The next series of analyses considered the impact of Better Access on psychological services delivered under the Access to Allied Psychological Services (ATAPS) projects. Figure 9.13 and figure 9.14 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 across all 113 Divisions of General Practice, for persons and services respectively.

The rate of persons using ATAPS ranged from 0.28 per 1,000 total population in the December 2004 quarter to 0.56 per 1,000 in the March 2009 quarter. The rate of ATAPS sessions delivered ranged from 0.78 per 1,000 total population in the December 2004 quarter to 1.53 per 1,000 in the March 2009 quarter.

Analyses examined whether the patterns of uptake of ATAPS 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). Rates continued to grow in the post–Better Access period, although the rate of growth was significantly slower than in the pre–Better Access period (see table 9.12).

Figure 9.13 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), for 113 Divisions of General Practice


Text equivalent below for Figure 9.13 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), for 113 Divisions of General Practice

Text version of Figure 9.13

Figures in this description are approximate as they have been read from the graph.Top of page
QuarterPersons using Better Accesss MBS items
Rate per 1,000 population
Persons using ATAPS psychological services
Rate per 1,000 population
December 04
-
0.5
March 05
-
0.5
June 05
-
0.5
September 05
-
0.5
December 05
-
0.6
March 06
-
0.7
June 06
-
0.8
September 06
-
0.8
December 06
5
1
March 07
10
0.8
June 07
13
0.6
September 07
14
0.6
December 07
15
0.6
March 08
15.5
0.6
June 08
17
0.7
September 08
18
0.8
December 08
19
0.8
March 09
20
0.7

Figure 9.14 Better Access items used and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), for 113 Divisions of General Practice

Text equivalent below for Figure 9.14 Better Access items used and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), for 113 Divisions of General Practice

Text version of Figure 9.14

Figures in this description are approximate as they have been read from the graph.Top of page
QuarterBetter Access services used
Rate per 1,000 population
ATAPS psychological used
Rate per 1,000 population
December 04
-
1
March 05
-
1
June 05
-
1
September 05
-
1
December 05
-
1
March 06
-
1
June 06
-
1
September 06
-
1.5
December 06
8
1
March 07
24
1
June 07
32
1
September 07
35
1
December 07
36
1
March 08
37
1
June 08
45
1
September 08
47
1.2
December 08
47
1.2
March 09
48
1.1

Table 9.12 Estimated change in trends for uptake of ATAPS, before and after the introduction of Better Access

Trend pre-Better Access
RR (95% CI)
PTrend post-Better Access
RR (95% CI)
PRatio of trendsa
RR (95% CI)
P
Persons using services
1.139 (1.108-1.172)
<0.001
1.036 (1.010-1.063)
0.007
0.909 (0.875-0.945)
<0.001
Services used
1.145 (1.114-1.177)
<0.001
1.038 (1.013-1.064)
0.003
0.907 (0.873-0.941)
<0.001

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.