AIHW - Patients Spending on Medicare - People who experienced Cost Barriers to Specialist, GP, Imaging or Pathology (%) (PHN) 2016-2017

This dataset presents the footprint of the percentage of people who delayed or did not see a medical specialist, GP, get an imaging test or get a pathology test when needed due to cost in the last 12 months. The data spans the financial year of 2016-2017 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. The 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 has been processed by the Department of Human Services. Data are reported for claims processed between 1 July 2016 and 30 June 2017. The data also contains the results from the ABS 2016-17 Patient Experience Survey, collected between 1 July 2016 and 30 June 2017. The Patient Experience Survey is conducted annually by the Australian Bureau of Statistics (ABS) and collects information from a representative sample of the Australian population. The Patient Experience Survey is one of several components of the Multipurpose Household Survey, as a supplement to the monthly Labour Force Survey.\n\nThe Patients' spending on Medicare Services data accompanies the [Patients' out-of-pocket spending on Medicare services 2016-17 Report](https://www.aihw.gov.au/reports/health-welfare-expenditure/patient-out-pocket-spending-medicare-2016-17/contents/summary).\n\nFor further information about this dataset, visit the data source:[Australian Institute of Health and Welfare - Patients' out-of-pocket spending on Medicare services Data Tables.](https://www.aihw.gov.au/reports/health-welfare-expenditure/patient-out-pocket-spending-medicare-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 * The data is based on the patient's Medicare enrolment postcode, not where they received the health care service. Most peoples' Medicare enrolment postcode will be their residential postcode.\n\n * The data excludes pathology and imaging tests conducted in a hospital, and any dental imaging tests.\n\n * If respondents sought clarification on the definition of a medical specialist, interviewers were instructed to advise that medical specialists provide services which are covered, at least in part, by Medicare (e.g. dermatologists, cardiologists, neurologists and gynaecologists).\n\n * Imaging tests or diagnostic imaging include all tests that produce images or pictures of the inside of the body in order to diagnose diseases. Tests involve the use of radiant energy, including x-rays, sound waves, radio waves, and radioactive waves and particles that are recorded by photographic films or other types of detectors.\n\n * Pathology tests refer to laboratory tests that include analysis of specimens such as urine and blood in order to diagnose disease.\n\n * The survey excludes persons aged less than 15 years, persons living in non-private dwellings and the Indigenous Community Strata (encompassing discrete Aboriginal and Torres Strait Islander communities).\n\n * Data for Northern Territory should be interpreted with caution as the Patient Experience Survey excluded the Indigenous Community Strata, which comprises around 25% of the estimated resident population of the Northern Territory living in private dwellings.\n\n * Rows that contain a "#" in "Interpret with Caution" indicates that the estimate has a relative standard error of 25% to 50%, which indicates a high level of sampling error relative to its value and must be taken into account when comparing this estimate with other values.\n\n * NP - Not available for publication. The estimate is considered to be unreliable. Values assigned to NP in the original data have been set to null.\n

本数据集展示了过去12个月内因费用因素，延迟就医或未按需就诊专科医生、全科医生（General Practitioner，GP）、未接受影像学检查或病理学检查的人群占比情况。本数据集涵盖2016-2017财年数据，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年澳大利亚卫生署初级卫生网络（Primary Health Network，PHN）分区。

本数据集数据来源于澳大利亚卫生署管理的医疗保险福利计划（Medicare Benefits Schedule，MBS）申报数据。该申报数据源自符合1973年《健康保险法》规定可享受医疗保险福利、且已由澳大利亚人类服务部完成申报处理的服务相关行政信息，统计时段为2016年7月1日至2017年6月30日期间完成处理的申报。数据集同时包含2016-2017年度澳大利亚统计局（Australian Bureau of Statistics，ABS）患者体验调查的结果，该调查数据采集时段同样为2016年7月1日至2017年6月30日。患者体验调查由澳大利亚统计局每年开展一次，通过澳大利亚人口代表性样本收集相关信息，作为月度劳动力调查的补充模块，是多用途家庭调查的组成部分之一。

本医疗保险服务患者支出数据集配套发布于《2016-2017年度澳大利亚医疗保险服务患者自费支出报告》（链接：https://www.aihw.gov.au/reports/health-welfare-expenditure/patient-out-pocket-spending-medicare-2016-17/contents/summary）。

如需了解本数据集的更多信息，请访问数据源：澳大利亚健康与福利研究所——《2016-2017年度澳大利亚医疗保险服务患者自费支出数据集表》（链接：https://www.aihw.gov.au/reports/health-welfare-expenditure/patient-out-pocket-spending-medicare-2016-17/data）。

请注意：
* 澳大利亚城市与区域研究信息网络（Australian Urban and Regional Information Network，AURIN）已基于[卫生署PHN分区](https://www1.health.gov.au/internet/main/publishing.nsf/Content/PHN-Home)对原始数据进行空间适配处理。
* 本数据集基于患者的医疗保险注册邮政编码，而非其接受医疗服务的地点。绝大多数患者的医疗保险注册邮政编码与其居住邮政编码一致。
* 本数据集剔除了在医院内开展的病理学与影像学检查，以及所有牙科影像学检查。
* 若受访者要求对专科医生的定义进行说明，访调员需告知：专科医生提供的服务可部分或全部享受医疗保险福利（例如皮肤科医生、心脏科医生、神经科医生及妇科医生）。
* 影像学检查或诊断影像学检查指所有为诊断疾病而生成人体内部影像的检查项目，包括使用辐射能（如X射线、声波、无线电波）以及通过摄影胶片或其他探测器记录的放射性波与粒子的检查。
* 病理学检查指为诊断疾病而对尿液、血液等标本进行分析的实验室检查。
* 本次调查未纳入15岁以下人群、居住在非私人住所的人群，以及原住民社区阶层（Indigenous Community Strata，涵盖分散的原住民与托雷斯海峡岛民社区）。
* 北领地的数据需谨慎解读：本次患者体验调查未纳入原住民社区阶层，而该阶层约占北领地私人住所常住估计人口的25%。
* 在"谨慎解读"栏中带有"#"的数据行，表示对应估计值的相对标准误差为25%至50%，即其抽样误差相对数值本身占比较高，在将该估计值与其他数值进行比较时需考虑这一因素。
* NP：无法公开发布。该估计值被认定为不可靠。原始数据中标记为NP的数值已被设置为空值。