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Eye Health Data Tables 2020 1
Eye Health Data Tables 2020 1
Table of contents
Access to care
Table 2.1: Full-time equivalent (FTE) number and rate of eye-care providers, by remoteness area, 2019
Table 2.2: Eyecare telehealth consultations in areas outside a major city, 2015–16 to 2018–19
Hospitalisations
Table 2.4: Rate of eye related hospitalisations by primary diagnosis and hospital sector, 2017–18
Table 2.5: Rate of hospitalisations with eye related primary cause per 100,000 persons by age, remoteness and
Table 2.6: Eye and ocular adnexa related hospitalisations by type of diagnosis, 2017–18
Data Sources
Abbreviations
7–08 to 2017–18
07–08 to 2017–18
ove, from 2007–08 to 2017–18
007–08 to 2017–18
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
**Age-standardised to the 2001 Australian standard population. Age groups: 0–14, 15-24, 25–34, 35–44, 45–54,
55–64, 65–74, 75–84, 85+.
Note:
1. Includes hyperopia, myopia, astigmatism, presbyopia, other disorders of ocular muscles, cataract, macular
degeneration, other disorders of the choroid and retina, glaucoma, partial and complete blindness in one or both
eyes, other visual disturbances or loss of vision, other diseases of eye and ocular adnexa, where condition status
is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever told, but condition current and
long-term).
Persons
95%CI*
11.0–13.2
32.2–38.2
37.6–42.8
44.5–48.5
81.1–85.1
91.2–93.4
91.6–94.8
92.0–92.0
87.5–92.9
53.9–55.3
43–44.1
n which we can be
oing so.
Note:
1. Includes hyperopia, myopia, astigmatism, presbyopia, other disorders of ocular muscles, cataract, macular degeneration,
disorders of the choroid and retina, glaucoma, partial and complete blindness in one or both eyes, other visual disturbances o
of vision, other diseases of eye and ocular adnexa, where condition status is 1 (ever told has condition, still current and long-t
or 4 (not known or not ever told, but condition current and long-term).
2017–18
Per cent 95% CI*
24.3 23.1–25.5
64.7 63.6–65.8
92.6 91.8–93.4
51.2 50.5–52.0
ich we can be 'confident' that the true
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Refractive error includes hyperopia (long-sightedness), myopia (short-sightedness), astigmatism and
presbyopia, where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known
or not ever told, but condition current and long-term).
2. Age-standardised to the 2001 Australian standard population. Age groups: 0–14, 15-24, 25–34, 35–44,
45–54, 55–64, 65–74, 75–84, 85+.
Table 1.4: Prevalence of self-reported cataract in adults 65 years and above, 2007–
08 to 2017–18
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not
ever told, but condition current and long-term).
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever
told, but condition current and long-term).
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever
told, but condition current and long-term).
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Total or partial blindness in one or both eyes
2. Non-age-standardized crude rates reported may be subject to a higher degree of error as the condition is
rare. Care advised in interpretation of results.
3. Where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever
told, but condition current and long-term).
Notes:
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be
'confident' that the true value lies, usually because it has a 95% or higher chance of doing so.
Notes:
1. Refractive error includes hyperopia (long-sightedness), myopia (short-sightedness), and astigmatism
where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever
told, but condition current and long-term).
*CI = confidence interval, a statistical term describing a range (interval) of values within which we can be 'confident' that
the true value lies, usually because it has a 95% or higher chance of doing so.
**Age-standardised to the 2001 Australian population. Age groups: 0–14, 15–24, 25–34, 35–44, 45–54, 55+.
(a) Ratio of the age-standardised Indigenous rate to the age-standardised non-Indigenous Australians rate.
Notes:
1. Includes cataract; glaucoma; disorders of the choroid and retina; disorders of the ocular muscles, binocular
movement, accommodation and refraction; visual disturbances and blindness; and other diseases of the eye and
adnexa, where condition status is 1 (ever told has condition, still current and long-term) or 4 (not known or not ever told,
but condition current and long-term). .
Source: ABS National Aboriginal And Torres Strait Islander Health Survey, 2018–19
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y Indigenous
Persons
95%CI*
36.2–39.4
47.8–51.0
51.4–53.0
uscles, binocular
eases of the eye and
(not known or not ever told,
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Table 2.1: Full-time equivalent (FTE) number and rate of eye-care providers,
by remoteness area, 2019
Optometrists
Ophthalmologists
1. There were insufficient numbers of ophthalmologists to calculate rates in remote and very remote areas.
2. Data are based on optometrists and ophthalmologists employed in Australia and working in their registered profession.
3. FTE per 100,000 population is based on a 38-hour work week for optometrists and 40-hour work week for
ophthalmologists. Population by remoteness area is derived from the total Estimated Resident Population for 2019 from the
ABS, catalogue number 3218.0 Regional Population Growth, Australia, Table 1 Estimated Residential Population,
Remoteness Areas, Australia, released March 2020.
Total
5324
4845.2
19.1
964
1007.1
4.0
ote areas.
ir registered profession.
rk week for
pulation for 2019 from the
ntial Population,
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Number of services
2015–16 400 24
2016–17 604 13
2017–18 591 18
2018–19 530 19
Notes:
1. Medicare Benefits Schedule (Category 1).
10945 or 10946 A professional attendance by an attending optometrist
that requires the provision of clinical support to a patient who:
(a) is participating in a video conferencing consultation with a specialist
practising in his or her speciality of ophthalmology; and
(b) is not an admitted patient; and (c) either:
(i) is located within a telehealth eligible area and, at the time of the
attendance, is at least 15 kilometres by road from the specialist mentioned
in paragraph (a); or
(ii) is a patient of an Aboriginal Medical Service, or an Aboriginal Community
Controlled Health Service, for which a direction under subsection 19(2) of
the Act applies.
This item number was introduced in September 2015.
2. Financial Year ended June 30, based on date of service (date when
service is provided). Analysis includes all claims processed up to 31 August
2020. Records with age at service recorded as 115 years or over were
excluded from analysis.
5. MBS claims data do not include services that were provided free of
charge to public patients in hospitals, or were subsidised by the Department
of Veterans’ Affairs, compensation arrangements or through other publicly
funded programs including jurisdictional salaried GP services provided in
remote outreach clinics. As a result, MBS claims data may underestimate
the rate of use of health services in some areas and by some members of
the community.
Medicare Service
Notes:
3. Number of services per 100,000 persons by remoteness area and state is derived calculated by dividing number of service
Estimated Resident Population for financial years based on ABS catalogue 3218.0 Regional Population Growth, Australia, Ta
Remoteness Areas, Australia, released March each year. ERP used are based on June quarter population. However, there a
not eligible for Medicare therefore this number is an estimate.
4. MBS claims data do not include services that were provided free of charge to public patients in hospitals, or were subsidis
Affairs, compensation arrangements or through other publicly funded programs including jurisdictional salaried GP services p
result, MBS claims data may underestimate the rate of use of health services in some areas and by some members of the co
Source: Department of Health Medicare Benefits Schedule (MBS) Claims Data 2014–15 to 2018–19
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Medicare Service
Number of services
134,001 - 276,580
138,907 - 318,233
140,775 358 359,249
148,593 3,776 397,552
152,724 5,484 434,405
3,770 - 7,782
3,783 - 8,666
3,714 9 9,477
3,797 96 10,160
3,781 136 10,754
the first in a course of attention involving the examination of the eyes, with the instillation of
assessment.
nvolving one or more of spectacle correction, determination of contrast sensitivity,
patient who has best corrected visual acuity of 6/15 or N.12 or worse in the better eye, or
nd below the horizontal midline.
regime for, a significant binocular or accommodative dysfunction, including assessment of
erves and/or cycloplegic refraction, in a patient aged 3 to 14 years, not to be used for the
ted in the same operation) excluding surgery performed for the correction of refractive error
ataract in the first eye (Anaes.)
y performed for the correction of refractive error except for anisometropia greater than 3
y performed for the correction of refractive error except for anisometropia greater than 3
ociation with insertion of a trans-trabecular drainage device or devices, in a patient
topical anti-glaucoma medications or who is intolerant of anti-glaucoma medication.
is derived calculated by dividing number of services by the number of from the total
e 3218.0 Regional Population Growth, Australia, Table 1 Estimated Residential Population,
ased on June quarter population. However, there are people in the population ERP who are
Males Females
Notes:
1. Hospitalisations for which care type was reported as Newborn (without qualified days), and records for Hospital boarders
excluded.
2. Refers to hospital admissions where injuries, cancers or disorders of the eye or adnexa was the principal diagnosis. Injuri
edition [1].
3. Total persons may not always equate to the sum of male and female cases.
Reference:
1. ACCD (Australian Consortium for Classification Development) 2016. The International Statistical Classification of Diseas
Australian Modification (ICD-10-AM) – Tenth Edition - Tabular list of diseases and Alphabetic index of diseases. Adelaide: Ind
Publishing.
and primary diagnosis type, 2017–18
Females Persons
Per cent
Total
Per cent Number Per cent Hospitalisations
d records for Hospital boarders and Posthumous organ procurement have been
ICD-10 Codes
S001, S002, S011, S05, S023, S040, S041, S042, S043, S044, T90.4
T15
T26
C431, C441
C69, C723
E103, E113
H25, H26
H35
H34
H04
H43, H44
H52
H16, H17, H18
H53, H54
H46, H47
H27
H59
H05
H57
H06, H19, H22, H28, H32, H42, H45, H48, H58
H20
H21
H15
Table 2.5: Rate of eye related hospitalisations by primary diagnosis and hospital sector
Notes:
1. Hospitalisations for which care type was reported as Newborn (without qualified days), and records for Hospital boarders
organ procurement have been excluded.
2. Refers to hospital admissions where injuries, cancers or disorders of the eye or adnexa was the principal diagnosis. Injur
according to ICD–10–AM, 10th edition [1].
3. Private Hospitals includes private hospitals and private day hospital facilities.
1. ACCD (Australian Consortium for Classification Development) 2016. The International Statistical Classification of Diseas
Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) – Tenth Edition - Tabular list of diseases and Alphabe
diseases. Adelaide: Independent Hospital Pricing Authority, Lane Publishing.
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Total
Number Per cent ICD-10 Codes
259,920 57.6 H25, H26
79,039 17.5 H35
23,340 5.2 H00, H01, H02, H03
9,934 2.2 S001, S002, S011, S05, S023, S040, S041, S042, S043, S044, T90.4, T15, T26
9,918 2.2 H10, H11, H12, H13
9,197 2.0 H40, H41
8,518 1.9 C431, C441
7,140 1.6 H33
6,118 1.4 H30, H31
4,880 1.1 H49, H50, H51, H55
4,547 1.0 H34
3,941 0.9 H04
3,871 0.9 H43, H44
3,225 0.7 H52
4,589 1.0 H16, H17, H18
2,704 0.6 E103, E113
2,450 0.5 H53, H54
1,362 0.3 H46, H47
1,095 0.2 H27
1,064 0.2 H59
934 0.2 C69, C723
891 0.2 H05
856 0.2 H57
740 0.2 H06, H19, H22, H28, H32, H42, H45, H48, H58
462 0.1 H20
176 0.0 H21
158 0.0 H15
451,069 100
*Age-standardised to the 2001 Australian standard population. Age groups: 0–4, 5–9, 10–14, 15–19, 20–24, 25–29, 30–34, 3
55–59, 60–64, 65–69, 70–74, 75–79, 80–84, 85+
Notes:
1. Hospitalisations for which care type was reported as Newborn (without qualified days), and records for Hospital boarders
procurement have been excluded.
2. Refers to hospital admissions where injuries, cancers or disorders of the eye or adnexa was the principal diagnosis. Injur
to ICD–10–AM, 10th edition [1], using codes S05, S023, S011, S001, S002 and T90.4 for injuries of eye, eyelid or orbit exclu
external foreign body; code T26 for burn of eye or adnexa; codes S040, S041, S042, S043, S044 for optic or oculomotor ner
classified according to ICD–10–AM, 10th edition [1], using codes C69 and C72.3 for cancers of eye and optic nerve, and cod
cancers of eyelid. Disorders were classified according to ICD–10–AM, 10th edition [1], using codes H00-H06 for disorders o
and orbit; H10-H13 for disorders of the conjunctiva; H15-H22 for disorders of the sclera, cornea, iris and ciliary body; H25-H2
including cataract; H30-H36 for disorders of the choroid and retina; H40-H42 for glaucoma; H43-H45 for disorders of the vitre
H48 for disorders of the optic nerve and visual pathway (excluding glaucoma); H49-H52 or disorders of the ocular muscles, b
accommodation and refraction; H53-H54 for visual disturbances and blindness; H55-H59 for other disorders of the eye and a
classified.
3. Remoteness is classified according to the ABS derived ASGS-RA(Australian Statistical Geography Standard-Remotenes
classification. 'Major cities' consists of hospitals with a derived ASGS-RA classification of 0, while 'Regional/Remote' consists
ASGS-RA classification of 1–4.
4. Socioeconomic areas are classified according to using the Index of Relative Socio-Economic Disadvantage (IRSD) base
Reference:
1. ACCD (Australian Consortium for Classification Development) 2016. The International Statistical Classification of Diseas
Problems, Tenth Revision, Australian Modification (ICD-10-AM) – Tenth Edition - Tabular list of diseases and Alphabetic inde
Independent Hospital Pricing Authority, Lane Publishing.
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Socioeconomic Area
5–9, 10–14, 15–19, 20–24, 25–29, 30–34, 35–39, 40–44, 45–49, 50–54,
The cross-sectional nature of the survey and exclusions should also be taken into account.
Also, some questions were asked of people aged 15 and over, others of adults aged 18 years and over. For exam
1. self-assessed health status was obtained for persons aged 15 and over
2. psychological distress and bodily pain were obtained for persons aged 18 and over.
Further information can be found in National Health Survey: First results, 2017–18 (ABS cat. no. 4364.0.55.001).
National Aboriginal and Torres Strait Islander Health Survey (NATSIHS), 2018–19
The Australian Bureau of Statistics (ABS) 2018–19 National Aboriginal and Torres Strait Islander Health Survey
actions taken, and lifestyle factors which may influence health. The survey also collected data on language, cultu
people in both non-remote and remote areas.
When interpreting data from the 2018–19 NATSIHS, some limitations need to be considered:
i) Much of the data is self-reported and therefore relies heavily on respondents knowing and providing accurate
ii) The scope of the survey was limited to Aboriginal and Torres Strait Islander people living in private dwellings w
Further information can be found in Explanatory Notes: National Aboriginal and Torres Strait Islander Survey, 20
i) MBS data reflect MBS claims and not necessarily all the services that are received. A person may b
provided by jurisdiction-funded primary health care or by public hospitals.
ii) The data are based on the date of processing of claims, not necessarily the date of service.
iii) While the data have been used to measure the level of specific activities, changes in the use of an
iv) Data presented by state and territory and by remoteness area are based on the address informati
Remoteness Area) classification .
v) Equivalent or similar care may also be billed as a different MBS item (such as a standard consultati
Further information about the MBS can be found at MBS online.
Further information about the NHMD can be found in the Data quality statement: National Hospital Morbidity D
National Health Survey (NHS) was conducted by the Australian Bureau of Statistics (ABS) to obtain national information on the health
pondent had 1 or more long-term health conditions; that is, conditions that lasted, or were expected to last, 6 months or more. These
me limitations need to be considered:
d therefore relies heavily on respondents knowing and providing accurate information.
does not include information from people living in nursing homes or otherwise institutionalised.
discrete Aboriginal and Torres Strait Islander communities were excluded from the survey. This is unlikely to affect national estimates,
of Medicare services that are subsidised by the Australian Government. It is part of the Medicare program, managed by the Departmen
ors to Australia are entitled to benefits for medical and hospital services, based on fees determined for each service provided. These s
tions need to be considered:
t necessarily all the services that are received. A person may be provided with equivalent care from a health-care provider who is not
mary health care or by public hospitals.
rocessing of claims, not necessarily the date of service.
measure the level of specific activities, changes in the use of an MBS item over time can reflect changes in billing and claiming practices
y and by remoteness area are based on the address information recorded in the patient’s Medicare record. Data presented by remote
al information on the health status of Australians, their use of health services and facilities, and health-related aspects of their lifestyle
st, 6 months or more. These data are used in this report to estimate the prevalence of eye problems.
ain national information about the health of Aboriginal and Torres Strait Islander people. Topics included measures of health status, h
atus, income and discrimination. The survey included Aboriginal and Torres Strait Islander people from all states and territories and inc
, managed by the Department of Health and administered by the Services Australia. Through the Medicare program, all Australian citiz
ch service provided. These services are itemised, forming the schedule of fees. Statistics on each item are collected when benefits are
lth-care provider who is not eligible to bill Medicare. Additionally, MBS data do not generally capture equivalent services
billing and claiming practices or the introduction of new items, and not necessarily changes in the health care provided.
d. Data presented by remoteness area was classified according to the ASGS-RA (Australian Standard Geographical Standard-
in Australian hospitals. Reporting to the NHMD occurs at the end of a person’s admitted episode of care (separation or hospitalisation
records information on admitted patient care (hospitalisations) in essentially all hospitals in Australia, and includes demographic,
jury and poisoning.
settings may be admitted subsequently, with the care provided to them as admitted patients being included in the NHMD. The followin
der).
ed aspects of their lifestyle. The
lent services
e provided.
phical Standard-
paration or hospitalisation) and
ncludes demographic,
Abbreviations
ABS Australian Bureau of Statistics
AIHW Australian Institute of Health and Welfare
NHMD National Hospital Morbidity Database
NHS National Health Survey