National Healthcare Agreement: PI 14–People deferring access to selected healthcare due to financial barriers, 2020

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, 2020
METeOR identifier:716458
Registration status:Health, Standard 13/03/2020
Description:

Proportion of people who required treatment but deferred that treatment due to cost, by type of health service.

Indicator set:National Healthcare Agreement (2020) Health, Standard 13/03/2020
Outcome area:Primary and Community Health Health, Standard 07/07/2010

Collection and usage attributes

Population group age from:

15 years

Computation description:

Population is limited to persons aged 15 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 the 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, prescribed medication, dental care, pathology or imaging tests).

Numerator:

(a) Number of persons aged 15 and over who reported delaying or not seeing a GP in the last 12 months because of cost.

(b) Number of persons aged 15 and over who reported delaying or not seeing a medical specialist in the last 12 months because of cost.

(c) Number of persons aged 15 and over who reported delaying or not getting a prescription filled for medication in the last 12 months because of cost.

(d) Number of persons aged 15 and over who reported delaying or not seeing a dental professional in the last 12 months because of cost.

(e) Number of persons aged 15 and over 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 professional 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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 professional in the last 12 months


Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Denominator:

(a) Total number of persons aged 15 and over who saw a GP or needed to see a GP but didn’t in the last 12 months.

(b) Total number of persons aged 15 and over who received a written referral to a specialist by a GP in the last 12 months.

(c) Total number of persons aged 15 and over who received a prescription for medication from a GP in the last 12 months.

(d) Total number of persons aged 15 and over who saw a dental professional or who needed to see a dental professional but didn’t in the last 12 months.

(e) Total number of persons aged 15 and over 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 professional or who needed to see a dental professional 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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Data Element / Data SetData Element

Aboriginal and Torres Strait Islander people who needed to see a dental professional in the last 12 months


Data Source
ABS 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
Guide for use

Data source type: Survey


Disaggregation:

2018–19—State and Territory, by type of healthcare (GP, prescribed medication, i.e. measures (a) and (c)), by:

  • remoteness (Australian Statistical Geography Standard (ASGS) – Edition 2016 – Remoteness Area) (Major cities, other).

2018–19—State and Territory, by type of healthcare (medical specialist, dental care, pathology or imaging tests, i.e. measures (b), (d) and (e)) (not reported).

2018–19—State and Territory, by type of healthcare (GP, medical specialist, prescribed medication, dental care, pathology or imaging tests, i.e. measures (a) to (e)), by (not reported):

  • remoteness (Australian Statistical Geography Standard (ASGS) – Edition 2016 – Remoteness Area) (Major cities, other)

2018–19—Nationally by type of healthcare (GP, medical specialist, prescribed medication, dental care, pathology or imaging tests, i.e. measures (a) to (e)), by (all not reported):

  • sex
  • Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) – 2016 – deciles
  • remoteness (Australian Statistical Geography Standard (ASGS) – Edition 2016 – Remoteness Area) (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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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 2020 National Healthcare Agreement performance reporting: 2018–19 (total population: PEx); 2018–19 (Indigenous: NATSIHS).

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

Information about dental practitioners is obtained by asking survey respondents about services received from a dental professional.  Examples of dental professionals given to survey respondents in the questionnaire are dentists, dental hygienists and dental specialists. The intention is that survey respondents should provide information about all dental professionals, which may additionally include such practitioners as dental therapists, oral health therapists, and dental prosthetists, as well as specialists such as orthodontists, periodontists and endodontists.

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

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].N

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 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS)
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, 2019 Health, Superseded 13/03/2020

Has been superseded by National Healthcare Agreement: PI 14–People deferring access to selected healthcare due to financial barriers, 2021 Health, Standardisation pending 25/05/2020

See also National Healthcare Agreement: PI 32–Patient satisfaction/experience, 2020 Health, Standard 13/03/2020