4390.0 - Private Hospitals, Australia, 2012-13 Quality Declaration 
ARCHIVED ISSUE Released at 11:30 AM (CANBERRA TIME) 30/06/2014   
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Contents >> Private Hospitals >> Patient Characteristics

PATIENT CHARACTERISTICS


Sex and age

In 2012-13, females accounted for 54.8% of all patient separations, up slightly from 54.5% in 2011-12. The greatest proportion of separations for both males and females was among those aged 65-74, with this age group accounting for 17.7% of female separations and 20.5% of male separations. The age and sex profile did not vary markedly between Acute psychiatric hospitals and Day hospital facilities.


TABLE 1.3: PRIVATE HOSPITAL SEPARATIONS—2012-13
Acute and psychiatric hospitals
Day hospital facilities
All private hospitals
Males
Females
Persons
Males
Females
Persons
Males
Females
Persons
Proportion (%)
Age group (years)
0-4
2.7
1.4
2.0
0.7
0.3
0.5
2.1
1.1
1.6
5-14
2.1
1.5
1.7
0.9
0.9
0.9
1.8
1.3
1.5
15-24
4.5
5.3
4.9
2.7
6.4
4.8
4.1
5.6
4.9
25-34
5.1
10.9
8.3
4.2
9.8
7.3
4.9
10.6
8.0
35-44
8.0
12.6
10.5
6.6
13.0
10.1
7.6
12.7
10.4
45-54
12.0
13.6
12.9
11.5
11.6
11.5
11.8
13.1
12.5
55-64
19.3
17.1
18.1
20.8
18.0
19.3
19.7
17.4
18.4
65-74
22.9
17.0
19.7
26.8
19.7
22.9
23.9
17.7
20.5
75-84
15.3
12.8
13.9
17.8
13.2
15.3
15.9
12.9
14.3
85 and over
6.6
6.5
6.6
5.7
4.8
5.2
6.4
6.1
6.2
Total(a)
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0
Proportion of persons(b)
45.2
54.8
100.0
45.2
54.8
100.0
45.2
54.8
100.0
Number ('000)
All separations
1,397.2
1,694.6
3,091.8
491.0
595.4
1,086.4
1,888.2
2,290.0
4,178.2
(a) The total may be greater than the sum of its components as it includes separations where age or sex not stated.
(b) Proportions exclude unknown age and sex.


Insurance

The proportion of patient separations reported as being covered by private hospital insurance decreased from 82.2% in 2011-12 to 80.9% in 2012-13. Patient separations reported as being covered by private hospital insurance in private Acute and psychiatric hospitals decreased by 0.7 percentage points to 86.4% since the 2011-12 cycle, while separations from Day hospital facilities that were covered by insurance decreased by 1.4 percentage points to 65.2%.


Private Hospitals, Separations of patients with private hospital insurance(a): 2008-09 to 2012-13

(a) For definition of insurance status see Glossary.





TABLE 1.4: PRIVATE HOSPITAL SEPARATIONS, Patient insurance status(a)—Selected years
2008-09
2009-10
2010-11
2011-12
2012-13
Acute and psychiatric hospitals (%)
Hospital insurance
87.6
88.1
86.6
87.1
86.4
No hospital insurance
11.4
10.5
11.5
9.5
8.9
Total(b)
100.0
100.0
100.0
100.0
100.0
Day hospital facilities (%)
Hospital insurance
67.5
66.8
69.3
66.6
65.2
No hospital insurance
26.4
25.1
np
23.6
22.3
Total(b)
100.0
100.0
100.0
100.0
100.0
All private hospitals (%)
Hospital insurance
83
83
82.5
82.2
80.9
No hospital insurance
14.9
14
np
12.8
12.4
Total(b)
100.0
100.0
100.0
100.0
100.0
All patient separations ('000)
Acute psychiatric hospitals
2599.7
730.6
2821.8
2965.4
3,091.8
Day hospital facilities
765.3
860.3
885.2
934.1
1,086.4
All private hospitals(c)
3365.0
3590.8
3706.9
3899.4
4,178.2
np not available for publication but included in totals where applicable, unless otherwise indicated

(a) For definition of patient insurance status. see Glossary.
(b) Total includes not stated or unknown.
(c) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.


The most common principal diagnosis of patients in private hospitals in Australia in 2012-13 was Factors influencing health status and contact with health services with 28.0% of the diagnoses, up from 26.4% in 2011-12. This was followed by diseases of the digestive system with 12.9% of the diagnoses, down from 13.3% in 2011-12. These were the top two principal diagnoses in both Acute and psychiatric hospitals, and Day hospital facilities. The third most prevalent principal diagnosis in Acute and psychiatric hospitals was diseases of the musculoskeletal system and connective tissue (9.5% of all separations), while in Day hospital facilities diseases of the eye and adnexa was third most prevalent (14.1% of all separations).
TABLE 1.5: PRIVATE HOSPITAL SEPARATIONS, Principal diagnosis of patient(a)—2012-13
Acute and psychiatric hospitals
Day hospital facilities
All private hospitals
Proportion (%)
Certain infectious and parasitic diseases
0.7
0.3
0.6
Neoplasms
8.4
8.9
8.5
Diseases of the blood and blood forming organs
1.1
2.0
1.3
Endocrine, nutritional and metabolic diseases
1.4
0.9
1.3
Mental and behavioural disorders
6.3
0.1
4.7
Diseases of
Nervous system
3.4
0.7
2.7
Eye and adnexa
3.1
14.1
6.0
Ear and mastoid process
0.9
0.3
0.7
Circulatory system
5.3
2.1
4.5
Respiratory system
3.1
0.5
2.4
Digestive system
11.7
16.2
12.9
Skin and subcutaneous tissue
1.2
1.8
1.4
Musculoskeletal system and connective tissue
9.5
2.1
7.6
Genitourinary system
5.6
3.3
5.0
Pregnancy, childbirth and the puerperium
3.8
4.0
3.9
Certain conditions originating in the perinatal period
0.4
0.0
0.3
Congenital malformations, deformations, and chromosomal abnormalities
0.3
0.1
0.3
Symptoms, signs, and abnormal clinical and laboratory findings
5.1
5.4
5.2
Injury, poisoning and certain other consequences of external causes
3.5
0.9
2.8
Factors influencing health status and contact with health services
25.1
36.2
28.0
Total(b)
100.0
100.0
100.0
Number ('000)
Separations(b)
3,091.8
1,086.4
4,178.2
(a) Based on the International Statistical Classification of Diseases and Related Health Problems, 10th Revision-Australia Modification (ICD-10-AM). See Explanatory Notes 17–20 for further information.
(b) The total may be greater than the sum of its components as it includes separations where diagnosis was not available.


Procedures performed

The total number of procedures increased between 2011-12 and 2012-13 to approximately 9.3 million, an increase of 6.5%. Of these procedures, 7.4 million were performed in Acute and psychiatric hospitals, while the remaining 1.9 million procedures were performed in Day hospital facilities.

The greatest proportion of procedures in private hospitals were in the category of non-invasive, cognitive and interventions not elsewhere classified (50.5%), followed by procedures on the digestive system (12.3%). Examples of non-invasive, cognitive and other interventions are services such as dietary education and exercise therapy (often used for development of treatment plans, programs, case reviews or follow up to previous procedures performed). For further details of the classification refer to Australian Classification of Health Interventions.

For Acute and psychiatric hospitals, non-invasive, cognitive and other interventions not elsewhere classified accounted for 53.6% of all procedures performed in 2012-13, down from 55.0% in 2011-12. The next most common procedures in Acute and psychiatric hospitals were on the digestive system (10.6%) and the musculoskeletal system (6.8%). For Day hospital facilities, non-invasive, cognitive and other interventions not elsewhere classified accounted for the highest proportion of all procedures performed on patients in 2012-13 at 38.6%, up from 38.2% in 2011-12. This was followed by procedures on the digestive system (18.8%) and procedures on the eye and adnexa (9.1%).

TABLE 1.6: PRIVATE HOSPITALS, Procedures(a)—2012-13
Acute and psychiatric hospitals
Day hospital facilities
All private hospitals
Proportion (%)
Procedures on nervous system
2.4
1.5
2.2
Procedures on endocrine system
0.2
0.0
0.1
Procedures on eye and adnexa
1.5
9.1
3.1
Procedures on ear and mastoid process
0.5
0.2
0.5
Procedures on nose, mouth and pharynx
2.3
0.8
2.0
Dental services
2.1
4.3
2.6
Procedures on respiratory system
0.6
0.0
0.5
Procedures on cardiovascular system
3.4
0.8
2.9
Procedures on blood and blood-forming organs
0.4
0.2
0.3
Procedures on digestive system
10.6
18.8
12.3
Procedures on urinary system
3.8
8.4
4.7
Procedures on male genital organs
1.0
0.4
0.9
Gynaecological procedures
3.4
5.7
3.9
Obstetric procedures
2.4
0.0
1.9
Procedures of musculoskeletal system
6.8
1.4
5.7
Dermatological and plastic procedures
3.5
5.4
3.9
Procedures on breast
0.6
0.5
0.6
Chemotherapeutic and radiation oncology procedures
np
np
0.8
Non-invasive, cognitive and interventions n.e.c.
53.6
38.6
50.5
Imaging services
np
np
0.8
Total procedures(b)
100.0
100.0
100.0
Number ('000)
Total procedures
7,390.2
1,916.9
9,307.1
np not available for publication but included in totals where applicable, unless otherwise indicated

(a) Based on the Australian Classification of Health Interventions. See Explanatory Notes 17–20 for further information.
(b) The total may be greater than the sum of its components as it includes separations where diagnosis was not available.


Mode of Patient Separation

The majority of all patients (94.9%) were discharged to their place of usual residence in 2012-13, a 1.1% decrease from 2011-12.

Private acute and psychiatric hospitals discharged 95.5% of patients to their usual residence, down from 95.6% in 2011-12. Day hospital facilities released 93.1% of patients to their usual residence, down from 97.3% in 2011-12.


TABLE 1.7: PRIVATE HOSPITALS, Mode of Patient Separation—2012-13
Discharge or transfer to
Other
Usual residence(a)
Residential aged care(b)
 Other hospital
Died
Left against advice
Other(c)
Total separations(d)
'000
'000
'000
'000
'000
'000
'000
Acute and psychiatric hospitals
New South Wales
812.8
1.6
17.6
4.9
1.0
31.7
869.6
Victoria
756.4
3.4
24.0
3.8
0.9
4.6
793.1
Queensland
677.2
1.1
6.1
4.3
0.4
8.5
697.7
South Australia
216.1
1.1
4.4
1.1
0.1
0.9
223.6
Western Australia
np
np
np
np
np
np
np
Tasmania, Northern Territory and Australian Capital Territory(e)
np
np
np
np
np
np
np
Australia(d)
2,952.8
np
57.8
np
2.8
51.9
3,091.8
Day hospital facilities
Australia
1,011.7
np
48.9
np
0.1
18.2
1,086.4
All private hospitals
Australia(d)
3,964.5
16.5
106.7
17.6
2.9
70.0
4,178.2
np not available for publication but included in totals where applicable, unless otherwise indicated

(a) Defined as own accommodation/welfare institution (includes prisons, hostels and group homes primarily providing welfare services).
(b) Unless this is the usual place of residence.
(c) Including discharge or transfer to other health care accommodation, statistical discharge and not stated. For definition of statistical discharge, see Glossary.
(d) Figures have been rounded and discrepancies may occur between totals and the sums of the component items. Total includes separations where mode not stated.
(e) Tasmania, Northern Territory and Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories



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