Aboriginal and Torres Strait Islander people can receive an annual health check, designed specifically for Indigenous Australians and funded through Medicare (Department of Health 2021). This Indigenous‑specific health check was introduced in recognition that Indigenous Australians, as a group, experience some particular health risks.
The aim of the Indigenous‑specific health check is to encourage early detection and treatment of common conditions that cause ill health and early death – for example, diabetes and heart disease.
During the health check, a doctor – or a multidisciplinary team led by a doctor – will assess a person’s physical, psychological and social wellbeing (Department of Health 2021). The doctor can then provide the person with information, advice, and care to maintain and improve their health.
The doctor may also refer the person to other health care professionals for follow‑up care, as needed – for example, physiotherapists, podiatrists or dietitians.
As part of the Australian Government’s COVID‑19 response, temporary telehealth items were introduced in March 2020 to help reduce the risk of community transmission of COVID‑19 and provide protection for patients and health care providers (Department of Health 2020).
This report presents information on the use of:
- health checks provided under the Indigenous‑specific Medicare Benefits Schedule (MBS) items 715, 228, 93470 and 93479; and
- follow‑up services provided under Indigenous‑specific MBS items 10987, 81300–81360, 93546–93558, 93571–93573 and 93579–93591;
as well as telehealth:
- health checks provided under the Indigenous‑specific Medicare Benefits Schedule (MBS) items 92004, 92016, 92011 and 92023; and
- follow‑up services provided under Indigenous‑specific MBS items 93200, 93202, 93048, 93061, 93592 and 93593.
The data include all Indigenous‑specific health checks and follow‑ups billed to Medicare by Aboriginal Community Controlled Health services or other Indigenous health services, as well as by mainstream GPs and other health professionals.
Note that the data are limited to Indigenous‑specific MBS items, and do not provide a complete picture of health checks and follow‑ups provided to Indigenous Australians. For example, Indigenous Australians may receive similar care through other MBS items (that is, items that are not specific to Indigenous Australians), or through a health care provider who is not eligible to bill Medicare (see also Data sources and notes). These have not been included in this report.
Throughout the report, ‘Indigenous‑specific health checks’ is used interchangeably with ‘health checks’ to assist readability. Similarly, ‘Indigenous‑specific follow‑up services’ is used interchangeably with ‘follow‑ups’.
This report differs from the previous edition, due to: new 2020–21 data; the introduction of new MBS items for Indigenous‑specific health checks delivered in Residential Aged Care Facilities (RACF); new Greater Capital City Statistical Areas (GCCSA) level analysis; and refinement of the analysis of time between consecutive health checks (see Data sources and notes).