National Healthcare Agreement: PI 15-Effective management of diabetes, 2015

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 15-Effective management of diabetes, 2015
METeOR identifier:559038
Registration status:Health, Superseded 08/07/2016
Description:

Proportion of people with known diabetes who have a HbA1c (glycated haemoglobin) level less than or equal to 7.0%

Indicator set:National Healthcare Agreement (2015) Health, Superseded 08/07/2016
Outcome area:Primary and Community Health Health, Standard 07/07/2010
Quality statement:National Healthcare Agreement: PI 15-Effective management of diabetes, 2015 QS Health, Standard 14/01/2015

Collection and usage attributes

Computation description:

The National Health Measures Survey component of the 2011–12 Australian Health Survey included a fasting plasma glucose test and an HbA1c test.  For this indicator, the fasting plasma glucose test is used in the determination of people with known diabetes and the HbA1c test is used in the determination of effective management of diabetes.  Persons with known diabetes who have an HbA1c result of less than or equal to 7.0% are considered to be managing their diabetes effectively.

Known diabetes is defined as persons self-reporting that they had ever been told by a doctor or nurse that they have diabetes and:

  • They were taking diabetes medication (either insulin or tablets); or
  • Their blood test result for fasting plasma glucose was greater than or equal to 7.0 mmol/L.

Excludes persons who did not fast for 8 hours or more prior to their blood test.

Reported for persons aged between 18 and 69 years.

Excludes women with gestational diabetes.

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

Presented as a percentage.

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

Computation:100 x (numerator/denominator) 
Numerator:

Number of persons aged between 18 and 69 years with known diabetes, as determined by a fasting plasma glucose test, who have an HbA1c level of less than or equal to 7.0%.  

Numerator data elements:
Data Element / Data SetData Element
Person with known diabetes as determined by a fasting plasma glucose test
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person with known diabetes as determined by a fasting plasma glucose test
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—HbA1c level
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—HbA1c level
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use
Data source type: Survey
Denominator:Number of persons aged between 18 and 69 years with known diabetes, as determined by a fasting plasma glucose test. 
Denominator data elements:
Data Element / Data SetData Element
Person with known diabetes as determined by a fasting plasma glucose test
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person with known diabetes as determined by a fasting plasma glucose test
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use
Data source type: Survey
Disaggregation:

2011–12—State and territory, by:

  • sex (previously supplied)
  • Indigenous status (non-Indigenous only)

2011–12 (previously supplied)—Nationally, by:

  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure).
  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-economic Disadvantage (IRSD) quintiles. 
  • age (18-44, 44-54, 55-64, 65-69).

2012–13—State and territory, by Indigenous status (Indigenous only).

Some disaggregation may result in numbers too small for publication. 

Disaggregation data elements:
Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory, remoteness and SEIFA


Data Element / Data SetPerson—area of usual residence, statistical area level 2 (SA2) code (ASGS 2011) N(9)
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory


Data Element / Data SetData Element
Person—Indigenous status
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetPerson—sex, code N
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Guide for use
Data source type: Survey
Comments:

Most recent data available for 2015 National Healthcare Agreement (NHA) performance reporting: 2011–12 (total population, non-Indigenous: AHS); 2012–13 (Indigenous only: AATSIHS).

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person

Indicator conceptual framework

Framework and dimensions:Effectiveness

Data source attributes

Data sources:
Data SourceABS Australian Health Survey (AHS), 2011–13 (2011–12 National Health Measures Survey component)
Data custodian
Australian Bureau of Statistics

Data SourceABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Measures Survey component)
Data custodian
Australian Bureau of Statistics

Accountability attributes

Reporting requirements:National Healthcare Agreement 
Organisation responsible for providing data:Australian Bureau of Statistics 
Further data development / collection required:Specification: Final, the measure meets the intention of the indicator. 

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PB c-Better health: reduce the age-adjusted prevalence rate for Type 2 diabetes to 2000 levels (equivalent to a national prevalence rate (for 25 years and over) of 7.1 per cent) by 2023, 2015 Health, Superseded 08/07/2016

Supersedes National Healthcare Agreement: PI 15-Effective management of diabetes, 2014 Health, Superseded 14/01/2015

Has been superseded by National Healthcare Agreement: PI 15–Effective management of diabetes, 2016 Health, Superseded 31/01/2017