Quality Indicator Repository

The number of people with an acute onset health condition who access inpatient multi-disciplinary intensive rehabilitation in a dedicated rehabilitation ward (whether in a hospital or a rehabilitation centre). The client is under the care of a lead physician and at least two other rehabilitation occupational groups. Admission to the rehabilitation ward should follow a discharge from an acute care ward. The choice of the health conditions for reporting needs to be based on national health condition prevalence and health care priorities. The health condition (group) with acute and complex rehabilitation needs may include spinal cord injury, traumatic brain injury, burns, major multiple trauma, amputation, stroke, acute inflammatory demyelinating polyneuropathy.

The indicator shows the share of outpatient visits in basic health care per all registered reasons for visits classified in the International Statistical Classification of Diseases, Version 10 (ICD-10), when the reason for the outpatient visit is an accident. Reason for visit S00 - T98 Injury, poisoning and certain other consequences of external causes.

The country has implemented a Health in All Policies (HiAP) approach that includes key elements (see technical specifications)

How old are you? (1=44 years old or younger; 2=45-49 years old; 3=50-54 years old; 4=55-59 years old; 5=60-64 years old; 6=65-69 years old; 7=70-74 years old; 8=75-79 years old; 9=80-84 years old; 10=85 years or older; 97=Prefer not to say

Rehabilitation personnel usually include rehabilitation doctors, rehabilitation nurses, physiotherapists, occupational therapists, speech language therapists, prosthetists and orthotists, and psychologists (see core indicator 2). Other rehabilitation professions relevant to the country can also be included, for example audiologists and mid-level rehabilitation cadres. Distribution of the workforce is measured by disaggregating density by geographic area, across, for instance, provinces, districts or rural and urban settings.

The proportion of people in a defined population group in need of assistive products who actually have the assistive product. The population group that needs an assistive product is defined operationally through the available mechanisms – either a population survey or clinically by practitioners.

Government expenditure and compulsory insurance schemes (as defined through the System of Health Accounts) for assistive products that are provided to clients in the country per capita. It may include other government agencies' expenditure, such as that of ministries of social affairs. Preferably this is only expenditure on the product itself, not the associated professional service fees when part of a service package. A per capita measure allows for better interpretation of expenditure and comparability across countries.

Government expenditure and compulsory insurance schemes (as defined through the system of health accounts, 2011) for assistive products per capita. This includes government expenditure from the ministry of health and in some cases from the ministry of social affairs. Preferably this is only expenditure on the product itself, not the associated professional service fees when part of a service package.

The proportion of facilities with a mandate to provide assistive products that have a minimum of assistive products available (from national standards, and irrespective of the source of funding). It is not expected that all health facilities provide all assistive products so this indicator should be determined based on the objectives of the assistive product programme in the country. Facility prescription and referral to a separate facility for assistive product provision is not included in this indicator.

Percentage of health facilities in the country that provide assistive products.

Percentage of the per capita gross domestic product (GDP) or income required to purchase a wheelchair (average price).

Percentage of facilities that have basic WASH amenities

The number of full time equivalent GPs per 100,000 people, by region.

The number of full time equivalent GPs per 100,000 population, by sex.

Provision of interpreter or translators for non-English–speaking or deaf patients.

The ABS census population divided by the number of approved suppliers of PBS medicines, by metropolitan/rural and remote location under the Modified Monash Model (MMM) classification.

The number of full time equivalent public dentists per 100,000 people based on clinical hours worked in the public sector, by region.

Percentage of persons with disabilities not having access to medical rehabilitation services due to transportation barriers, physical/geographical access barriers, waiting time, lack of information; lack of time; inadequate skills of service provider; cost or other (inferred).

Percentage of facilities at primary health care (PHC) level offering a basic package for rehabilitation. The health workers have received training on the package of essential rehabilitation services and protocols, which comes with a national certification. This basic package could include the WHO Basic Rehabilitation Package or a package selected from national guidance (e.g. a basic package of health care for PHC that includes rehabilitation). Services may be provided by rehabilitation workforce or non-rehabilitation workforce through task sharing.

Number of home bed equivalent (total amount of days of assistance in the calendar year, divided by the number of days in the year).

Mental health beds in general hospitals per 100,000 population.