Percentage of Patients With Out-Of-Pocket Costs for Diagnostic Imaging Services
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with out-of-pocket costs for diagnostic imaging services. A claim is classified as a diagnostic imaging service if the item is in the Broad Type of Service group: Diagnostic Imaging (G/600) and the service is not conducted in a hospital to an admitted patient. Diagnostic imaging services are Medicare-subsidised diagnostic imaging procedures such as x-rays, computerised tomography scans, ultrasound scans, magnetic resonance imaging scans and nuclear medicine scans.
Numerator
Number of patients whose annual out-of-pocket cost (fee charged minus benefit paid) for all eligible claims for the relevant service type processed between 1 July 2016 and 30 June 2017 was greater than zero.
Denominator
Number of patients who had at least one eligible claim for the relevant service type processed between 1 July 2016 and 30 June 2017.
Exclusions
Patients were excluded if the sum of eligible services in the year was less than one, or if their annual out-of-pocket expenditure on those eligible services was less than zero.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By Primary Health Network (PHN) and Statistical Areas Level 3 (SA3s).
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Medicare Benefits Schedule (MBS)