Are socio-economically disadvantaged Australians making more or less use of the Enhanced Primary Care Medicare Benefit Schedule item numbers?

Abstract

We aimed to examine the relationship between levels of socio-economic disadvantage (measured by the Socio EconomicIndexes for Areas [SEIFA] used by the Australian Bureau of Statistics) and uptake of the Enhanced Primary Care(EPC) item numbers on the Medicare Benefits Schedule. Health services are often less likely to reach those that mostneed them and so it is important to monitor whether disadvantaged communities are accessing EPC. The rates ofhealth assessments, care plans and case conferences are similar in each SEIFA quartile (from advantaged todisadvantaged populations), favouring the more disadvantaged quartiles in some cases. These national trends are notobserved in each state and territory. For all EPC services combined, the lowest number of doctors that provide EPCservices are found in the 2 most disadvantaged quartiles, yet more EPC services are provided in these quartiles, due tothe higher mean and median number of services provided by general practitioners in these quartiles. Overall,populations living in the most disadvantaged quartiles have similar or higher levels of EPC uptake, apparently due,at least in part, to greater than average use of EPC services by general practitioners in these areas.