Australian Institute of Health and Welfare (2021) Tracking progress against the Implementation Plan goals for the Aboriginal and Torres Strait Islander Health Plan 2013–2023, AIHW, Australian Government, accessed 09 February 2023.
Australian Institute of Health and Welfare. (2021). Tracking progress against the Implementation Plan goals for the Aboriginal and Torres Strait Islander Health Plan 2013–2023. Retrieved from https://www.aihw.gov.au/reports/indigenous-australians/tracking-progress-against-ipg-2013-2023
Tracking progress against the Implementation Plan goals for the Aboriginal and Torres Strait Islander Health Plan 2013–2023. Australian Institute of Health and Welfare, 13 December 2021, https://www.aihw.gov.au/reports/indigenous-australians/tracking-progress-against-ipg-2013-2023
Australian Institute of Health and Welfare. Tracking progress against the Implementation Plan goals for the Aboriginal and Torres Strait Islander Health Plan 2013–2023 [Internet]. Canberra: Australian Institute of Health and Welfare, 2021 [cited 2023 Feb. 9]. Available from: https://www.aihw.gov.au/reports/indigenous-australians/tracking-progress-against-ipg-2013-2023
Australian Institute of Health and Welfare (AIHW) 2021, Tracking progress against the Implementation Plan goals for the Aboriginal and Torres Strait Islander Health Plan 2013–2023, viewed 9 February 2023, https://www.aihw.gov.au/reports/indigenous-australians/tracking-progress-against-ipg-2013-2023
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This indicator reports on the rate of Indigenous-specific Medicare Benefits Schedule (MBS) health checks among Aboriginal and Torres Strait Islander children aged 0–4. The goal for this indicator is 69% by 2023.
All Aboriginal and Torres Strait Islander people are eligible for an annual Indigenous-specific health check, subsidised through Medicare. These checks can be received for free at Aboriginal Medical Services and bulk billing clinics. The Indigenous-specific health checks were introduced in recognition that Indigenous Australians, as a group, experience some particular health risks. The aim of the Indigenous-specific health checks is to encourage early detection and treatment of common conditions that cause ill health and early death—for example, diabetes and heart disease (AIHW 2021a).
The following Indigenous-specific health checks are listed on the MBS:
In response to the COVID-19 pandemic, temporary telehealth items for Indigenous-specific health checks have been made available from March 2020:
While many of the required components of an Indigenous-specific health check can be completed as a remote service via telehealth, some components can only be delivered through face-to-face consultation with the patient. This could include any necessary physical examinations such as a blood pressure check. For an Indigenous-specific health check undertaken by telehealth to be processed via Medicare, all components of the health check, including both remotely delivered and face-to-face, must be completed (Health 2020).
Administrative data are available on the number of health checks for which a claim has been processed by Services Australia.
Progress towards the goal is not on track.
In 2020–21, 25,666 health checks were provided for Indigenous children aged 0–4, corresponding to a rate of 26%. The rate of health checks among Indigenous children aged 0–4 varied by jurisdiction—ranging from 10% in Tasmania to 39% in the Northern Territory in 2020–21.
Indigenous Australians may access Indigenous-specific health checks at mainstream or Indigenous-specific primary health care services. These health checks are available through community clinics, Aboriginal Community Controlled Health Organisations (ACCHOs) and other health care facilities.
The Indigenous primary health care national Key Performance Indicators (nKPIs) data collection provides information on primary health care organisations that receive funding from the Department of Health to provide primary health care services mainly to Aboriginal and Torres Strait Islander people.
Data from the national Key Performance Indicator (nKPI) data collection can be used, together with MBS data, to estimate the proportion of health checks delivered by ACCHOs.
2020, among Indigenous Australians aged 0–4:
It is important to note that these proportions underestimate the true proportion as the nKPI data collection only captures regular clients who received a health check at ACCHOs. Additionally, not all health checks performed at ACCHOs are claimed through the MBS and have therefore not been captured in these estimates. Services provided by ACCHOs who did not provide information to the nKPI data collection were also not included.
The estimated proportion of health checks provided by ACCHOs is high when compared with workforce size. In 2019–20, there were around 540 full-time equivalent (FTE) GPs employed in ACCHOs (AIHW 2021b). This represented roughly 1.8% of the total FTE GP workforce (based on about 29,700 total GP FTEs, using data from the National Health Workforce Dataset for 2019) (Health 2021).
Sources: AIHW analysis of Indigenous primary health care nKPI data and Medicare Benefits Schedule data.
This figure shows the baseline data from 2006–07 to 2013–14, trajectory to the goal from 2014–15 to 2022–23. New data from 2014–15 to 2020–21 for the proportion of Indigenous Australians aged 0–4 who attended a MBS health check are also plotted. The rate was trending upwards up until 2017–18. The rate fell from 29.1% in 2018–19 to 25.8% 2020–21, which is likely to reflect changes in service use due to COVID-19.
The figure shows the rate of MBS health checks among Indigenous Australians aged 0–4, by jurisdiction and sex. The highest rates are in the Northern Territory (38.4% of males, 38.8% of females). The largest difference across sexes is in the Australian Capital Territory (17.5% of males and 12.2% of females).
The figure shows the proportion of Indigenous-specific health checks that took place, by type of service provider. The Northern Territory had the highest rate of services provided by Aboriginal Community Controlled Health Organisations (62.0%). New South Wales/the Australian Capital Territory had the lowest rate of services provided by Aboriginal Community Controlled Health Organisations (38.3%).
AIHW (Australian Institute of Health and Welfare) 2021a. Indigenous health checks and follow-ups. Cat. no. IHW 209. Canberra: AIHW. Viewed 31 August 2021.
AIHW 2021b. Aboriginal and Torres Strait Islander-specific primary health care: results from the OSR and nKPI collections. Cat. no. IHW 227. Canberra: AIHW. Viewed 31 August 2021.
Health (Department of Health) 2020. Coronavirus (COVID-19) – Telehealth items guide. Canberra: DoH. Viewed 15 October 2020.
Health 2021. Health Workforce Data. Viewed 14 July 2021.
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