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A Comparison of an Australian First Nations Primary Healthcare Data Specification with Potentially Preventable
Boyd Potts1, Christopher M Doran1, Stephen J Begg2
1Cluster for Resilience and Wellbeing, Appleton and Manna Institutes, Central Queensland University, Brisbane, QLD 4701, Australia.
International Journal of Environmental Research and Public Health
|September 28, 2024
Summary
A new First Nations primary healthcare (FNPHC) data specification shows higher hospitalisation rates than Potentially Preventable Hospitalisations (PPH). This measure offers value for First Nations primary care providers and aligns with data sovereignty principles.
Area of Science:
- Public Health and Epidemiology
- Indigenous Health Research
- Health Services Research
Background:
- Potentially Preventable Hospitalisations (PPH) is a key indicator for non-hospital care effectiveness, using International Classification of Diseases (ICD) codes.
- The National Guide to a Preventative Health Assessment for First Nations People identifies health conditions not typically included in PPH.
- There is a need for health measures that align with First Nations primary healthcare priorities and data sovereignty.
Purpose of the Study:
- To evaluate the value of a summative hospitalisation measure aligned with the National Guide for First Nations primary health information.
- To develop and present a prototype ICD-10 data specification for First Nations primary healthcare (FNPHC) hospitalisations.
- To compare age-standardised hospitalisation rates between FNPHC and PPH measures.
Main Methods:
- Developed a prototype ICD-10 data specification for First Nations primary healthcare (FNPHC) hospitalisations.
- Examined age-standardised hospitalisation rates from 2016-17 to 2019-20 for both FNPHC and PPH classifications.
- Assessed correlations and differences between FNPHC and PPH rates across jurisdictions.
Main Results:
- FNPHC hospitalisation rates were 1.5-2.5 times higher for principal diagnoses and 6-12 times higher for additional diagnoses compared to PPH.
- A strong positive correlation was observed between FNPHC and PPH rates across all observations.
- Jurisdictions with higher PPH rates also exhibited higher rates under the custom FNPHC specification.
Conclusions:
- The developed FNPHC data specification demonstrates value as a summary measure for First Nations primary care providers.
- The findings support the integration of First Nations data sovereignty and governance principles into primary health measures.
- Further research is required to validate the cultural appropriateness and broader applicability of the FNPHC data specification.
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