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Definition

Differential rates for specialist service use (out-of-hospital private patient) per 1,000 population.

Indicator Summary

Numerator
Number of specialist services claimed through the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA).
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Denominator
Total population
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Computation

MBS items for specialist services (approximately 6,000 current items and 6,000 historic items).

The definition of specialist services is all items in the Department of Health and Ageing and Medicare Australia broad type of service groups for:

  • Specialist attendances
    MBS items: 85, 88, 94, 100, 102-152, 154-159, 177, 189, 300-338, 342-370, 385-388, 410-417, 501-536, 820-866, 887-893, 10801 to 10816 and …
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Disaggregation

2008–09 and 2009–10 (updated for DVA data), and 2010–11—Nationally, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2008–09 and 2009–10 (updated for DVA data), and 2010–11—State and territory, by:

  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • Indigenous status (Medicare Benefits Scheme data only)

Some disaggregations may result in numbers too small for publication.

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Calculation rules

Computation Rule
Description

MBS items for specialist services (approximately 6,000 current items and 6,000 historic items).

The definition of specialist services is all items in the Department of Health and Ageing and Medicare Australia broad type of service groups for:

  • Specialist attendances
    MBS items: 85, 88, 94, 100, 102-152, 154-159, 177, 189, 300-338, 342-370, 385-388, 410-417, 501-536, 820-866, 887-893, 10801 to 10816 and 17603.
  • Obstetrics
    MBS items: Group T4 of the Schedule and Item 9011.
  • Anaesthetics
    MBS items: Groups T5, T6 (excluding Items 17600 and 17603), T7, T10 and Items 9021 to 9060.
  • Pathology
    MBS items: Category 6 of the Schedule.
  • Diagnostic imaging
    MBS items: ultrasound (791, 793, 794, 910, 911, 913, 990-993, 995 and 999 and Group I1), CT (Group I2) Radiology (Group I3), MRI (Group I5), Nuclear Medicine Imaging (Group I4), and Group I6 (Items 64990 and 64991).
  • Operations
    MBS items: Group T8 of the Schedule and Items 9401-9409, 9415-9435, 9440-9449, 9458, 9476-9850.
  • Assistance at operations
    MBS items: Group T9 of the Schedule.
  • Radiotherapy
    MBS items: radiotherapy and therapeutic nuclear medicine (Groups T2 and T3) of the Schedule.
  • Other medical MBS services (excluding optometry, other allied health services and the Dental Benefits Schedule)
    MBS items: miscellaneous, oral and maxillofacial surgery (Category 4), cleft lip and palate (Category 7), Category 2, Group T1 , Group T11, the bulk billing incentive Items 10990, 10991 and 10992, and Group B1 (Dental Benefits Schedule).

Rates directly age-standardised to the 2001 Australian population.

Medicare Benefits Scheme data presented by Indigenous status are adjusted for under-identification in the Medicare Australia Voluntary Indigenous Identifier (VII) database.

Analysis by state and territory, remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on the postcode of residence of person as recorded in Medicare Australia's database at the date the last service was recieved in the reference period.

Presented per 1,000 population.

Numerators
Number of specialist services claimed through the Medicare Benefits Schedule (MBS) or Department of Veterans' Affairs (DVA).
Denominators
Total population
Disaggregation

2008–09 and 2009–10 (updated for DVA data), and 2010–11—Nationally, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2008–09 and 2009–10 (updated for DVA data), and 2010–11—State and territory, by:

  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles
  • Indigenous status (Medicare Benefits Scheme data only)

Some disaggregations may result in numbers too small for publication.

References

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