Hospitalisations of First Nations children

Technical specifications for National Plan Outcomes

Attributes

Outcome

National Agreement on Closing the Gap Outcome 13: Aboriginal and Torres Strait Islander families and households are safe.

Indicator

Increase in the number of children who are safe.

Measure

Decrease in rates of hospitalisation for family violence assaults for Aboriginal and Torres Strait Islander children by relationship to perpetrator.

Interpretation

A low or decreasing rate of family violence hospitalisations is desirable. However, an increase in the rate may indicate an increase in reporting and/or an increase in the recording of a perpetrator by hospital staff.

Baseline data

2022–23

Numerator

Number of hospitalisations of Aboriginal and Torres Strait Islander children aged under 15 for assault, where the relationship of the perpetrator to the victim is a partner, parent or other family member.

Numerator data elements

Data element: Hospitalisation—assault injury
Data source: AIHW NHMD
Data source type: Administrative

Denominator

Number of Aboriginal and Torres Strait Islander people aged 0–14 in the population.

Denominator data elements

Data element: Person
Data source: ABS Estimates and Projections, Aboriginal and Torres Strait Islander Australians
Data source type: Estimates and projections

Computation description

100,000 x (Numerator/Denominator)

Computation

This measure is expressed as a number per 100,000 people aged 0–14.

Disaggregation

For each financial year, nationally and by:

  • state and territory.
Notes

Presented as a number per 100,000.

Inclusions (numerator): Hospitalisations for family violence-related assaults are based on the ICD-10-AM (various editions) (Australian Consortium for Classification Development 2017). Causes of injury are based on the first reported external cause as ‘Assault’ ICD-10-AM codes X85–Y09, where the principal diagnosis was ‘Injury, poisoning and certain other consequences of external causes’ (S00–T76 and T79). Family violence related assaults include assaults by a spouse/domestic partner, parent or other family member. Relationship of perpetrator to the victim is coded in the fifth digit of ICD-10-AM codes for ‘Assault’ X85–Y09 as follows: spouse/domestic partner, 0; parent, 1; other family member, 2. For more information about the scope related to family violence related injury, please see Injury in Australia, Technical notes - Australian Institute of Health and Welfare (aihw.gov.au).

Exclusions (numerator): To minimise double-counting hospitalisations for injuries, exclude: · admissions that are transfers from another hospital · admissions with rehabilitation procedures (where care type is not acute) Hospitalisations for Newborns without qualified days, Hospital boarders and Posthumous organ procurement are also excluded.

Time series data may not match previously published data due to revisions to denominator data over time or retrospective updates to the numerator.

Hospitalisations data reported in the Aboriginal and Torres Strait Islander people topic use a different method and are not comparable to data reported for the National Plan Outcomes measure or Closing the Gap. See Box 2 in Health services for more information.

Limitations

For some population groups, numbers may be too small to be reported on separately.
Not all people who have injuries or conditions as a result of family violence will seek hospital treatment, and of those that do, not all will disclose the cause (for example, assault) and/or the relationship to the perpetrator (for example, partner). The date reported is limited to hospitalisations for injury where the cause was recorded as assault and the relationship between the perpetrator and victim has been recorded as a family member.

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