National Healthcare Agreement: PI 14-People deferring access to selected healthcare due to financial barriers, 2015

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 14-People deferring access to selected healthcare due to financial barriers, 2015
METeOR identifier:559040
Registration status:Health, Superseded 08/07/2016
Description:Proportion of people who required treatment but deferred that treatment due to cost, by type of health service.
Indicator set:National Healthcare Agreement (2015) Health, Superseded 08/07/2016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Healthcare Agreement: PI 14-People deferring access to selected healthcare due to financial barriers, 2015 QS Health, Superseded 08/07/2016

Collection and usage attributes

Population group age from:15 years
Computation description:

Population is limited to persons aged 15 years and over.

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

Presented as a percentage.

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

Computation:100 × (numerator ÷ denominator) calculated separately for each type of healthcare (GP, medical specialist, dental care, prescribed medication, pathology or imaging tests).
Numerator:

(a) Number of persons who reported delaying or not seeing a GP in the last 12 months because of cost.

(b) Number of persons who reported delaying or not seeing a medical specialist in the last 12 months because of cost.

(c) Number of persons who reported delaying or not getting a prescription filled for medication in the last 12 months because of cost.

(d) Number of persons who reported delaying or not seeing a dental practitioner in the last 12 months because of cost.

(e) Number of persons who reported delaying or not getting pathology or imaging tests in the last 12 months because of cost.

Numerator data elements:
Data Element / Data SetData Element
Persons who reported delaying or not seeing a GP in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who reported delaying or not seeing a medical specialist in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who reported delaying or not getting a prescription filled for medication in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Reason for delaying or not seeking treatment
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who reported delaying or not seeing a dental practitioner in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who reported delaying or not getting pathology or imaging tests in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait Islander people who reported needing to see a GP in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait islander people who reported not getting a prescription filled in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Reason(s) for not seeking treatment or having a prescription filled
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait Islander people who reported needing to see a dental practitioner in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Person—age
Data Source
ABS Patient Experience Survey (PEx)
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 Survey component)
Guide for use
Data source type: Survey
Denominator:

(a) Total number of persons who saw a GP or needed to see a GP but didn’t in the last 12 months.

(b) Total number of persons who received a written referral to a specialist by a GP in the last 12 months.

(c) Total number of persons who saw a dental practitioner or who needed to see a dental practitioner but didn’t in the last 12 months. 

(d) Total number of persons who received a prescription for medication from a GP in the last 12 months.

(e) Total number of persons who had a pathology or imaging test or who needed a pathology or imaging test but didn’t get one in the last 12 months.

Denominator data elements:
Data Element / Data SetData Element
Person—age
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who received a written referral to a specialist by a GP in the last 12 months.
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who received a prescription for medication from a GP in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who saw a dental practitioner or who needed to see a dental practitioner but didn’t in the last 12 months. 
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who had a pathology or imaging test or who needed a pathology or imaging test but didn’t get one in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
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 Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait Islander people who needed to see a GP in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait Islander people who received a prescription for medication from a GP in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Aboriginal and Torres Strait Islander people who needed to see a dental practitioner in the last 12 months
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Persons who saw a GP or needed to see a GP but didn't in the last 12 months
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Data Element / Data SetData Element
Reason(s) for not seeking treatment or having a prescription filled
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use
Data source type: Survey
Disaggregation:

2012–13 (resupplied for crude rate data), 2013–14—State and Territory, by type of healthcare (GP, medical specialist, dental care, prescribed medication, pathology or imaging tests, i.e. measures (a) to (e)), by:

  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure) (major cities, other)

2012–13 (resupplied for crude rate data), 2013–14—Nationally by type of healthcare (GP, medical specialist, dental care, prescribed medication, pathology or imaging tests, i.e. measures (a) to (e)), by:

  • sex
  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) deciles
  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure) (major cities, inner regional, outer regional, remote/very remote)

Some disaggregation may result in numbers too small for publication.

Disaggregation data elements:
Data Element / Data SetData Element
Person—area of usual residence
Data Source
ABS Patient Experience Survey (PEx)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory, remoteness and SEIFA IRSD
Data Element / Data SetData Element
Person—area of usual residence
Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012–13 (National Aboriginal and Torres Strait Islander Health Survey component)
Guide for use

Data source type: Survey

Used for disaggregation by state/territory and remoteness


Data Element / Data SetData Element
Person—sex
Data Source
ABS Patient Experience Survey (PEx)
Guide for use
Data source type: Survey
Comments:

Most recent data available for 2015 National Healthcare Agreement (NHA) performance reporting: 2013-14 (total population: PEx); 2012–13 (Indigenous: AATSIHS).

Non-Indigenous data from PEx may not be directly comparable with data for Indigenous people from AATSIHS.

Dental practitioner includes dentist, dental hygienist or dental specialist.

Pathology and imaging tests exclude those had while in hospital. Imaging tests also exclude those for dental work.

Some survey respondents may report pathology and imaging as a referral to a medical specialist.

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person
Format:N[NN.NN]

Indicator conceptual framework

Framework and dimensions:Accessibility

Data source attributes

Data sources:
Data SourceABS Patient Experience Survey (PEx)
Frequency
Annual
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 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:

Supersedes National Healthcare Agreement: PI 14-People deferring access to selected healthcare due to financial barriers, 2014 Health, Superseded 14/01/2015

Has been superseded by National Healthcare Agreement: PI 14–People deferring access to selected healthcare due to financial barriers, 2016 Health, Superseded 31/01/2017

See also National Healthcare Agreement: PI 32-Patient satisfaction/experience, 2015 Health, Superseded 08/07/2016