Survey
Data Element / Data SetData Element
Persons who visited casuality/emergency or outpatients
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use

Data element codes: Visited casualty/emergency or outpatients, not visited casualty/emergency or outpatients, not applicable

Data source type: Survey
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 element codes: Consulted other health professional, did not consult other health professional, not known, not stated, not applicable.

Data source type: Survey
Data Element / Data SetData Element
Persons who consulted with other health professional
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use

Data element codes: Consulted other health professional, did not consult other health professional, not known, not stated, not applicable.

Data source type: Survey
Data Element / Data SetData Element
Persons who consulted with a dentist or dental professional
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Consulted a dentist or dental professional, did not consult a dentist or dental professional, not applicable, not stated

Data source type: Survey
Data Element / Data SetData Element
Persons who consulted with a dentist or dental professional
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use

Data element codes: Consulted a dentist or dental professional, did not consult a dentist or dental professional, not applicable, not stated

Data source type: Survey
Data Element / Data SetData Element
Person who needed to go to hospital in the last 12 months, but didn't
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Yes, no, not stated, not applicable

Data source type: Survey
Data Element / Data SetData Element
Persons who needed to go to the doctor in the last 12 months but didn't
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Yes, no, not stated, not applicable

Data source type: Survey
Data Element / Data SetData Element
Persons who needed to go to an other health professional in the last 12 months, but didn't
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Yes, no, not stated, not applicable

Data source type: Survey
Data Element / Data SetData Element
People who needed to go to the dentist in the last 12 months, but didn't
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: Yes, no, not stated, not applicable

Data source type: Survey
Denominator:Help on this termMeasure 1a and 1b: Population 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 Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
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
Disaggregation data elements:Help on this term
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2006) NNNNN
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use
Data source type: Survey
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2006) NNNNN
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 SetPerson—Indigenous status, code N
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use
Data source type: Survey
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 element codes: Excellent, very good, good, fair, poor, not applicable

Data source type: Survey
Data Element / Data SetData Element
General health status
Data Source
ABS 2004-05 National Health Survey (NHS)
Guide for use

Data element codes: Excellent, very good, good, fair, poor, not applicable

Data source type: Survey
Data Element / Data SetData Element
Reason for not going to the hospital
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: cost, too busy, dislikes, waiting time too long, no time available when it is required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other (not further defined), not applicable, not stated.

Data source type: Survey
Data Element / Data SetData Element
Reason for not going to the doctor
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: cost, too busy, dislikes, waiting time too long, no time available when it is required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other (not further defined), not applicable, not stated.

Data source type: Survey
Data Element / Data SetData Element
Reason for not going to other health professional
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: cost, too busy, dislikes, waiting time too long, no time available when it is required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other (not further defined), not applicable, not stated.

Data source type: Survey
Data Element / Data SetData Element
Reason for not going to the dentist or dental professional
Data Source
ABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data element codes: cost, too busy, dislikes, waiting time too long, no time available when it is required, decided not to seek care, transport/distance, not available in area, felt it would be inadequate, discrimination/not culturally appropriate/language problems, other (not further defined), not applicable, not stated.

Data source type: Survey
Comments:Help on this term

Disaggregation Measure 1a: National and state/territory by general health status and Indigenous status

Disaggregation Measure 1b: National, state/territory and remoteness, by reason for not accessing health care (Indigenous Australians only) 

Most recent data available for 2010 CRC baseline report: 2004-05 NATSIHS/ NHS

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[N].N

Indicator conceptual framework

Framework and dimensions:Help on this termAccessible

Data source attributes

Data sources:Help on this term
Data SourceABS 2004-05 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Frequency
Every 6 years
Data custodian
Australian Bureau of Statistics

Data SourceABS 2004-05 National Health Survey (NHS)
Frequency
Every 3 years
Data custodian
Australian Bureau of Statistics

Accountability attributes

Organisation responsible for providing data:Help on this termIn the provision of data and quality statement the Australian Bureau of Statistics (ABS) will have regard to the data quality assessments in the Aboriginal and Torres Strait Islander Health Performance Framework (HPF) that are relevant to this indicator.
Further data development / collection required:Help on this term

Specification: Interim

This indicator requires definitional work on service access and the much more difficult concept of need.
Other issues caveats:Help on this term

The indicator specified in the 2008 Aboriginal and Torres Strait Islander Health Performance Framework can be used for this indicator until data development work is completed for this indicator. See (Indicator 3.12) for more details.  http://www.aihw.gov.au/publications/ihw/aatsihpf08r-da/atsihpf08r-c03-12.pdf.

This performance indicator has two outcome areas: 'Indigenous Australians achieve health outcomes comparable to the general population' and 'Indigenous people have ready access to suitable and culturally inclusive primary health and preventative services'.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: P60-Access to services by type of service compared to need, 2010 Health, Superseded 08/06/2011

Has been superseded by National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2011 Indigenous, Archived 01/07/2012

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