Australian Institute of Health and Welfare (2022) General practice, allied health and other primary care services, AIHW, Australian Government, accessed 04 December 2022.
Australian Institute of Health and Welfare. (2022). General practice, allied health and other primary care services. Retrieved from https://www.aihw.gov.au/reports/health-care-quality-performance/general-practice-allied-health-and-other-primary-c
General practice, allied health and other primary care services. Australian Institute of Health and Welfare, 07 July 2022, https://www.aihw.gov.au/reports/health-care-quality-performance/general-practice-allied-health-and-other-primary-c
Australian Institute of Health and Welfare. General practice, allied health and other primary care services [Internet]. Canberra: Australian Institute of Health and Welfare, 2022 [cited 2022 Dec. 4]. Available from: https://www.aihw.gov.au/reports/health-care-quality-performance/general-practice-allied-health-and-other-primary-c
Australian Institute of Health and Welfare (AIHW) 2022, General practice, allied health and other primary care services, viewed 4 December 2022, https://www.aihw.gov.au/reports/health-care-quality-performance/general-practice-allied-health-and-other-primary-c
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Primary care is the first contact a person has with the health system. It is often synonymous with general practice, however the sector covers a range of public, private and non-government health services and health service providers. These include nursing, midwifery, pharmacy, dentistry, Aboriginal health services and allied health. Primary care may be delivered in a range of settings, including aged care, disability care and the community.
This page presents primary care service use, experience of care, expenditure, information gaps and emerging developments. It focuses on Medicare-subsidised general practitioner (GP), allied health, nursing, midwifery and Aboriginal Health Worker services. While these data are comprehensive and provide useful insights, outside of these sources data on primary health services are limited. For more information, see Data and information gaps and the future of primary health care.
For related primary care information, see Oral and dental health, Indigenous Health and wellbeing, Pathology, imaging and other diagnostic services, Health expenditure and Health workforce.
The World Health Organization defines primary health care as ‘a whole-of-society approach to health that aims at ensuring the highest possible level of health and well-being and their equitable distribution by focusing on people’s needs and as early as possible along the continuum from health promotion and disease prevention to treatment, rehabilitation and palliative care, and as close as feasible to people’s everyday environment’ (WHO and UNICEF 2018).
Primary care describes the first point of contact an individual has with the health system (Department of Health 2021), and is a subset of primary health care. It relates to the treatment of non-admitted patients in the community.
This page focuses on primary care data and includes some information relating to the more holistic concept of primary health care, such as patient experience.
In 2020–21, there were around 256 million Medicare-subsidised primary care services in Australia, including, but not limited to, GP attendances (171 million), allied health attendances (27 million) and services provided by nurses, midwives and Aboriginal health workers (4.3 million) (AIHW 2021b).
A GP is often the first point of contact in the health system.
In 2020–21, 85% of Australians received at least one Medicare-subsidised GP service, a decrease from 2019–20 (87%) (AIHW 2021b).
Across Australia in 2020–21:
Of the 171 million GP attendances in 2020–21:
The allied health sector represents a range of services provided by health practitioners who are generally university qualified and with specialised expertise in preventing, diagnosing and treating a range of conditions and illnesses. Allied health professions include psychologists, optometrists and physiotherapists.
In 2020–21, 39% of Australians received at least one Medicare-subsidised allied health service. This was an increase from 2019–20 (36%) (AIHW 2021b).
Of the 27 million Medicare-subsidised allied health services provided:
This section includes information on Medicare-subsidised services provided in non-admitted patient settings by:
In 2020–21, 8.3% of Australians received at least one Medicare-subsidised nursing, midwifery or practice nurse/Aboriginal health worker service. This was an increase from 2019–20 (7.8%) (AIHW 2021b).
Primary care has played a central role in the health care response to COVID-19, and the pandemic has changed the way primary care services are delivered. In 2020–21:
The proportion of people who reported that they delayed or did not use a GP service or an after-hours GP service when needed due to COVID-19 was 9.8% and 7.3%, respectively (ABS 2021).
As at 22 March 2022, 63% of COVID-19 vaccine doses in Australia were administered in primary care settings (Department of Health 2022).
For Australian health users, cost and waiting times are often a reason for delaying or not using a GP service.
In 2019–20, approximately one-third of all health spending in Australia was for primary care ($66.9 billion) (AIHW 2021a). Of this:
In 2020–21, $17 billion were paid in Medicare benefits for primary care services, inclusive of GP, allied health and other primary care attendances (AIHW 2021b). The majority of this expenditure was for GP attendances ($8.8 billion, or 51%), followed by diagnostic imaging ($4.2 billion, or 24%), specialist attendances ($2.3 billion, or 14%) and allied health ($1.8 billion, or 10%).
Although primary health care is an important component of Australia’s health care system, the availability of primary health care data remains limited.
This page focuses on Medicare-subsidised primary care services and the ABS Patient Experience Survey as data sources with national coverage. However, it is not a complete nor comprehensive source of primary care or primary health care information in Australia. For example, information from private health insurance sources, state and territory funded community health data Aboriginal health services are out of scope for this page. This information may be integrated in future years, as data development work conducted by the AIHW provides a robust platform for further insights into primary health care information in Australia.
Notably, the AIHW is leading the development of a Primary Health Care Information System, and the creation of a National Primary Health Care Data Collection (Data Collection) to improve primary health care data and address information gaps. The Data Collection will aim to fill data and information gaps relating to primary care and be an accessible and value-added source of information.
The AIHW also releases information from the newly established national Practice Incentives Program Eligible Data Set, bringing together data provided by Primary Health Networks from general practices across 10 Quality Improvement Measures.
Ongoing work to improve primary health care data including establishing linked primary health care, hospitals, disability and aged care sector data, will enhance the evidence base for policy, planning and research underpinning the critical role of primary care in a sustainable, effective and coordinated Australian health system.
For more information on primary health care, see:
Visit Primary health care for more on this topic.
ABS (Australian Bureau of Statistics) (2021) Patient experiences in Australia: summary of findings, 2020–21, ABS website, accessed 2 February 2022.
AHPA (Allied Health Professions Australia) (2020). What is allied health? AHPA website, accessed 28 January 2022.
AIHW (Australian Institute of Health and Welfare) (2021a). Health Expenditure Australia 2019-20. AIHW website, accessed 5 February 2022.
AIHW (2021b). Medicare-subsidised GP, allied health and specialist health care across local areas: 2019–20 to 2020–21. AIHW website, accessed 2 February 2022.
AIHW (2020). Impacts of COVID-19 on Medicare Benefits Scheme and Pharmaceutical Benefits Scheme service use. AIHW website, accessed 11 February 2022.
Department of Health (2022). COVID-19 vaccination – vaccination data. Department of Health website, accessed 22 March 2022.
Department of Health (2021). Primary care. Department of Health website, accessed 28 January 2022.
World Health Organization & United Nations Children's Fund (UNICEF) (2018). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. World Health Organization website, accessed 21 January 2022.
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