National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2011

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI 08-Access to health care compared to need, 2011
METeOR identifier:425752
Registration status:Indigenous, Archived 01/07/2012
Description:

Interim measure: There are two measures for this indicator:

(1a): Proportion of Australians accessing health care, by type of service and Indigenous status

and

(1b) Level of need for a health care service, by type of service and Indigenous status.

Rationale:Comparing 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:National Indigenous Reform Agreement (2011) Indigenous, Archived 01/07/2012
Outcome area:Indigenous Australians achieve health outcomes comparable to the broader population Indigenous, Endorsed 21/07/2010

Collection and usage attributes

Population group age from:15 years of age, except those who visited dentists or dental professional: from 2 years of age
Computation description:

Crude rates are calculated for Indigenous Australians; age-standardised rates are calculated for Indigenous and non-Indigenous Australians.

Confidence intervals and relative standard errors are calculated for crude and age-standardised rates;

Rate ratios and rate differences are calculated for Indigenous: non-Indigenous.

Presentation: Per 100 persons (percentage).

Definitions:

Types of services are: admitted hospitalisations; casualty/outpatients GP and/or specialist doctor consultations; consultations with other health professionals; and dental consultation.

For service type ‘admitted hospitalisations’, access is recoded based on the last 12 months. For all other services, access is recorded based on the last 2 weeks.

Categories for reporting of self-assessed health status are excellent/very good/good and fair/poor.

Computation:100 x (Numerator ÷ Denominator).
Numerator:

(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)

(1b): Number of persons who needed to access health care but did not.

Numerator data elements:
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 casualty/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 casualty/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 another 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:Measure 1a and 1b: Population aged 15 years and over
Denominator data elements:
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:

(1a): National and State and Territory by:

Type of service, by self-assessed health status, by Indigenous status (age standardised rates).

Type of service for Indigenous Australians (crude rates).

Type of service, by Indigenous status (age standardised rates).

(1b) Indigenous only:

National and state/territory, by type of service, by reasons did not visit.

Non-remote and remote, by type of service, by reasons did not visit.

Disaggregation data elements:
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:

Most recent data available for 2011 CRC report: 2004-05 NATSIHS (Indigenous); 2004-05 NHS (non-Indigenous).

Indicator 3.12 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.

Data were not collected on level of need for a health service in the National Health Survey. Thus measure (1b) is currently unable to be reported for the non-Indigenous Australians population.

Rates are directly age standardised to the 2001 Australian ERP.

This indicator meets two COAG specific outcome areas: Indigenous Australian achieve health outcomes comparable to the broader population and Indigenous people have ready access to suitable and culturally inclusive primary health and preventative services.

Baseline year for this indicator is 2006; target year is 2031.

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person
Format:N[N].N

Indicator conceptual framework

Framework and dimensions:Accessible

Data source attributes

Data sources:
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

Reporting requirements:National Indigenous Reform Agreement.
Organisation responsible for providing data:In 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:Specification: Interim.

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 60-Access to services by type of service compared to need, 2012 Health, Retired 25/06/2013

Supersedes National Indigenous Reform Agreement: P08-Access to health care compared to need, 2010 Community Services (retired), Superseded 04/04/2011

Has been superseded by National Indigenous Reform Agreement: PI 08-Access to health care compared to need, 2012 Indigenous, Archived 13/06/2013