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National Health Performance Authority, Healthy Communities: Expenditure on GP attendances, 2012–13

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termExpenditure on GP attendances, 2012–13
METeOR identifier:Help on this term547154
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
Description:Help on this termThe total Medicare benefits expenditure for non-referred GP attendances claimed through the Medicare Benefits Schedule (MBS).
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 to:Help on this termAll ages
Computation description:Help on this term

Medicare benefits expenditure on GP attendances per person

GP attendances are on Medicare benefit-funded patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. GP attendances exclude services provided by practice nurses and Aboriginal and Torres Strait Islander health practitioners on a GP’s behalf.

In terms of 'Broad Type of Service' Groups, GP attendances comprise all items in Broad Type of Service Groups 'A' – GP/VRGP non-referred attendances, 'M' - Enhanced Primary Care and 'B' Non-referred other attendances as published in official MBS statistics by the Department of Human Services and the Department of Health.

Expenditure on GP attendances does not include benefits paid for bulk billing items (MBS Items 10990, 10991, and 10992). These items are in 'Miscellaneous Services' (Category 9) in the MBS and are claimed as 'stand alone' items where the bulk billed service is a non-hospital unreferred service (other than pathology or diagnostic imaging) involving a person who is under 16 years of age or concessional. Since it is not always possible to determine the MBS item to which the incentive item relates expenditure on these items is included in 'Other MBS' (Broad Type of Service Group 'L') in official statistics.

For the year of processing expenditure on bulk billing incentive items (MBS Items 10990, 10991 and 10992) other than pathology and diagnostic imaging was $542.6 million.

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 2012–13. All MBS services for each individual processed in 2012–13, 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 2012–13. All MBS services for each individual processed in 2012–13, were attributed to the postcode in question.

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

Numerator based on Medicare (MBS) data provided by Department of Health for the financial year of processing, 2012–13.

Denominator data – Estimated Resident Population at 30 June 2012 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 provide more than 90% of services
      • 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)

Medicare Benefits Scheme data

Expenditure on GP attendances

Expenditure on GP attendances, age standardised

Expenditure on GP attendances variation within Medicare Locals

Expenditure on GP attendances variation within Medicare Locals, age standardised

Numerator:Help on this termTotal amount of claims for non-referred (GP) attendances claimed through the Medicare Benefits Schedule (MBS) 
Numerator data elements:Help on this term
Data Element / Data SetPerson—Medicare Benefits Schedule (MBS) benefit for General Practitioner service, total Australian currency N[N(8)]
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
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 SetAddress—Australian postcode, Australian postcode code (Postcode datafile) {NNNN}
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—General Practitioner 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.
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 by-product data
Disaggregation:Help on this termBy Medicare Local catchments, Medicare Local peer groups and 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
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetAddress—statistical area, level 3 (SA3) code (ASGS 2011) NNNNN

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termMonetary amount
Unit of measure:Help on this termCurrency
Format:Help on this term$NNNN.NN

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 Authority - Performance and Accountability Framework
Organisation responsible for providing data:Help on this termDepartment of Health
Accountability:Help on this termNational Health Performance Authority
Further data development / collection required:Help on this term 

Source and reference attributes

Submitting organisation:Help on this termNational Health Performance Authority
Origin:Help on this termHealthy Communities
Reference documents:Help on this termNational Health Performance Authority - Performance & Accountability Framework

Relational attributes

Related metadata references:Help on this term

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

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