Trends in uptake of non–Better Access mental health MBS items for metropolitan and rural or remote regions were examined separately. Because Divisions may encompass areas with varying levels of urbanicity or remoteness, areas classified as Metro or Metro/Rural were deemed metropolitan, using the classification developed by the Primary Health Care Research and Information Service25 (see section 2.2.3 for further information). All other Divisions were deemed rural or remote.

Figure 9.3 and figure 9.4 show the rates of uptake of Better Access and non–Better Access MBS items from the December 2004 quarter (i.e. 2 years prior to the commencement of Better Access) to the March 2009 quarter for metropolitan Divisions, for persons and services, respectively.

The rate of persons using non–Better Access services in metropolitan Divisions ranged from 9.3 per 1,000 total population in the December 2004 quarter to 7.9 per 1,000 in the March 2009 quarter. The rate of non–Better Access services used ranged from 29.1 per 1,000 total population in the December 2004 quarter to 22.9 per 1,000 in the March 2009 quarter.

Analyses were undertaken to examine whether the patterns of uptake of non–Better Access mental health services in metropolitan Divisions had changed since Better Access was introduced. The trend for the pre–Better Access period (December 2004 quarter to September 2006) was compared to the trend for the post–Better Access period (March 2007 quarter to the March 2009 quarter). Trends were stable in both periods. There was no significant change in trend for either persons using services, or total services used (see table 9.2).

Figure 9.5 and figure 9.6 show the rates of uptake of Better Access and non–Better Access MBS items from the December 2004 quarter (i.e. 2 years prior to the commencement of Better Access) to the March 2009 quarter for rural and remote Divisions.

The rate of persons using non–Better Access services in rural and remote Divisions ranged from from 3.8 per 1,000 total population in the December 2004 quarter to 3.1 per 1,000 in the March 2009 quarter. The rate of non–Better Access services used ranged from 9.1 per 1,000 total population in the December 2004 quarter to 7.4 per 1,000 in the March 2009 quarter.

Analyses were then undertaken to examine whether the patterns of uptake of non–Better Access mental health services in rural and remote Divisions had changed since Better Access was introduced. The trend for the pre–Better Access period (December 2004 quarter to September 2006) was compared to the trend for the post–Better Access period (March 2007 quarter to the March 2009 quarter). There was no significant change in trend for either persons using services, or total services used (see table 9.3).Top of page

Figure 9.3 Persons using Better Access and non–Better Access MBS items, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text equivalent below for Figure 9.3 Persons using Better Access and non–Better Access MBS items, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text version of Figure 9.3

Figures in this description are approximate as they have been read from the graph.
QuarterPersons using Better Access MBS items
Rate per 1,000 population
Persons using other mental health MBS items
Rate per 1,000 population
December 04
-
9
March 05
-
8.5
June 05
-
9
September 05
-
9
December 05
-
9
March 06
-
9
June 06
-
9.5
September 06
-
10
December 06
5
9
March 07
11
8
June 07
13.5
8
September 07
15
8
December 07
15.5
8
March 08
16
7.5
June 08
19
8
September 08
20
8
December 08
20.5
8
March 09
21
7.5
Top of page

Figure 9.4 Better Access and non–Better Access MBS services used, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text equivalent below for Figure 9.4 Better Access and non–Better Access MBS services used, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text version of Figure 9.4

Figures in this description are approximate as they have been read from the graph.
QuarterBetter Access services used
Rate per 1,000 population
Other mental health MBS items used
Rate per 1,000 population
December 04
-
29
March 05
-
28
June 05
-
30
September 05
-
30
December 05
-
29
March 06
-
28
June 06
-
30
September 06
-
31
December 06
10
29
March 07
25
27
June 07
35
27
September 07
37
27
December 07
38
26.5
March 08
41
25
June 08
49
26.5
September 08
50
26.5
December 08
50
26
March 09
51
22
Top of page

Figure 9.5 Persons using Better Access and non–Better Access MBS items, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text equivalent below for Figure 9.5 Persons using Better Access and non–Better Access MBS items, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text version of Figure 9.5

Figures in this description are approximate as they have been read from the graph.
QuarterPersons using Better Access MBS items
Rate per 1,000 population
Persons using other mental health MBS items
Rate per 1,000 population
December 04
-
4
March 05
-
4
June 05
-
4
September 05
-
4
December 05
-
4
March 06
-
4.5
June 06
-
4.5
September 06
-
4.5
December 06
4
4
March 07
8
3.5
June 07
10
3.5
September 07
12
3.5
December 07
13
3.5
March 08
13.5
3.5
June 08
15
3.5
September 08
16
3.4
December 08
16.5
3.4
March 09
17
3.3
Top of page

Figure 9.6 Better Access and non–Better Access MBS services used, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text equivalent below for Figure 9.6 Better Access and non–Better Access MBS services used, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text version of Figure 9.6

Figures in this description are approximate as they have been read from the graph.
QuarterBetter Access services used
Rate per 1,000 population
Other mental health MBS items used
Rate per 1,000 population
December 04
-
9.5
March 05
-
9
June 05
-
9.6
September 05
-
10
December 05
-
9.8
March 06
-
10
June 06
-
10
September 06
-
10.5
December 06
6
9.8
March 07
18
9
June 07
22
9
September 07
25
9
December 07
27
8.5
March 08
28
8.5
June 08
34
8.7
September 08
35
8.7
December 08
36
8.5
March 09
37
8.4
Top of page

Table 9.2 Estimated change in trends for uptake of MBS–subsidised non–Better Access mental health services, before and after the introduction of Better Access, metropolitan Divisions

Trend pre-Better Access
RR (95% CI)
PTrend post-Better Access
RR (95% CI)
PRatio of trendsa
RR (95% CI)
P
Persons using services
1.005 (0.990-1.021)
0.506
0.988 (0.975-1.002)
0.100
0.983 (0.963-1.004)
0.115
Services used
1.004 (0.983-1.026)
0.695
0.984 (0.967-1.003)
0.092
0.980 (0.953-1.008)
0.164

Data have regard to all claims processed up to and including 30 April 2009.
RR, rate ratio; CI, confidence interval. Data exclude the December 2006 quarter.
a The ratio of the post–Better Access trend to the pre–Better Access trend.

Table 9.3 Estimated change in trends for uptake of MBS–subsidised non–Better Access mental health services, before and after the introduction of Better Access, rural and remote Divisions

Trend pre-Better Access
RR (95% CI)
PTrend post-Better Access
RR (95% CI)
PRatio of trendsa
RR (95% CI)
P
Persons using services
1.015 (0.992-1.038)
0.206
0.991 (0.971-1.012)
0.402
0.977 (0.947-1.007)
0.137
Services used
1.013 (0.988-1.038)
0.307
0.992 (0.970-1.013)
0.444
0.979 (0.947-1.012)
0.205

Data have regard to all claims processed up to and including 30 April 2009.
a The ratio of the post–Better Access trend to the pre–Better Access trend.