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National Healthcare Agreement: PI 25-Specialist services, 2012

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, 2012
METeOR identifier:Help on this term441385
Registration status:Help on this termHealth, Retired 25/06/2013
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Indicator set:Help on this termNational Healthcare Agreement (2012) Health, Superseded 25/06/2013
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, 2012 QS Health, Retired 14/01/2015

Collection and usage attributes

Computation description:Help on this term

MBS items for specialist services (approximately 6,000 current items and 6,000 historic items).

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 to the 2001 Australian population.

Medicare Benefits Scheme data presented by Indigenous status are adjusted for under-identification in the Medicare Australia Voluntary Indigenous Identifier (VII) database.

Analysis by state and territory, remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on the postcode of residence of person as recorded in Medicare Australia's database at the date the last service was recieved in the reference period. 

Presented per 1,000 population.

Computation:Help on this term

1,000 × (Numerator ÷ Denominator).

Medicare Benefits Scheme and Department of Veterans' Affairs data combined.

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 (updated for DVA data), and 2010–11—Nationally, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2008–09 and 2009–10 (updated for DVA data), and 2010–11—State and territory, by:

  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • Indigenous status (Medicare Benefits Scheme data only)

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

Most recent data available for 2012 CRC report: 2010–11.

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 and DVA item numbers change over time. Extracted data may include historical item numbers that are no longer current but have been processed by Medicare Australia within the reference period.

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).

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

See also National Healthcare Agreement: PI 16-People deferring access to selected healthcare due to cost, 2012 Health, Superseded 25/06/2013

See also National Healthcare Agreement: PI 24-GP-type services, 2012 Health, Retired 25/06/2013

Supersedes National Healthcare Agreement: PI 25-Specialist services, 2011 Health, Superseded 31/10/2011

See also National Healthcare Agreement: PI 26-Dental services, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 27-Optometry services, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 28-Public sector community mental health services, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 29-Private sector mental health services, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 37-Waiting times for radiotherapy and orthopaedic specialists, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 46-Rates of services: Outpatient occasions of service, 2012 Health, Retired 25/06/2013

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