AIHW - Medicare Benefits Schedule Statistics - Specialist Attendances and Associated Medicare Benefits Expenditure (%) (PHN) 2013-2017

This dataset presents the footprint of the percentage of specialist attendances and associated Medicare benefits expenditure per person. Specialist attendance has been calculated with the total services from eligible claims (excluding any bulk-billed incentive items or other top-up items), divided by the Estimated Resident Population (ERP) at the previous end of the financial year. Specialist expenditure has been calculated with the total benefit paid for eligible claims, divided by the ERP at the previous end of the financial year. The data spans the financial years of 2013-2017 and is aggregated to 2015 Department of Health Primary Health Network (PHN) areas, based on the 2011 Australian Statistical Geography Standard (ASGS).\n\nThe data is sourced from the Medicare Benefits Schedule (MBS) claims data, which are administered by the Australian Government Department of Health. These claims data are derived from administrative information on services that qualify for a Medicare benefit under the Health Insurance Act 1973 and for which a claim is processed by the Department of Human Services.\n\nFor further information about this dataset visit the data source: [Australian Institute of Health and Welfare - Medicare Benefits Schedule GP and Specialist Attendances and Expenditure in 2016-17 Data Tables.](https://www.aihw.gov.au/reports/health-welfare-expenditure/mbs-gp-and-specialist-attendances-2016-17/data)\n\nPlease note:\n\n * AURIN has spatially enabled the original data using the [Department of Health - PHN Areas.](https://www1.health.gov.au/internet/main/publishing.nsf/Content/PHN-Home)\n\n * MBS claims data do not include services that were provided free of charge to public patients in hospitals or were subsidised by the Department of Veterans’ Affairs, compensation arrangements or through other publicly funded programs including jurisdictional salaried GP services provided in remote outreach clinics.\n\n * Specialist attendances are Medicare benefits-funded referred patient/doctor encounters, such as visits, consultations, and attendances by video conference, involving medical practitioners who have been recognised as specialists or consultant physicians for Medicare benefits purposes.\n\n * Expenditure on GP/specialist attendances comprises MBS funding for patient/doctor encounters. Expenditure is reported unadjusted for inflation.\n\n * Bulk-billing is an arrangement in which a medical practitioner sends the bill directly to Medicare, so the patient pays nothing. Also known as direct billing.\n\n * Age-standardisation allows fairer comparisons to be made between areas by accounting for variation in the age of populations within each area. This adjustment is important because the rates of many health conditions and health service use vary with age.\n

本数据集呈现了人均专科接诊量占比及相关联邦医疗保险（Medicare）补贴支出的测算情况。专科接诊量的计算方式为：符合资格的申报单（不包含批量计费激励项目或其他追加项目）对应的服务总量，除以上一财年末的估计常住人口（Estimated Resident Population, ERP）。专科支出的计算方式为：符合资格的申报单对应的总补贴金额，除以上一财年末的估计常住人口。本次数据覆盖2013-2017财年，以2011年澳大利亚统计地理标准（Australian Statistical Geography Standard, ASGS）为基准，聚合至2015年澳大利亚卫生署基层医疗网络（Primary Health Network, PHN）辖区范围。

本数据集来源于澳大利亚卫生署（Australian Government Department of Health）管理的联邦医疗保险补贴清单（Medicare Benefits Schedule, MBS）申报数据。该类申报数据源自符合1973年《健康保险法》规定、可获得联邦医疗保险补贴的服务相关行政记录，且相关申报已由澳大利亚人类服务部（Department of Human Services）完成处理。

如需了解本数据集的更多详情，请访问数据源：[澳大利亚卫生与福利研究所（Australian Institute of Health and Welfare）——2016-17年联邦医疗保险补贴清单全科医生及专科接诊量与支出数据表](https://www.aihw.gov.au/reports/health-welfare-expenditure/mbs-gp-and-specialist-attendances-2016-17/data)

重要提示：

* 澳大利亚城市与区域研究信息基础设施（Australian Urban and Regional Information Infrastructure, AURIN）已采用澳大利亚卫生署基层医疗网络辖区标准，对原始数据完成空间适配处理，相关标准可访问：[卫生署基层医疗网络辖区](https://www1.health.gov.au/internet/main/publishing.nsf/Content/PHN-Home)

* 联邦医疗保险补贴清单申报数据不包含以下服务：针对医院内公费患者的免费服务、由退伍军人事务部补贴的服务、各类赔偿安排覆盖的服务，以及其他公共资助项目提供的服务（包括偏远地区巡回诊所内由辖区财政薪酬支持的全科医生服务）。

* 专科接诊指由联邦医疗保险补贴的、经转诊的患者与医生诊疗互动，包括门诊就诊、咨询及远程视频会诊等，参与诊疗的医师需为联邦医疗保险认定的专科医师或会诊医师。

* 全科医生/专科接诊支出涵盖患者与医生诊疗互动对应的联邦医疗保险补贴清单拨款，且支出数据未进行通货膨胀调整。

* 批量计费（Bulk-billing）指医疗从业者直接将账单提交至联邦医疗保险的结算方式，患者无需支付任何费用，亦称直接计费。

* 年龄标准化处理通过考量各辖区内人口年龄结构的差异，实现辖区间更公平的对比。该调整至关重要，因为诸多健康状况及医疗服务使用率均随年龄变化而存在差异。