Variation in levels of uptake of Enhanced Primary Care item numbers between rural and urban settings, November 1999 to October 2001

Wilkinson, David; McElroy, Heather; Beilby, Justin; Mott, Kathy; Price, Kay; Morey, Sue; Best, John

doi:10.1071/ah020123

Cited by 12 publications

(15 citation statements)

References 6 publications

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“…9 The study performed by Vinson 16 was confined to a small number of postcodes in two states, while the larger evaluation study performed by the South Australian group based its rurality and socio-economic classifications on the postcode of the claiming GP and not that of the patient. 17,18 The study based on the Australian Longitudinal Study on Women' s Health data included 3181 subjects covering only women who were aged between 75 and 82 years. 19 The study found a lower rate of health assessment claims in small rural, other rural and remote areas classified as RRMA 4-7 (Rural Remote and Metropolitan Area Classification), but that income levels did not influence claims.…”

Section: What Does This Paper Add?mentioning

confidence: 99%

Did general practice health assessments of older Australians improve equity?

Gill¹,

Geraghty²,

FitzGerald³

2008

Aust. Health Review

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Section: What Does This Paper Add?mentioning

confidence: 99%

Did general practice health assessments of older Australians improve equity?

Gill¹,

Geraghty²,

FitzGerald³

2008

Aust. Health Review

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“…A recently undertaken pilot study in a large Medicare Local Super Clinic in regional NSW reported that only 14% of eligible older people had undergone a 75+ health assessment in the previous 15 month period; which indicates many missed opportunities for conducting preventive health and well-being examinations of elderly patients ). This regional assessment suggested that older residents in rural areas may have closer connections with health services compared with metropolitan centres, which has been reported by others (Wilkinson et al 2002b), and therefore these older residents may be more likely to have a health assessment performed (Byles et al 2007).…”

Section: Disparities In Uptakementioning

confidence: 78%

“…Disparities in uptake of the 75+HA exist among older adults who live in rural and urban areas (Wilkinson et al 2002b;Byles et al 2007). Age-standardised data on 75+HA for 2009-10 clearly illustrate the higher uptake of the health check in non-metropolitan regions of both NSW and Australia than in the more urban metropolitan regions of the state and the nation overall.…”

Section: Disparities In Uptakementioning

confidence: 99%

Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Hamirudin

Ghosh²,

Charlton

et al. 2015

Aust. J. Prim. Health

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In Australia, older adults aged 75+ years are encouraged to avail themselves of the comprehensive 75+ health assessment (75+ HA) to identify medical conditions and highlight potential risk factors for poor health. However, uptake of this item has been reported to be low. This study aimed to identify the uptake of the 75+ HA within regional areas of New South Wales and compare this against state and national trends over an 11-year period. Data on uptake of the 75+ HA for item numbers 700 and 702, from 1999 until 2010, were obtained from the Medicare Australia portal and Department of Health and Ageing databases. Trends over time were collated and compared at the regional, state and national level. The study found that an increasing number of the 75+ HAs were performed from 1999 to 2009. Overall, the uptake of the 75+ HA is generally low across Australia, at ~20% of the eligible population, but varied across states and even regions within states. The study also revealed that despite low uptake encouraging trends were evident over a decade of 75+ HA implementation. It is argued that strategies in improving the uptake should be targeted for early identification of health risk and overall improved quality of health in older adults. KeywordsGeneral practice, older adults, primary health care, primary prevention . Overall, the uptake of the 75+ HA was generally low across Australia, at ~20% of the eligible population, but varied across states and even regions within states. The study also revealed that despite low uptake encouraging trends were evident over a decade of 75+ HA implementation. It is argued that strategies in improving the uptake should be targeted for early identification of health risk and overall improved quality of health in older adults.

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“…HA items had the highest uptake of the Enhanced Primary Care items with around 18% of the eligible population using them. [2,3] No information was available on baseline levels for the provision of HAs but the evaluation did suggest that there was an increase in the use of HAs in case study practices and that reimbursement was an incentive to completing HAs in about one third of practices. Health benefits associated with HA among older patients were relatively small [4,5] and the evaluation suggested that further uptake was required to have significant impact on the health of the target populations.…”

mentioning

confidence: 99%

“…Health benefits associated with HA among older patients were relatively small [4,5] and the evaluation suggested that further uptake was required to have significant impact on the health of the target populations. [3] This was particularly true of the items for Aboriginal and Torres Strait Islander people which were used at a significantly lower rate than the items for the general population. [6] It was suggested that this effect may have occurred either because Aboriginal and Torres Strait Islander people might be more likely to have pre-existing care plans or because Aboriginal and Torres Strait Islander people were more likely to use services (e.g.…”

mentioning

confidence: 99%

Comparison of the uptake of health assessment items for Aboriginal and Torres Strait Islander people and other Australians: Implications for policy

Kelaher

Dunt

Tobias

et al. 2005

Aust N Z Health Policy

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BackgroundHealth Assessment (HA) items were introduced in 1999 for Aboriginal and Torres Strait Islander people aged at least 55 years and all Australians aged over 75 years. In 2004 a new item was introduced for HAs among adult Aboriginal and Torres Strait Islander people aged 15–54 years. The new item has been applauded as a major policy innovation however this enthusiasm has been tempered with concern about potential barriers to its uptake. In this study we aim to determine whether there are disparities in uptake of HA items for Aboriginal and Torres Strait Islander people compared to other Australians.MethodThe analysis was based on Health Insurance Commission data. Indigenous status was ascertained based on the item number used. Logistic regression was used to compare uptake of HA items for older people among Aboriginal and Torres Strait Islander people compared to other Australians. Adjustments were made for dual eligibility. Uptake of the HA items for older people was compared to the uptake of the new item for Aboriginal and Torres Strait Islander people aged 15–44 years.ResultsOur analyses suggest a significant and persistent disparity in the uptake of items for older patients among Aboriginal and Torres Strait Islander people compared to other Australians. A similar disparity appears to exist in the uptake of the new adult Aboriginal and Torres Strait Islander HA item.ConclusionFurther engagement of primary care providers and the community around the uptake of the new HA items may be required to ensure that the anticipated health benefits eventuate.

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Variation in levels of uptake of Enhanced Primary Care item numbers between rural and urban settings, November 1999 to October 2001

Abstract: We aimed to report on variation in levels of uptake of

Cited by 12 publications

References 6 publications

Did general practice health assessments of older Australians improve equity?

Did general practice health assessments of older Australians improve equity?

Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Comparison of the uptake of health assessment items for Aboriginal and Torres Strait Islander people and other Australians: Implications for policy

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