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National Health Performance Authority, Healthy Communities: Specialist attendances, 2013–14

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termSpecialist attendances, 2013–14
METeOR identifier:Help on this term620146
Registration status:Help on this termNational Health Performance Authority (retired), Retired 01/07/2016
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 are directly age-standardised to the 2001 Australian population. 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 2013–14.  All MBS services for each individual processed in 2013–14, were attributed this age. For MBS data, Primary Health Network (PHN) and SA3 were derived from the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2013–14.  All MBS services for each individual processed in 2013–14 were attributed to this postcode. MBS postcode level data were allocated to PHN and SA3 regions using concordance files provided by the Australian Bureau of Statistics (ABS).

SA3 level data for 2013-14 are not directly comparable to previous years due to a change in method for allocating post-office box (PO box) addresses to SA3 geographies. The change in method means that data for people with a PO box postcode recorded as their residential address may be included in SA3 totals.

Individual SA3 level data has been provided for the Northern Territory for 2013-14. Previously, this data was provided at the state level only.

Numerator - Medicare (MBS) data provided by Department of Health for the financial year of processing, 2013–14.

Denominator – Estimated Resident Population at 30 June 2013 provided by ABS. 

Data elements used in computing the numerator were MBS item number, age of patient (based on age derived from the last MBS service processed for each individual in 2013–14) and patient enrolment postcode (based on the enrolment postcode from the last MBS service processed for each individual in 2013–14).

Presented as average 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 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

For more information about age-standardisation, please see:

http://meteor.aihw.gov.au/content/index.phtml/itemId/327276

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.


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 termBy Primary Health Network areas
Disaggregation data elements:Help on this term
Data Element / Data SetAdministrative health region—Primary Health Network identifier, code AAANNN
Data Element / Data SetAdministrative health region—Primary Health Network identifier, code AAANNN
Data Element / Data SetAddress—statistical area, level 3 (SA3) code (ASGS 2011) NNNNN
Comments:Help on this term

The Medicare Benefits Schedule (MBS) has complete coverage of out-of-hospital specialist services with the exception of those involving eligible war veterans and their dependents. For in-hospital services, the MBS covers private services only. As MBS specialist attendances data do not include attendances involving public patients in hospital and public outpatients, MBS specialist attendances data have only been published for non-hospital specialist 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
Release date:Help on this term19/11/2015

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

Supersedes National Health Performance Authority, Healthy Communities: Specialist attendances, 2011–12 National Health Performance Authority (retired), Superseded 27/03/2014

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

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