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National Healthcare Agreement: PI 25-Specialist services, 2011

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termPI 25-Specialist services, 2011
METeOR identifier:Help on this term421642
Registration status:Help on this termHealth, Superseded 31/10/2011
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Indicator set:Help on this termNational Healthcare Agreement (2011) Health, Superseded 31/10/2011
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 25: Specialist services, 2011 QS Health, Superseded 04/12/2012

Collection and usage attributes

Computation description:Help on this term

MBS items for specialist services (approximately 5,000 item numbers).

The definition of specialist services is all items in the Department of Health and Ageing and Medicare Australia broad type of service groups for:

  • Specialist attendances
    MBS items: 85, 88, 94, 100, 102-152, 154-159, 177, 189, 300-338, 342-370, 385-388, 410-417, 501-536, 820-866, 887-893, 10801 to 10816 and 17603.
  • Obstetrics
    MBS items :Group T4 of the Schedule and Item 9011.
  • Anaesthetics
    MBS items: Groups T5, T6 (excluding Items 17600 and 17603), T7, T10 and Items 9021 to 9060.
  • Pathology
    MBS items: Category 6 of the Schedule.
  • Diagnostic imaging
    MBS items: ultrasound (791, 793, 794, 910, 911, 913, 990-993, 995 and 999 and Group I1), CT (Group I2) Radiology (Group I3), MRI (Group I5), Nuclear Medicine Imaging (Group I4), and Group I6 (Items 64990 and 64991).
  • Operations
    MBS items: Group T8 of the Schedule and Items 9401-9409, 9415-9435, 9440-9449, 9458, 9476-9850.
  • Assistance at operations
    MBS items: Group T9 of the Schedule.
  • Radiotherapy
    MBS items: radiotherapy and therapeutic nuclear medicine (Groups T2 and T3) of the Schedule.
  • Other medical MBS services (excluding optometry, other allied health services and the Dental Benefits Schedule)
    MBS items: miscellaneous, oral and maxillofacial surgery (Category 4), cleft lip and palate (Category 7), Category 2, Group T1 , Group T11, the bulk billing incentive Items 10990, 10991 and 10992, and Group B1 (Dental Benefits Schedule).

Rates directly age-standardised.

Analysis by state and territory, remoteness and SEIFA  Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

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 (MBS) or Department of Veterans' Affairs (DVA).
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:Help on this term

2008–09 and 2009–10—Nationally, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2008–09 and 2009–10—State and territory, by:

  • remoteness
  • SEIFA IRSD quintiles
  • Indigenous status

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

Disaggregation data elements:Help on this term
Data Element / Data SetData Element
Person—area of usual residence
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory, remoteness and SEIFA IRSD
Data Element / Data SetData Element
Person—Indigenous status
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Comments:Help on this term

This indicator presents rates for total specialist numbers (including all item numbers specified in calculation conditions).

Specialist Services do not include GP/VRGP non-referred attendances, Primary care, Other non-referred attendances, Practice nurse Items, Allied health (including Dental) or Optometry services.

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

MBS items stated above include some historic item numbers not in the current Medicare Benefits Schedule.

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).

Inclusion of services reimbursed through DVA, pending advice from DVA.

Most recent data available for 2011 CRC report: 2008–09 (updated to include DVA data) and 2009–10 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 termDepartment of Health and Ageing/Australian Institute of Health and Welfare
Further data development / collection required:Help on this termSpecification: Proxy
Other issues caveats:Help on this term

 

Relational attributes

Related metadata references:Help on this term

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

See also National Healthcare Agreement: PI 16-People deferring access to GPs, medical specialists or prescribed medications due to cost, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 24-GP-type services, 2011 Health, Superseded 31/10/2011

Has been superseded by National Healthcare Agreement: PI 25-Specialist services, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 26-Dental services, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 27-Optometry services, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 28-Public sector community mental health services, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 29-Private sector mental health services, 2011 Health, Superseded 30/10/2011

See also National Healthcare Agreement: PI 37-Waiting times for radiotherapy and orthopaedic specialists, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 46-Rates of services: Outpatient occasions of service, 2011 Health, Superseded 31/10/2011

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