Total Medicare benefits expenditure for specialist attendances claimed through the Medicare Benefits Schedule (MBS)
Definition
The average expenditure on non-hospital specialist attendances per person in a year.
Indicator Summary
Specialist attendances in this indicator are non-hospital attendances.
Specialist attendances are Medicare benefit funded referred patient/doctor encounters, such as visits, consultations and attendances (including video conferencing), involving medical practitioners who have been recognised as specialists or consultant physicians for Medicare benefits purposes.
Specialist attendances comprise all items in Broad Type of Services Group 'C', as published in official MBS statistics …
By Medicare Local catchment, Medicare Local peer groups and SA3
Calculation rules
- Description
Specialist attendances in this indicator are non-hospital attendances.
Specialist attendances are Medicare benefit funded referred patient/doctor encounters, such as visits, consultations and attendances (including video conferencing), involving medical practitioners who have been recognised as specialists or consultant physicians for Medicare benefits purposes.
Specialist attendances comprise all items in Broad Type of Services Group 'C', as published in official MBS statistics by the Department of Human Services and the Department of Health.
Rates directly age-standardised to the 2001 Australian population.
Total services (attendances/visits – source MBS claims data).
Total Estimated Resident Population (ERP) as supplied by ABS.
In undertaking age standardisation of MBS data, the age of each person was determined from the last MBS service of any type, processed by the Department of Human Services in 2011–12. All MBS services for each individual processed in 2011–12, were attributed to the age in question.
For MBS data, Medicare Local and SA3 were determined having regard to the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2011–12. All MBS services for each individual processed in 2011–12, were attributed to the postcode in question.
MBS postcode level data were allocated to Medicare Local and SA3 regions using concordance files provided by ABS.
Numerator based on Medicare (MBS) data provided by Department of Health for the financial year of processing, 2011–12.
Denominator – Estimated Resident Population at 30 June 2011 provided by ABS.
Presented per person.
Before MBS data are published by NHPA all confidential data cells are suppressed.
The current definition of confidential data is as follows:
- For number of MBS services and Medicare benefits expenditure:
- if number of services is less than 6 or
- if number of services is equal to or greater than 6 but
- one provider provides more than 85% of services or two providers provide more than 90% of services or
- one patient receives more than 85% of services or two patients receive more than 90% of services.
- If data on number of services is confidential, corresponding data on other measures such as MBS benefit paid is also regarded as confidential.
- For number of MBS services and Medicare benefits expenditure:
Total Medicare benefits expenditure for specialist attendances claimed through the Medicare Benefits Schedule (MBS)
Total estimated resident population (ERP)
By Medicare Local catchment, Medicare Local peer groups and SA3
References
National Health Performance Agreement - Performance and Accountability Framework
This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.
This content Based on Australian Institute of Health and Welfare material. Attribution provided as required under the AIHW CC-BY licence.
Related content
| Relation | Count |
|---|---|
| Indicator Sets that include this Indicator | 0 |
| Data Sets that are used in this Indicator | 0 |