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National Health Performance Authority, Healthy Communities: Cost barriers to seeing a medical specialist, 2011–12

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termCost barriers to seeing a medical specialist, 2011–12
METeOR identifier:Help on this term548011
Registration status:Help on this termNational Health Performance Authority (retired), Superseded 19/03/2015
Description:Help on this termPercentage of people over 15 years of age who did not see or delayed seeing a medical specialist due to cost in the preceding 12 months.
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 termFor this indicator an adult is defined as a person aged 15 years and over
Computation description:Help on this term

Participants in Australian Bureau of Statistics (ABS) Patient Experience Survey 2011–12 who reported that they did not see or delayed seeing a medical specialist due to cost in the preceding 12 months.

The numerator refers to the number of adults who did not see or delayed seeing a medical specialist due to cost in the preceding 12 months.

The numerator was calculated as the sum of calibrated sample weights for adults who responded that they did not see or delayed seeing a medical specialist due to cost and who were enumerated within the particular Medicare local catchment.

Population is limited to persons aged 15 years and over.

The denominator was calculated as the sum of calibrated sample weights for persons aged 15 years and over who were enumerated within the Medicare Local catchment.

Person level survey weights were calibrated to independent estimates of the population of interest, referred to as 'benchmarks'. Weights calibrated against population benchmarks ensure that the survey estimates conform to independently estimated distributions of the population, rather than to the distribution within the sample itself. These benchmarks account for the distribution of people across state and territory, age group, and sex categories. Note: These benchmarks have not been calibrated for Medicare Local geography.

Analysis by remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on usual residence of the person.

The measure is presented as a percentage. 

95% confidence intervals and relative standard errors are calculated for rates.

The National Health Performance Authority developed a suppression protocol to ensure robust reporting of these data at small areas. Data were suppressed based on the following rules:

  • All point estimate percentages had a confidence interval width less than 20 percentage points.
  • Point estimate percentages between 5% and 15% or between 85% and 95% were only included if their confidence interval width was less than 15 percentage points.
  • Point estimate percentages that were less than or equal to 5% or greater than or equal to 95% were included if the confidence interval width was less than 10 percentage points.
  • In addition to these constraints, five Medicare Local catchment areas were identified as having a small sample and potentially less robust estimates. These were Far West NSW, Great South Coast (Vic), Local Murray (Vic/NSW), Central and North West Queensland and Kimberley-Pilbara (WA). Point estimate percentages were only included where the confidence interval width was less than 10 percentage points.
Computation:Help on this term100 × (Numerator ÷ Denominator) 
Numerator:Help on this termNumber of people over 15 years of age who did not see or delayed seeing a medical specialist due to cost in preceding 12 months.
Numerator data elements:Help on this term
Data Element / Data SetPerson—delayed visit to medical specialist due to cost, yes/no code N
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Denominator:Help on this termTotal number of adults aged 15 years and over who were enumerated within the Medicare Local catchment
Denominator data elements:Help on this term
Data Element / Data SetPerson—age, total years N[NN]
Data Source
ABS Patient Experience Survey (PEx)
Disaggregation:Help on this termBy Medicare Local catchments and Medicare Local peer groups
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

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termN[NN].N

Indicator conceptual framework

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

Data source attributes

Data sources:Help on this term
Data SourceABS Patient Experience Survey (PEx)
Frequency
Annual
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 termAustralian Bureau of Statistics
Accountability:Help on this termNational Health Performance Authority

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 and Accountability Framework

Relational attributes

Related metadata references:Help on this term

Has been superseded by National Health Performance Authority, Healthy Communities: Cost barriers to seeing a medical specialist, 2012–13 National Health Performance Authority (retired), Retired 01/07/2016

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