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National Health Performance Authority, Healthy Communities: Specialist attendances, 2011–12

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termSpecialist attendances, 2011–12
METeOR identifier:Help on this term547062
Registration status:Help on this termNational Health Performance Authority (retired), Superseded 27/03/2014
Description:Help on this termThe average number of non-hospital specialist attendances per person in a year.
Indicator set:Help on this termNational Health Performance Authority: Healthy Communities: 2011– National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Population group age from:Help on this termAll ages
Computation description:Help on this term

Attendances included in this indicator are non-hospital specialist attendances.

Specialist attendances are Medicare benefit funded referred patient/doctor encounters, such as visits, consultations and attendances (including video conferencing), involving medical practitioners who have been recognised as specialists or consultant physicians for Medicare benefits purposes.

Specialist attendances comprise all items in Broad Type of Services Group 'C', as published in official MBS statistics by the Department of Human Services and the Department of Health.

Rates directly age-standardised to the 2001 Australian population.

Total services (attendances/visits – source MBS claims data).

Total Estimated Resident Population (ERP) as supplied by ABS.

In undertaking age standardisation of MBS data, the age of each person was determined from the last MBS service of any type, processed by the Department of Human Services in 2011–12. All MBS services for each individual processed in 2011–12, were attributed to the age in question.

For MBS data, Medicare Local and SA3 were determined having regard to the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2011–12.  All MBS services for each individual processed in 2011–12, were attributed to the postcode in question.  

MBS postcode level data were allocated to Medicare Local and SA3 regions using concordance files provided by ABS.

Numerator based on Medicare (MBS) data provided by Department of Health for the financial year of processing, 2011–12.

Denominator – Estimated Resident Population at 30 June 2011 provided by ABS. 

Presented per person.

Before MBS data are published by NHPA all confidential data cells are suppressed.

The current definition of confidential data is as follows:

  • For number of MBS services:
    • if number of services is less than 6 or
    • if number of services is equal to or greater than 6 but
      • one provider provides more than 85% of services or two providers provider more than 90% of services or
      • one patient receives more than 85% of services or two patients receive more than 90% of services.
  • If data on number of services is confidential, corresponding data on other measures such as MBS benefit paid is also regarded as confidential.
Computation:Help on this term

Numerator ÷ Denominator

Specialist attendances

Specialist attendances, age-standardised

Specialist attendances variations within Medicare Locals

Specialist attendances variations within Medicare Locals, age-standardised

Numerator:Help on this termNumber of specialist attendances (non-hospital) claimed through the Medicare Benefits Schedule (MBS)
Numerator data elements:Help on this term
Data Element / Data SetPerson—specialist MBS health assessment indicator, yes/no code N
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
A count of Yes's is used for the numerator.
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetService event—Medicare Benefits Schedule (MBS) processing date, DDMMYYYY
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal estimated resident population (ERP)
Denominator data elements:Help on this term
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Census-based plus administrative data
Disaggregation:Help on this term

By Medicare Local catchments, Medicare Local peer groups and Statistical Area 3 (SA3)  

Disaggregation data elements:Help on this term
Data Element / Data SetAdministrative health region—Medicare Local identifier, code AANNN
Data Element / Data SetAdministrative health region—Medicare Local peer group, code N
Data Element / Data SetAddress—statistical area, level 3 (SA3) code (ASGS 2011) NNNNN
Comments:Help on this termApart from services involving eligible war veterans and their dependents, MBS data has almost complete coverage for out-of-hospital, but only covers private services in hospital. Since MBS specialist attendance data do not include attendances involving public patients in hospital and public outpatients, MBS specialist attendances data have only been published for non-hospital attendances.

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termNNNN.N

Indicator conceptual framework

Framework and dimensions:Help on this termPAF-Equity of access

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

Accountability attributes

Reporting requirements:Help on this termNational Health Performance Agreement - Performance and Accountability Framework
Organisation responsible for providing data:Help on this term

For MBS data Department of Health

For ERP data Australian Bureau of Statistics

Accountability:Help on this termNational Health Performance Authority

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Reference documents:Help on this termNational Health Performance Agreement - Performance and Accountability Framework

Relational attributes

Related metadata references:Help on this term

Has been superseded by National Health Performance Authority, Healthy Communities: Specialist attendances, 2012–13 National Health Performance Authority (retired), Retired 01/07/2016

Has been superseded by National Health Performance Authority, Healthy Communities: Specialist attendances, 2013–14 National Health Performance Authority (retired), Retired 01/07/2016

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