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National Key Performance Indicators for Aboriginal and Torres Strait Islander Primary Health Care: Results to June 2018 

This is the first Tableau report using data from the national Key Performance Indicators (nKPIs) data collection. Information is presented for the reporting periods June 2017, December 2017 and June 2018 across 24 indicators, focusing on maternal and child health, preventative health, and chronic disease management. More than 270,000 Indigenous regular clients attended organisations that reported nKPI data in June 2018.

Aboriginal and Torres Strait Islander health organisations: Online Services Report — key results 2017–18 

This is the tenth national report on organisations funded by the Australian Government to provide health services to Aboriginal and Torres Strait Islander people. In 2017–18, nearly 200 organisations provided a range of primary health services to around 483,000 clients, 81% of whom were Indigenous. Around 3.6 million episodes of care were provided, nearly 3.1 million of these (85%) by Aboriginal Community Controlled Health Services.

Indigenous health checks and follow-ups 

Through Medicare (MBS item 715), Aboriginal and Torres Strait Islander people can receive Indigenous-specific health checks from their doctor, as well as referrals for Indigenous-specific follow-up services.

  • In 2017–18, 230,000 Indigenous Australians had one of these health checks (29%).
  • The proportion of Indigenous health check patients who had an Indigenous-specific follow-up service within 12 months of their check increased from 12% to 40% between 2010–11 and 2016–17.

Regional variation in uptake of Indigenous health checks and in preventable hospitalisations and deaths 

Focusing on Aboriginal and Torres Strait Islander people, this report shows how rates of potentially preventable hospitalisations, potentially avoidable deaths and Indigenous health checks vary geographically within each Australian state and territory and between Primary Health Networks. Linear regression is used to identify areas that have unexpectedly high or low rates of potentially preventable hospitalisations given their characteristics.

Improving Indigenous identification in mortality estimates 

Measuring progress on Aboriginal and Torres Strait Islander health and welfare outcomes relies on consistent, complete, and reliable identification of Indigenous Australians in key data collections. 

Incomplete and inconsistent reporting of Indigenous identification occurs through a combination of Indigenous misclassification by data providers at the point of data collection, and Indigenous people choosing not to identify as Indigenous in certain circumstances.

This report provides an overview of AIHW work on improving Indigenous identification, particularly in enhancing mortality estimation through statistical data linkage.

Acute Rheumatic Fever and Rheumatic Heart Disease in Australia 

This report presents data from the National Rheumatic Heart Disease Data Collection, collated from the rheumatic heart disease registers in Queensland, Western Australia, South Australia and the Northern Territory.

ARF and RHD are preventable diseases affecting disadvantaged populations. This report shows that ARF rates increase with remoteness, and that rates are highest in Aboriginal and/or Torres Strait Islander Australians, females and in young people aged 5–14.

Children living in households with members of the Stolen Generations 

This report presents analyses of selected outcomes for Aboriginal and Torres Strait Islander children who live in households with members of the Stolen Generations. It shows these children are more likely than comparable other Aboriginal and Torres Strait Islander children to experience a range of adverse outcomes. The report provides a new perspective on the intergenerational impact of the initial removal of Aboriginal and Torres Strait Islander children from their families that led to the Stolen Generations.

Injury of Aboriginal and Torres Strait Islander people due to transport, 2010–11 to 2014–15 

The age-standardised rate for Aboriginal and Torres Strait Islander people was 2.7 times the rate for non-Indigenous Australians for fatal cases and 1.3 times the rate for non-Indigenous Australians for serious injuries. Age-standardised rates of fatal and serious land transport injury increased with the remoteness of the person’s usual residence, regardless of Indigenous status. Fatal and serious injury rates for Aboriginal and Torres Strait Islander people did not change significantly. 

Aboriginal and Torres Strait Islander people: a focus report on housing and homelessness 

This report examines the profiles of Aboriginal and Torres Strait Islander people in both the housing and homelessness sectors over time, using multiple data sources and visualisation tools.

Historically, Indigenous Australians have been over-represented among clients seeking homelessness and social housing services. This report shows that the housing situation of Indigenous Australians has improved—with rises in home ownership and housing provided through the private rental market, and falling levels of homelessness.

Insights into vulnerabilities of Aboriginal and Torres Strait Islander people aged 50 and over—in brief 

This report shows that many Aboriginal and Torres Strait Islander people aged 50 and over have complex and varied needs. It brings together data from more than 20 sources to identify potential measures or factors which may be associated with vulnerability to abuse. The report covers demographic characteristics of this cohort, along with outcome and service use information related to aged care, health and functioning, social and emotional wellbeing, housing and homelessness, financial circumstances, alcohol and substance use, traumatic life events and safety.

Northern Territory Remote Aboriginal Investment: Oral Health Program July 2012 to December 2017 

This report presents information on oral health outreach services provided to Aboriginal and Torres Strait Islander children and young people in the Northern Territory. It shows that in 2017, 5,600 full-mouth fluoride varnish, 1,800 fissure sealant and 4,200 clinical services were provided. Improvements were seen in the oral health of younger children, with the proportion of tooth decay in children aged 1–3 decreasing by 30 percentage points over time.

Hospitalised injury among Aboriginal and Torres Strait Islander people 2011–12 to 2015–16 

Indigenous people were hospitalised as a result of an injury at an average of 23,000 cases per year over the 5-year period 2011–12 to 2015–16. Rates of injury were much higher overall among Indigenous Australians (3,596 per 100,000 population) compared to non-Indigenous Australians (1,874 per 100,000 population) and the rate of injury among Indigenous females was twice that of non-Indigenous females.

Aboriginal and Torres Strait Islander health organisations: alcohol and other drug treatment services 

Information on the majority of Australian Government-funded Aboriginal and Torres Strait Islander substance use services are available from the Online Services Report (OSR) data collection.

The most common substance-use issues reported by organisations providing substance-use services that reported to the OSR in 2016–17, in terms of staff time and organisational resources, were alcohol, cannabis and amphetamines.

In 2016–17, all of the 80 organisations reported alcohol as one of the most common substance-use issues and almost all (95%) reported cannabis.

Organisations reporting amphetamines as a common substance-use issue increased from 70% in 2014–15 to 79% in 2015–16, and slightly increased again to 80% in 2016–17.

Northern Territory Outreach Hearing Health Program: July 2012 to December 2017 

This report presents information on hearing health outreach services provided to Aboriginal and Torres Strait Islander children and young people in the Northern Territory. It shows that in 2017, 1,870 audiology, 876 ear, nose and throat teleotology and 876 Clinical Nurse Specialist services were provided. Among children and young people who received treatment, 55% had improved hearing loss and 65% had improved hearing impairment over subsequent visits.

Aboriginal and Torres Strait Islander adolescent and youth health and wellbeing 2018 

The Aboriginal and Torres Strait Islander adolescent and youth health and wellbeing 2018 report provides comprehensive data on the health and wellbeing of Indigenous people aged 10–24. Information on health and wellbeing outcomes, health determinants, risk factors, and health and welfare service use for Indigenous youth are included. Data are disaggregated by age group, sex, state and territory and remoteness areas, as well as trend information. The report also examines differences between young Indigenous and non-Indigenous people on key health and wellbeing measures. 

National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care: results for 2017 

This fifth national report on the national Key Performance Indicators (nKPIs) data collection is based on data from 231 primary health care organisations that receive funding from the Australian Government Department of Health to provide services primarily to Aboriginal and Torres Strait Islander people. Information is presented for December 2017, for 24 ‘process-of-care’ and ‘health outcome’ indicators, focusing on maternal and child health, preventative health, and chronic disease management. The report shows improvements for the majority of indicators between June and December 2017.

Aboriginal and Torres Strait Islander Stolen Generations aged 50 and over 

This report provides estimated numbers and demographic characteristics of the Stolen Generations survivors aged 50 and over in 2014–15. It presents data on a range of health and socioeconomic outcomes, and analysis of differences with an Aboriginal and Torres Strait Islander comparison group to examine the effects of removal from families. The findings will help to inform the needs for health, disability and housing services for the older Stolen Generations members.