4343.0.55.001 - Coordination of Health Care Study: Use of Health Services and Medicines, Australia, 2015-16  
ARCHIVED ISSUE Released at 11:30 AM (CANBERRA TIME) 18/12/2018  First Issue
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Administrative data

Information that is collected for purposes other than that of a statistical nature. This type of information is often obtained from records or transactional data from government agencies, businesses or non-profit organisations which use the information for the administration of programs, policies or services.

Broad Type of Service

Broad Type of Service groups MBS items into a classification. See Appendix 1 – MBS items for a detailed list of MBS codes mapped to Broad Type of Service.

Data integration

Statistical data integration involves combining information from different administrative and/or statistical sources to provide new datasets for statistical and research purposes. Data integration can help policy makers and researchers gain a much better understanding of Australian families, communities, industry, and the economy. This better understanding can help to improve the development and delivery of government services in areas such as health, education, infrastructure, and other community services. Further information on data integration is available on the ABS website.

Date of service

The date on which a health provider performed the provided service.

Date of supply

The date on which a PBS item was supplied.

De-identified data/records

Data that have had any identifiers removed. May also be referred to as unidentified data. The Survey of Health Care, MBS and PBS records used by the Coordination of Health Care Study were de-identified and did not include person name, address or Medicare number.

Diagnostic imaging

Diagnostic imaging procedures help to diagnose, treat and monitor an extensive range of illnesses and conditions. Diagnostic imaging services include ultrasound, computed tomography, nuclear medicine, radiography (x-ray), magnetic resonance imaging and positron emission tomography. MBS items used to define diagnostic imaging services in this publication are listed in Appendix 1 – MBS items.

General practitioner

A general practitioner (GP) is a doctor who has completed training in general practice. GPs are many Australians’ first point of contact for health issues, and play a crucial role in delivering coordinated care across a person’s life. People use GP services for a variety of reasons including short-term illnesses, preventive health practices and management of long-term health conditions. MBS items used to define general practitioner services in this publication are listed in Appendix 1 – MBS items.

Index of Relative Socio-Economic Advantage and Disadvantage

See Socio-Economic Indexes for Areas.

Index of Relative Socio-Economic Disadvantage

See Socio-Economic Indexes for Areas.

Long-term health condition

A long-term health condition is a health condition that is expected to last or has lasted 6 months or more and has been diagnosed by a health professional. Respondents to the Survey of Health Care were asked whether they had any of the following conditions:

  • diabetes
  • heart disease (including angina or past heart attack)
  • high blood pressure or hypertension
  • effects of a stroke
  • cancer (including melanoma but not other skin cancers)
  • asthma
  • chronic lung disease (including Chronic Obstructive Pulmonary Disease)
  • osteoporosis or low bone density
  • arthritis (including osteoarthritis, rheumatoid arthritis or lupus)
  • mental health condition (including anxiety disorder, depression or bipolar disorder)
  • Alzheimer’s disease or dementia
  • moderate or severe pain lasting longer than six months
  • other long-term health condition/long-term injury.

Medicare Benefits Schedule

The Department of Human Services collects data on the activity of all persons making claims through the Medicare Benefits Scheme and provides this information to the Department of Health. Information collected includes the type of service provided (MBS item number) and the benefit paid by Medicare for the service. The item numbers and benefits paid by Medicare are based on the Medicare Benefits Schedule (MBS) which is a listing of the Medicare services subsidised by the Australian Government. See Appendix 1 – MBS items for a mapping of MBS items used in this publication.

Medicare Enrolment Database

The Medicare Enrolment Database (MEDB) includes listings of people who are registered to receive Medicare benefits in Australia.

Other allied health services

Other allied health services refer to a range of services provided by health professionals who are not doctors, nurses or dentists, and include those provided by:
  • Aboriginal and Torres Strait Islander health practitioners
  • Aboriginal health workers
  • audiologists
  • chiropractors
  • diabetes educators
  • dieticians
  • exercise physiologists
  • mental health workers
  • occupational therapists
  • osteopaths
  • physiotherapists
  • podiatrists
  • psychologists
  • speech pathologists.

MBS items used to define other allied health services in this publication are listed in Appendix 1 – MBS items. Other allied health services not subsidised through the MBS are not included in this publication.

Pathology collection

Pathology collection services refer to the actual collection of specimens (e.g. a blood specimen) on which pathology tests are performed. MBS items used to define pathology collection services in this publication are listed in Appendix 1 – MBS items.

Pathology tests

Pathology tests refer to laboratory tests that analyse pathology specimens. They are used in the diagnosis of disease and to assist in preventive health, acute care and the management of chronic health conditions. Multiple tests may be performed on a single pathology specimen.

Pharmaceutical Benefits Scheme

The Department of Human Services provides data on prescriptions funded through the Pharmaceutical Benefits Scheme (PBS) to the Department of Health. The PBS lists all of the medicines available to be dispensed to patients at a Government-subsidised price.

Practice nurse

A practice nurse is someone who is either a registered nurse or enrolled as a nurse, and employed (or services are retained) by a medical practitioner. Practice nurses are able to deliver some services on behalf of and under the supervision of medical practitioners. MBS items used to define practice nurse services in this publication are listed in Appendix 1 – MBS items.

Primary Health Networks

Primary Health Networks have been established with the key objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes, and improving coordination of care to ensure patients receive the right care in the right place at the right time. Each Primary Health Network has a corresponding geographic area. See Primary Health Networks on the Australian Government Department of Health website for more information.

Remoteness Areas

Broad geographical regions that share common characteristics of remoteness based on the Remoteness Structure of the ABS's Australian Statistical Geographical Standard. The classification includes a Remoteness Structure which divides Australia into six broad regions called Remoteness Areas. The purpose of the Remoteness Structure is to provide a classification for the release of statistics that inform policy development by classifying Australia into large regions that share common characteristics of remoteness, based on physical distance from services.

Self-assessed health

A person's general assessment of their own health against a five point scale comprising excellent, very good, good, fair and poor.

Socio-Economic Indexes for Areas

Socio-Economic Indexes for Areas is a product developed by the ABS that ranks areas in Australia according to relative socio-economic advantage and disadvantage. There are four indexes, each focusing on a different aspect of socio-economic advantage and disadvantage, based on different subsets of information from the five-yearly Census.

The 2011 Census-based Index of Relative Socio-Economic Advantage and Disadvantage was used in sample design for the 2016 Survey of Health Care.

Data included in this publication use the 2016 Census-based Index of Relative Socio-Economic Disadvantage. A lower Index of Disadvantage quintile (e.g. quintile 1) indicates relatively greater disadvantage and a lack of advantage in general. A higher Index of Disadvantage (e.g. quintile 5) indicates a relative lack of disadvantage and greater advantage in general.

For more information see Census of Population and Housing: Socio-Economic Indexes for Areas, Australia, 2016.

Specialists

A specialist is a medical doctor who is an expert in a specific area of medicine. Examples include dermatologists, cardiologists, neurologists and gynaecologists. Visits to specialists require a referral from a GP or other doctor.

MBS items used to define specialist services in this publication are listed in Appendix 1 – MBS items. Specialist services delivered to public patients in public hospitals, not subsidised through the MBS, are not included in this publication.

Usual GP

A usual GP is defined as the GP that people go to for most of their health care.

Usual place of care

Usual place of care is defined as the place that people usually go if they are sick or need advice about their health. Examples of a usual place of care include a clinic with GPs only, a clinic with GPs and other health professionals, a community health centre, an Aboriginal medical service or, for some patients, a hospital emergency department.