Could You Tell Us Why Cost Stopped You From Seeing a GP or Nurse?

Identifying Attributes

Care Settings
Primary Care
Country
New Zealand
Publishing Organisation
Health Quality & Safety Commission: Atlas of Healthcare Variation
Type of Quality Indicator
Outcome
IOM Quality Dimension
Equity
Domain
Consumer Experience

Defining Attributes

Definition

This measure provides detail on the reasons why cost stopped patients from seeing a GP or nurse. The response options were: (1) The appointment was too expensive, (2) The cost to travel was too expensive, (3) I couldn't afford to take time off work, (4) Other - free text. Respondents could give multiple responses.

Numerator

Number of responses for each option; The appointment was too expensive, The cost to travel was too expensive, I couldn't afford to take time off work and Other.

Denominator

Total number of responses (people who answered yes to the question 'In the last 12 months was there a time when you did not visit a GP or nurse because of cost?').

Exclusions
Use of Risk Adjustment
Yes
Risk Adjustments

Age-standardisation of the weighted scores [uses the population structure who attended primary care in each DHB and compares this with the sample structure (i.e., those who responded to the survey). This creates a co-efficient that is applied to the results of the survey].

Stratifications

By year: 2018, 2019 Ethnicity: Māori, Pacific peoples, Asian, Other Age: 15–24, 25–44, 45–64, 65–74, 75 and over Gender: F, M

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

National primary care patient experience survey

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025