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Indigenous Better Cardiac Care measure: 1.3-Primary care practitioner follow-up, 2016

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term1.3-Primary care practitioner follow-up, 2016
METeOR identifier:Help on this term657052
Registration status:Help on this termHealth, Standard 17/08/2017
Description:Help on this term

There are 2 measures reported for this indicator:

  • proportion of Aboriginal and Torres Strait Islander people aged 18 and over living in non-remote areas without a current and long-term circulatory condition who were at high risk of cardiac disease and had their blood pressure checked in the previous 2 years (Measure 1.3.1)
  • proportion of Aboriginal and Torres Strait Islander people aged 18 and over without a current and long-term circulatory condition who were at high risk of cardiac disease and were current smokers who saw a doctor/health professional or specialist in the previous 12 months and discussed quitting smoking (Measure 1.3.2).  
Rationale:Help on this term

This measure falls within Priority area 1 of the Better Cardiac Care project—early cardiovascular risk assessment and management. This priority area is based on the premise that all Aboriginal and Torres Strait Islander people who have no known cardiac disease should receive:

  • an annual cardiovascular risk assessment
  • appropriate management and follow-up of identified risk factors
  • lifestyle modification advice appropriate to their absolute cardiovascular risk level, as per current guidelines (NACCHO & RACGP 2012).

Primary prevention in the form of early and consistent risk factor identification and management will improve not only long-term outcomes for Aboriginal and Torres Strait Islander people (and reduce the population burden of chronic cardiac disease) but also the appropriate delivery of care by the health-care system.

Active follow-up and management of risk factors for cardiac disease through regular monitoring, supporting smoking cessation and providing access to essential medicines are essential for maintaining health and reducing risk.

The measures reported for this indicator (as described in this specification) are different from the agreed measure (see AIHW 2016 for details). Specifically, the agreed measure for this indicator is:

  • Proportion of those Aboriginal and Torres Strait Islander people identified as having elevated risk of cardiac disease in the previous 2 years, with documented evidence of primary care practitioner follow-up, including the proportion commenced on anti-hypertensive and lipid-lowering therapy and proportion of smokers offered an evidence-based smoking cessation intervention.

Data on primary care practitioner follow-up are not available, and thus 2 proxy measures are reported instead.

Indicator set:Help on this termBetter Cardiac Care measures for Aboriginal and Torres Strait Islander people (2016) Health, Standard 17/08/2017

Collection and usage attributes

Population group age from:Help on this term

18 years

Computation description:Help on this term

Presented as a percentage.

Definitions:

Without a current and long-term circulatory condition—people who did not self-report any current or long-term heart or circulatory condition (comprising ischaemic heart diseases; other heart diseases; tachycardia; cerebrovascular diseases; oedema; diseases of arteries, arterioles and capillaries; diseases of veins and lymphatic vessels etc.; other diseases of the circulatory system; and symptoms or signs involving the circulatory system). 

At high risk of cardiac disease—people who reported having 1 or more of the following: self-reported Type 2 diabetes; self-reported hypertensive disease or measured high blood pressure (systolic or diastolic blood pressure >140/90 mmHg); self-reported high cholesterol or current smoker (includes those who smoked daily, at least weekly, or less than weekly).

Current smokers— includes those who smoked daily, at least weekly, or less than weekly.

Computation:Help on this term

Crude rate: (Numerator ÷ Denominator) x 100

Numerator:Help on this term

Measure 1.3.1: Number of Indigenous Australians aged 18 and over living in non-remote areas without a current and long-term circulatory condition who were at high risk of cardiac disease and had their blood pressure checked in the previous 2 years.

Measure 1.3.2: Number of Indigenous Australians aged 18 and over without a current and long-term circulatory condition who were at high risk of cardiac disease, who saw a doctor/health professional or specialist in the previous 12 months and were current smokers who discussed quitting smoking.

Numerator data elements:Help on this term
Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—condition status


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—type of condition


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—blood pressure categories


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—whether blood pressure checked in the last 2 years (non-remote only)


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

This question was asked in non-remote areas only.

Data source type: Survey


Data Element / Data SetData Element

Person—smoker status


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—whether saw a GP/health professional in the last 12 months


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—types of lifestyle issues discussed with GP/health professional in last 12 months


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Denominator:Help on this term

Measure 1.3.1: Number of Indigenous Australians aged 18 and over living in non-remote areas without a current and long-term circulatory condition who were at high risk of cardiac disease.

Measure 1.3.2: Number of Indigenous Australians aged 18 and over without a current and long-term circulatory condition, who were at high risk of cardiac disease, who saw a doctor/health professional or specialist in the previous 12 months and who were current smokers.

Denominator data elements:Help on this term
Data Element / Data SetData Element

Person—age


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—condition status


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—type of condition


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—blood pressure categories


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Used to identify people with high blood pressure (see also definition for 'At high risk of cardiac disease' in 'Computation description').

Data source type: Survey


Data Element / Data SetData Element

Person—smoker status


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—whether saw a GP/health professional in the last 12 months


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Household—remoteness area


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Household level data item. Based on Australian Statistical Geography Standard (ASGS) Remoteness Structure.

Data source type: Survey


Disaggregation:Help on this term

Current period (2012–13) by:

  • sex and age group (18–24, 25–34, 35–44, 45–54, 55+)
  • state/territory
  • remoteness area.
Disaggregation data elements:Help on this term
Data Element / Data SetData Element

Person—age

 


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Person—sex


Guide for use

Data source type: Survey


Data Element / Data SetData Element

Household—remoteness area


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Household level data item. Based on Australian Statistical Geography Standard (ASGS) Remoteness Structure.

Data source type: Survey


Data Element / Data SetData Element

Household—state or territory


Data Source
ABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Guide for use

Household level data item.

Data source type: Survey


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 term

N[NN].N

Data source attributes

Data sources:Help on this term
Data SourceABS Australian Aboriginal and Torres Strait Islander Health Survey (AATSIHS), 2012-13
Frequency
Every 6 years
Data custodian

Australian Bureau of Statistics


Accountability attributes

Reporting requirements:Help on this term

Annual reporting by the Australian Institute of Health and Welfare (AIHW 2015, 2016).

Organisation responsible for providing data:Help on this term

Australian Bureau of Statistics

Further data development / collection required:Help on this term

Data development is required to fully report on this measure—specifically, information of primary care practitioner follow-up is not currently available.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Origin:Help on this term

AIHW 2016. Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: second national report 2016. Cat. no. IHW 169. Canberra: AIHW.

Reference documents:Help on this term

ABS 2013. Australian Aboriginal and Torres Strait Islander Health Survey: Users’ Guide, 2012–13. ABS cat. no. 4727.0.55.002. Canberra: ABS.

AIHW (Australian Institute of Health and Welfare) 2015. Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: first national report 2015. Cat. no. IHW 156. Canberra: AIHW.

AIHW 2016. Better Cardiac Care measures for Aboriginal and Torres Strait Islander people: second national report 2016. Cat. no. IHW 169. Canberra: AIHW.

NACCHO & RACGP (National Aboriginal Community Controlled Health Organisation & Royal Australian College of General Practitioners) 2012. National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people. South Melbourne: RACGP.

Relational attributes

Related metadata references:Help on this term

See also Indigenous Better Cardiac Care measure: 1.1-Annual health assessments, 2016 Health, Standard 17/08/2017

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