Indigenous-specific primary health care: PI06b-Proportion of Indigenous regular clients with type 2 diabetes who have an HbA1c measurement result within a specified level, December 2020

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI06b-Proportion of Indigenous regular clients with type 2 diabetes who have an HbA1c measurement result within a specified level, December 2020
METeOR identifier:739353
Registration status:Indigenous, Endorsed 14/07/2021
Description:

Proportion of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within either the previous 6 months or 12 months, was categorised as one of the following:

  • less than or equal to 7% (less than or equal to 53 mmol/mol);
  • greater than 7% but less than or equal to 8% (greater than 53 mmol/mol but less than or equal to 64 mmol/mol);
  • greater than 8% but less than 10% (greater than 64 mmol/mol but less than 86 mmol/mol) or;
  • greater than or equal to 10% (greater than or equal to 86 mmol/mol).
Rationale:

Diabetes is a major cause of morbidity and mortality among Aboriginal and Torres Strait Islander people. Monitoring glycosylated haemoglobin (HbA1c) levels plays a key role in diabetes management by providing a longer-term perspective on blood sugar control.

Indicator set:Indigenous-specific primary health care national key performance indicators December 2020 Indigenous, Endorsed 14/07/2021

Collection and usage attributes

Computation description:

Proportion of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 6 months or 12 months, was categorised as one of the following:

  • less than or equal to 7% (less than or equal to 53 mmol/mol);
  • greater than 7% but less than or equal to 8% (greater than 53 mmol/mol but less than or equal to 64 mmol/mol);
  • greater than 8% but less than 10% (greater than 64 mmol/mol but less than 86 mmol/mol) or;
  • greater than or equal to 10% (greater than or equal to 86 mmol/mol).

Presented as a percentage.

Exclude type 1 diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, impaired fasting glucose (IFG), impaired glucose tolerance (IGT).

Calculated separately for each HbA1c range, for each time period.

Include only the most recent HbA1c measurement from each time period.

If the client has had their HbA1c measured more than once in the relevant period, only the most recently recorded result is included in this calculation.

Computation:

(Numerator ÷ Denominator) x 100

Numerator:

Calculation A: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 6 months, was less than or equal to 7% (less than or equal to 53 mmol/mol).

Calculation B: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 6 months, was greater than 7% but less than or equal to 8% (greater than 53 mmol/mol but less than or equal to 64 mmol/mol).

Calculation C: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 6 months, was greater than 8% but less than 10% (greater than 64 mmol/mol but less than 86 mmol/mol).

Calculation D: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 6 months, was greater than or equal to 10% (greater than or equal to 86 mmol/mol).

Calculation E: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 12 months, was less than or equal to 7% (less than or equal to 53 mmol/mol).

Calculation F: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 12 months, was greater than 7% but less than or equal to 8% (greater than 53 mmol/mol but less than or equal to 64 mmol/mol).

Calculation G: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 12 months, was greater than 8% but less than 10% (greater than 64 mmol/mol but less than 86 mmol/mol).

Calculation H: Number of Indigenous regular clients with type 2 diabetes whose HbA1c measurement result, recorded within the previous 12 months, was greater than or equal to 10% (greater than or equal to 86 mmol/mol).

Numerator data elements:
Data Element / Data SetPerson—glycosylated haemoglobin level, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Response to this is conditional on responding 'yes' to having had an HbA1c measurement result recorded within the previous 6 or 12 months.


Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Type 2 diabetes only.


Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Indigenous only.


Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Regular client only.


Denominator:

Calculation A, B, C, D: Total number of Indigenous regular clients with type 2 diabetes who had an HbA1c measurement result recorded within the previous 6 months.

Calculation E, F, G, H: Total number of Indigenous regular clients with type 2 diabetes who had an HbA1c measurement result recorded within the previous 12 months.

Denominator data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Indigenous only.


Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Type 2 diabetes only.


Data Element / Data SetPerson—glycosylated haemoglobin measurement result recorded indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Regular clients only.


Disaggregation:

1. Sex:
a) Male
b) Female.

2. Age group:
a) 0–4 years
b) 5–14 years
c) 15–24 years
d) 25–34 years
e) 35–44 years
f) 45–54 years
g) 55–64 years
h) 65 years and over.

Disaggregation data elements:
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Comments:

Census date for reporting is 31 December 2020.

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person
Format:

N[NN].N

Indicator conceptual framework

Framework and dimensions:Effective/Appropriate/Efficient

Data source attributes

Data sources:
Data SourceIndigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare.


Source and reference attributes

Submitting organisation:

Australian Institute of Health and Welfare.

Australian Government Department of Health.

Relational attributes

Related metadata references:

Supersedes Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, June 2020 Health, Retired 13/10/2021, Indigenous, Archived 14/07/2021

See also Indigenous-specific primary health care: PI06a-Number of Indigenous regular clients with type 2 diabetes who have an HbA1c measurement result within a specified level, December 2020 Indigenous, Endorsed 14/07/2021