Healthy Communities: Patients' out-of-pocket spending on Medicare services, 2016–17 - Technical Note - Summary

Healthy Communities: Patients' out-of-pocket spending on Medicare services, 2016–17

Summary

This Technical Note accompanies Healthy Communities: Patients’ out-of-pocket spending on Medicare services, 2016–17.

This report uses two data sources:

  • Medicare Benefits Schedule, 2016–17
  • Australian Bureau of Statistics (ABS) Patient Experiences in Australia Survey, 2016–17

The report presents the proportion of patients with out-of-pocket costs, the total out-of-pocket cost per patient, the amount patients spent out-of-pocket per service, and the proportion of people who delayed or did not use a service when needed due to cost. The report measures include:

Medicare Benefits Schedule, 2016–17

  • All non-hospital Medicare services
    • Percentage of patients with out-of-pocket costs for non-hospital Medicare services
    • Total out-of-pocket cost per patient for all non-hospital Medicare services (for patients with costs)
  • Specialist attendances
    • Percentage of patients with out-of-pocket costs for specialist attendances
    • Patients’ out-of-pocket cost per specialist attendance (for patients with costs)
  • General Practitioner (GP) attendances
    • Percentage of patients with out-of-pocket costs for GP attendances
    • Patients’ out-of-pocket cost per GP attendance (for patients with costs)
  • Diagnostic imaging services
    • Percentage of patients with out-of-pocket costs for diagnostic imaging services
    • Patients’ out-of-pocket cost per diagnostic imaging service (for patients with costs)
  • Obstetric attendances
    • Percentage of patients with out-of-pocket costs for obstetric attendances
    • Patients’ out-of-pocket cost per obstetric attendance (for patients with costs)

For patients with costs, the out-of-pocket cost per patient and per service measures are presented for patients at the 50th (median) and 90th percentile in the report and online display of data. Data are also available for patients at the 25th and 75th percentile in the accompanying Excel download.

ABS Patient Experiences in Australia survey, 2016–17

  • Percentage of people who delayed or did not see a medical specialist, GP, get an imaging test and/or get a pathology test due to cost in the last 12 months, by PHN area
  • Percentage of people who delayed or did not see a GP when needed due to cost in the last 12 months, by PHN area

Further details on these indicators are available in the indicator specification tables.