Specialist attendances

One in 3 people had a non-hospital Medicare-subsidised specialist attendance

Around 1 in 3 Australians (32%, or 8.2 million people) had a non-hospital Medicare-subsidised specialist attendance in 2022–23, with over 25 million specialist attendances provided (Table 5). This represents a relative increase in the proportion of people who had a specialist attendance of 1.5% from 2018–19.

Table 5: Use of Medicare-subsidised specialist attendances, 2018–19 to 2022–23

Measure

2018–19

2022–23

Percentage of people(a) who had a specialist attendance

31%

32%

Number of specialist attendances per 100 people(a)

95 per 100 people

98 per 100 people

Total Medicare benefits paid for specialist attendances per 100 people(a)(b)

$8,284 per 100 people

$8,968 per 100 people

Notes:

  1. The numerator is the number of people who had a specialist attendance and the denominator is the ABS ERP.
  2. Expenditure results are not adjusted for inflation.

Sources: AIHW analysis of Department of Health and Aged Care, MBS claims data; ABS ERP.

Medicare-subsidised specialist attendances outside of hospital continue to vary depending on where people live

Although the proportion of Medicare-subsidised specialist attendances appears similar for regional and metropolitan Primary Health Networks (PHN) overall (31% and 32%, respectively) there was a considerable range of variation from 14% in Northern Territory PHN to 41% in Northern Sydney PHN (Figure 7).

Figure 7: Percentage of people who had a Medicare-subsidised specialist attendance, by PHN area, 2022–23

Figure 7 shows that the PHN with the highest proportion was Northern Sydney (41%) and the PHN with the lowest proportion was Northern Territory (14%).

Chart: AIHW. Sources: AIHW analysis of Department of Health and Aged Care, MBS claims data; ABS ERP