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Evaluation of the Better Access to Psychiatrists, Psychologists and GPs through the Medicare Benefits Schedule initiative: component B: an analysis of Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS) administrative data

Chapter 5: Equity

Page last updated: August 2010

5.1 Overview

5.2 What is the distribution of mental health need at the individual level?

5.3 What is the relative distribution of mental health need across Divisions of General Practice?

5.4 What is the relative distribution of Better Access and allied health Better Access services used across Divisions of General Practice?

5.5 What are the rates of Better Access and allied health Better Access services according to key Division-level factors?

5.6 What is the relationship between mental health need and Better Access uptake, service use and benefits paid at the Division level?

5.7 Key findings

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  • Table of contents
  • Executive summary
  • Chapter 1: Background
  • Chapter 2: Method
    • 2.1 Evaluation questions
    • 2.2 Data sources
    • 2.3 Statistical methods
    • 2.4 Ethics approval
  • Chapter 3: Access
    • 3.1 Overview
    • 3.2 What has been the rate of uptake of Better Access services overall?
    • 3.3 What has been the rate of uptake of Better Access services by item group?
    • 3.4 What has been the rate of uptake of Better Access services by provider type?
    • 3.5 What has been the relative uptake of items within item groups?
    • 3.6 What are the socio-demographic characteristics of consumers who have received Better Access services?
    • 3.7 Have there been changes over time in the socio-demographic profile of consumers who have received Better Access services?
    • 3.8 To what extent is Better Access providing services to 'new' consumers?
    • 3.9 Key findings
  • Chapter 4: Affordability
    • 4.1 Overview
    • 4.2 What has been the rate of services provided and costs of Better Access services overall?
    • 4.3 Do rates of co-payment for Better Access services vary across population subgroups?
      • Figures: Rates of co-payment and average co-payments according to socio-demographic characteristics
      • Tables: All MBS-subsidised Better Access services received
      • Tables: MBS-subsidised GP Mental Health Treatment Better Access services received
      • Tables: MBS-subsidised Consultant Psychiatry Better Access services received
      • Tables: MBS-subsidised Psychological Therapy Services Better Access services received
      • Tables: MBS-subsidised Focussed Psychological Strategies Better Access services received
      • Tables: MBS-subsidised General Psychologist Better Access services received
      • Tables: MBS-subsidised Occupational Therapist Better Access services received
      • Tables: MBS-subsidised Social Worker Better Access services received
    • 4.4 Summary of findings
  • Chapter 5: Equity
    • 5.1 Overview
    • 5.2 What is the distribution of mental health need at the individual level?
    • 5.3 What is the relative distribution of mental health need across Divisions of General Practice?
    • 5.4 What is the relative distribution of Better Access and allied health Better Access services used across Divisions of General Practice?
    • 5.5 What are the rates of Better Access and allied health Better Access services according to key Division-level factors?
    • 5.6 What is the relationship between mental health need and Better Access uptake, service use and benefits paid at the Division level?
    • 5.7 Key findings
  • Chapter 6: Protocol-based care
    • 6.1 Overview
    • 6.2 Patterns of care following a GP Mental Health Treatment Plan
    • 6.3 Volumes of services delivered by allied health professionals
    • 6.4 Summary of findings
  • Chapter 7: Interdisciplinary care
    • 7.1 Overview
    • 7.2 What is the distribution of uptake and service use across different combinations of MBS Better Access items?
    • 7.3 Do patterns of interdisciplinary care vary according to socio-demographic characteristics?
    • 7.4 Summary of findings
  • Chapter 8: Impact on prescribing
    • 8.1 Overview
    • 8.2 Has there been a change in demand for antidepressant and anxiolytic medications since the introduction of Better Access?
    • 8.3 Has there been a change in demand for antidepressant and anxiolytic medications since the introduction of Better Access among people eligible to receive medications at a concession price?
    • 8.4 What is the relationship between Better Access uptake and demand for antidepressant and anxiolytic medications at a Divisional level?
    • 8.5 Summary of findings
  • Chapter 9: Impact on related programs
    • 9.1 Overview
    • 9.2 Has there been a reduction in demand for non-Better Access health MBS services since the introduction of Better Access?
    • 9.3 Do patterns of demand for non-Better Access mental health MBS services differ between metropolitan and rural or remote regions?
    • 9.4 What is the relationship between Better Access uptake and demand for non-Better Access mental health MBS services at a divisional level?
    • 9.5 Does the relationship between Better Access uptake and demand for non-Better Access mental health MBS services at a divisional level differ between metropolitan and rural or remote regions?
    • 9.6 Has there been a reduction in demand for ATAPS psychological services since the introduction of Better Access?
    • 9.7 Do patterns of demand for ATAPS psychological services differ between metropolitan and rural or remote regions?
    • 9.8 What is the relationship between Better Access uptake and demand for ATAPS psychological services at a divisional level?
    • 9.9 Does the relationship between Better Access uptake and demand for ATAPS psychological service at a divisional level differ between metropolitan and rural or remote regions?
    • 9.10 Summary of findings
  • Chapter 10: Discussion
  • References
  • Appendix 1. Glossary
  • Appendix 2. List of abbreviations

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