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Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2018-2019

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termPI22b-Proportion of regular clients who have had a cervical screening, 2018-2019
METeOR identifier:Help on this term688016
Registration status:Help on this termHealth, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018
Description:Help on this term

Proportion of female regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening (either Papanicolaou smear (Pap test) or human papillomavirus (HPV) test) within the previous 2 years, 3 years and 5 years.

Rationale:Help on this term

Cancer mortality rates are higher for Indigenous Australians than for Other Australians. Higher participation in cervical screening means that more women with precancerous abnormalities can be detected and treated, which is necessary for achieving the overall aim of reducing incidence and mortality from cervical cancer (AIHW 2017).

Indicator set:Help on this termIndigenous primary health care key performance indicators 2018-2019 Health, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018

Collection and usage attributes

Population group age from:Help on this term

20 years

Population group age to:Help on this term

74 years

Computation description:Help on this term

Proportion of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening (either Pap test or HPV test) within the previous 2 years, 3 years and 5 years.

‘Regular client’ refers to a client of an Australian Government Department of Health-funded primary health-care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the Department of Health-funded primary health-care service at least 3 times in 2 years.

Count is of women, not tests.

A Pap test is a test that detects abnormal cell changes.

An HPV test is a test that detects persistent HPV infection that causes the abnormal cell changes prior to the development of cervical cancer.

Include either Pap tests conducted prior to 1 December 2017 or HPV tests conducted from 1 December 2017.

Include HPV tests where the sample is either collected by a health practitioner or self-collected.

From 1 December 2017 the screening test for cervical cancer changed from the Pap test to a test for human papillomavirus (HPV). The recommended screening age changed from 18 to 69 (this indicator reported on the age group 20 to 69) to 25 to 74. The HPV test is offered every 5 years instead of every 2 as it was with the Pap test (DoH 2017). This indicator will report on both age ranges during the transitional reporting period.

Presented as a percentage.

Calculated separately for women who have had a cervical screening within the previous 2 years, the previous 3 years and/or the previous 5 years.

Computation:Help on this term

(Numerator ÷ Denominator) x 100

Numerator:Help on this term

Calculation A: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 2 years.

Calculation B: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 3 years.

Calculation C: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 5 years.

Numerator data elements:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Guide for use

Female only.


Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetFemale—cervical screening indicator, yes/no/not stated/inadequately described code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetFemale—hysterectomy indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Denominator:Help on this term

Calculation A, B and C: Total number of regular clients who are Indigenous, aged 20 to 74 who have not had a hysterectomy.

Denominator data elements:Help on this term
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Guide for use

Female only.


Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetFemale—hysterectomy indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Disaggregation:Help on this term

1.    Age:

a)    20-24 years

b)    25-34 years

c)    35-44 years

d)    45-54 years

e)    55-64 years

f)     65-69 years

g)    70-74 years

Comments:Help on this term

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[N].N

Indicator conceptual framework

Framework and dimensions:Help on this termEffective/Appropriate/Efficient

Data source attributes

Data sources:Help on this term
Data SourceIndigenous primary health care data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare


Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Australian Government Department of Health

Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 2017. National Cervical Screening Program data dictionary: Version 1.0. Cancer series no. 103. Cat. no. CAN 102. Canberra: AIHW.

DoH (Australian Government Department of Health) 2017. National Cervical Screening Program. Canberra: DoH. Viewed 24 November 2017, http://www.health.gov.au/internet/screening/publishing.nsf/Content/cervical-screening-1

Relational attributes

Related metadata references:Help on this term

See also Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2018-2019 Health, Standard 17/10/2018, Indigenous, Endorsed 17/10/2018

Supersedes Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015-2017 Health, Superseded 17/10/2018, Indigenous, Archived 17/10/2018

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