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

This dataset presents the footprint of the percentage of general practitioner (GP) attendances and associated Medicare benefits expenditure per person. GP 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) as at 30 June 2016. GP expenditure has been calculated with the total benefit paid for eligible claims, divided by the ERP as at 30 June 2016. 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 * GP attendances are Medicare benefit-funded patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. GP attendances do not include services provided by practice nurses and Aboriginal and Torres Strait Islander health practitioners on a GP's behalf.\n\n * GP after-hours attendances are Medicare benefit-funded after-hours patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. They include urgent and non-urgent attendances.\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

本数据集呈现了全科医生（General Practitioner，GP）接诊占比与人均关联医疗保险福利支出的统计概况。

全科医生接诊量的计算方式为：合格申报单对应的总服务量（排除批量计费激励项目及其他补项）除以2016年6月30日的估计常住人口（Estimated Resident Population，ERP）；全科医生相关支出的计算方式为：合格申报单对应的总福利支付额除以2016年6月30日的估计常住人口（ERP）。本数据涵盖2013至2017财年，依据2011年澳大利亚统计地理标准（Australian Statistical Geography Standard，ASGS），聚合至2015年卫生部基层医疗网络（Primary Health Network，PHN）区域范围。

本数据源自澳大利亚政府卫生部管理的医疗保险福利计划（Medicare Benefits Schedule，MBS）申报数据。此类申报数据来源于符合《1973年健康保险法》规定、可申领医疗保险福利的服务相关行政信息，且已由人类服务部完成申报审核流程。

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——2016-17年医疗保险福利计划全科医生及专科医生接诊与支出数据表](https://www.aihw.gov.au/reports/health-welfare-expenditure/mbs-gp-and-specialist-attendances-2016-17/data)

请注意：

* AURIN已采用[卫生部——PHN区域划分标准](https://www1.health.gov.au/internet/main/publishing.nsf/Content/PHN-Home)对原始数据进行空间化处理。

* 医疗保险福利计划（MBS）申报数据不包含医院内面向公共患者的免费服务，或由退伍军人事务部、各类赔偿安排及其他公共资助项目（包括偏远外展诊所提供的辖区薪酬制全科医生服务）所补贴的服务。

* 全科医生接诊指由医疗保险福利资助的医患问诊服务（如门诊就诊与咨询），且患者未由其他医生转诊。此类接诊不包含执业护士及原住民与托雷斯海峡岛民健康从业者以全科医生名义提供的服务。

* 全科医生非工作时间接诊指由医疗保险福利资助的非工作时段医患问诊服务（如门诊就诊与咨询），且患者未由其他医生转诊，涵盖紧急与非紧急就诊两类场景。

* 全科医生/专科医生接诊支出涵盖医患问诊服务对应的MBS拨款，且支出数据未经过通胀调整。

* 批量计费（bulk-billing）指医疗从业者直接向医疗保险机构寄送账单，患者无需支付任何费用，该模式亦称为直接计费。

* 年龄标准化（age-standardisation）指通过考量各区域内人口年龄结构的差异，实现区域间更公平的对比分析。该调整至关重要，因为多数健康状况与医疗服务使用率均随年龄变化存在显著差异。