3303.0 - Causes of Death, Australia, 2014 Quality Declaration 
Previous ISSUE Released at 11:30 AM (CANBERRA TIME) 08/03/2016   
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Potentially Avoidable Deaths

Potentially avoidable deaths comprises potentially preventable deaths and potentially treatable deaths. Potentially preventable deaths are those which are amenable to screening and primary prevention, such as immunisation, and reflect the effectiveness of the current preventive health activities of the health sector. Deaths from potentially treatable conditions are those which are amenable to therapeutic interventions, and reflect the safety and quality of the current treatment system. The causes of death used in the tabulation of potentially avoidable deaths are listed on the Metadata Online Registry (METeOR) under the National Healthcare Agreement, Performance: PI 16 - Potentially avoidable deaths, 2015. Potentially avoidable mortality is calculated using data for persons aged under 75 years.

Potentially avoidable deaths may be influenced by a person's level of access to medical and other services, which may in-turn be influenced by their place of usual residence. Table 5.1 presents potentially avoidable deaths for Greater Capital City Statistical Areas (GCCSAs). GCCSAs are defined in the Australian Statistical Geography Standard (ASGS) as being built up from Statistical Area Level 4s to represent the socioeconomic area of each of the eight state and territory capital cities. GCCSAs contain not only the urban area of the capital city, but also the surrounding and non-urban areas where much of the population has strong links to the capital city through, for example, shopping or working within the city. The area not defined as being part of the greater capital city is represented as the 'rest of state/territory'.

Capital cities consistently recorded a lower rate of potentially avoidable deaths than their regional counterparts. In 2014, Australia’s combined capital city regions recorded an age-standardised avoidable death rate which was 1.4 times lower than that of areas outside of capital city regions.

The age-standardised avoidable death rate in Australia was 108.0 per 100,000 persons. The capital city areas that recorded the highest age-standardised avoidable death rates were Greater Darwin and Greater Hobart (150.7 and 120.8 per 100,000 persons, respectively). The capital cities with the lowest age-standardised avoidable death rate were the Australian Capital Territory, Greater Melbourne and Greater Sydney (82.8, 91.0 and 91.2 per 100,000 persons, respectively). Of all rest of state regions, 'Rest of Northern Territory' recorded the highest avoidable death rate (344.3 per 100,000 persons), which was 3.2 times higher than the rate for Australia as a whole. All ‘rest of state/territory’ regions reported avoidable mortality deaths rates that were higher than the rate for Australia.

In terms of sex differences, the avoidable standardised death rate was higher for males than females in all regions. Overall, the age-standardised avoidable death rate for all males was 138.4 per 100,000 persons, which was 1.8 times higher than the rate for females (78.2 per 100,000). When considering all regions, 'Rest of Northern Territory' was the area with the smallest sex difference in age-standardised avoidable death rate (1.1 times higher for males than females). The 'Rest of South Australia' recorded the greatest sex difference (2.1 times higher for males than females).


5.1 AVOIDABLE DEATHS(a) BY REGION OF USUAL RESIDENCE AND SEX, 2014

Males
Females
Persons
Region of usual residence
no.
SDR
no.
SDR
no.
SDR
Rate ratio(e)
Rate difference(f)

Greater Sydney
2 766
117.1
1 607
66.1
4 373
91.2
0.8
-16.9
Rest of NSW
2 531
166.2
1 469
93.4
4 000
129.7
1.2
21.7
NSW Total
5 366
136.8
3 097
76.9
8 463
106.6
1.0
-1.5
Greater Melbourne
2 507
117.8
1 470
65.6
3 977
91.0
0.8
-17.0
Rest of Vic
1 334
168.5
762
93.4
2 096
130.8
1.2
22.7
Vic Total
3 879
131.5
2 243
73.2
6 122
101.8
0.9
-6.2
Greater Brisbane
1 412
129.6
862
77.0
2 274
103.0
1.0
-5.1
Rest of Qld
1 942
148.1
1 097
84.0
3 039
116.1
1.1
8.1
Qld Total
3 403
140.9
1 976
81.2
5 379
110.9
1.0
2.9
Greater Adelaide
878
131.6
544
76.4
1 422
103.3
1.0
-4.8
Rest of SA
397
170.2
184
81.4
581
126.8
1.2
18.8
SA Total
1 285
142.2
737
78.4
2 022
109.9
1.0
1.8
Greater Perth
1 218
124.4
640
64.4
1 858
94.2
0.9
-13.8
Rest of WA
519
176.6
258
98.8
777
139.8
1.3
31.8
WA Total
1 779
139.8
914
72.7
2 693
106.5
1.0
-1.6
Greater Hobart
175
146.9
120
95.5
295
120.8
1.1
12.7
Rest of Tas
283
163.1
201
108.5
484
135.8
1.3
27.8
Tas Total
465
159.1
324
105.0
789
132.0
1.2
23.9
Greater Darwin
125
188.5
65
106.5
190
150.7
1.4
42.6
Rest of NT
159
354.3
133
334.5
292
344.3
3.2
236.3
NT Total
302
269.7
201
198.0
503
236.6
2.2
128.6
Australian Capital Territory
185
101.1
121
65.4
306
82.8
0.8
-25.2
Greater capital cities total
9 266
122.0
5 429
69.0
14 695
95.0
0.9
-13.0
Rest of states total
7 165
164.1
4 104
93.7
11 269
129.1
1.2
21.0
Australia(g)
16 668
138.4
9 615
78.2
26 283
108.0

(a) See the National Healthcare Agreement, Performance: PI 16 - Potentially avoidable deaths, 2015 for the list of causes which comprise potentially avoidable deaths.
(b) Causes of death data for 2014 are preliminary and subject to a revisions process. See Explanatory Notes 52-54 and the Causes of Death Revisions, 2012 and 2013 Technical Note in this publication.
(c) Standardised death rate. Deaths per 100,000 of estimated mid-year population. See the Glossary in this publication for further information.
(d) Greater capital cities and remainders of state/territory are Statistical Areas Level 4 (SA4s) grouped in accordance with the classification from ASGS: Volume 1 - Main structure and greater capital city statistical areas, July 2011 (cat. no. 1270.0.55.001).
(e) Rate ratio is the total persons death rate for the region, divided by the total persons death rate for Australia.
(f) Rate difference is the total persons death rate for the region, less the total persons death rate for Australia.
(g) Includes 'Other Territories' and Statistical Areas Level 4 which are migratory, offshore, shipping and special purpose (overseas usual residence, no usual address and unknown usual address).