Figure 9.15 and figure 9.16 show the rates of uptake of Better Access and ATAPS 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 ATAPS psychological services in metropolitan Divisions ranged from 0.21 per 1,000 total population in the December 2004 quarter to 0.45 per 1,000 in the March 2009 quarter. The rate of ATAPS psychological services used ranged from 0.65 per 1,000 total population in the December 2004 quarter to 1.30 per 1,000 in the March 2009 quarter.

Analyses examined whether the patterns of uptake of ATAPS psychological 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). 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 9.13).


Figure 9.17 and figure 9.18 show the rates of uptake of Better Access MBS items and ATAPS 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., for persons and services respectively.

The rate of persons using ATAPS in rural and remote Divisions ranged from 0.49 per 1,000 total population in the December 2004 quarter to 0.93 per 1,000 in the March 2009 quarter. The rate of ATAPS psychological services ranged from 1.20 per 1,000 total population in the December 2004 quarter to 2.29 per 1,000 in the March 2009 quarter.

Analyses were undertaken to determine whether the patterns of uptake of ATAPS 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). These analyses showed that rates had stabilised in the post–Better Access period, representing significant change in trend from the strong growth in the pre–Better Access period (see table 9.14).

Taken together, these findings indicate two key points. Firstly, as shown in figures 9.15–9.18, ATAPS has greater penetration in rural and remote areas, relative to metropolitan areas. In contrast, Better Access has greater penetration in metropolitan areas, as compared to rural and remote areas. Additional regression analyses confirm that rates of ATAPS population uptake were twice as high in rural and remote areas compared to metropolitan regions in the pre–Better Access period (RR = 2.098, 95% CI 1.861–2.366, P < 0.001), and were two and a half times greater in rural and remote areas compared to metropolitan areas (RR = 2.553, 95% CI 2.258–2.886; P < 0.001) in the post–Better Access period. Rates of Better Access population uptake were one–third lower in rural and remote areas than in metropolitan regions (RR = 0.697, 95% CI 0.668–0.722; P <0.001). Secondly, although rates of ATAPS uptake appear to have slowed since the introduction of Better Access, the reach of ATAPS services into rural and remote areas does not appear to have diminished. If anything it appears to have increased.
Top of page

Figure 9.15 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text equivalent below for Figure 9.15 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text version of Figure 9.15

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 ATAPS psychological services
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
December 06
5
1
March 07
11
1
June 07
13.5
1
September 07
15
1
December 07
15.5
1
March 08
16
1
June 08
19
1
September 08
20
1
December 08
20.5
1
March 09
21
1
Top of page

Figure 9.16 Better Access items and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text equivalent below for Figure 9.16 Better Access items and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), metropolitan Divisions

Text version of Figure 9.16

Figures in this description are approximate as they have been read from the graph.
QuarterBetter Access services used
Rate per 1,000 population
ATAPS services used
Rate per 1,000 population
December 04
-
0.5
March 05
-
0.5
June 05
-
0.5
September 05
-
0.6
December 05
-
0.6
March 06
-
0.6
June 06
-
0.7
September 06
-
0.7
December 06
10
0.7
March 07
25
0.6
June 07
34
0.5
September 07
37
0.5
December 07
39
0.5
March 08
40.5
0.5
June 08
49
0.5
September 08
50
0.5
December 08
50
0.5
March 09
50.5
0.5
Top of page

Figure 9.17 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text equivalent below for Figure 9.17 Persons using Better Access and ATAPS, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text version of Figure 9.17

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 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
-
0.6
June 06
-
0.7
September 06
-
0.7
December 06
4
0.7
March 07
7
0.6
June 07
10
0.5
September 07
12
0.5
December 07
13
0.5
March 08
13.5
0.5
June 08
15
0.6
September 08
16
0.7
December 08
16.5
0.7
March 09
17
0.6
Top of page

Figure 9.18 Better Access items used and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text equivalent below for Figure 9.18 Better Access items used and ATAPS sessions delivered, December 2004 quarter to March 2009 quarter (rate per 1,000 population), rural and remote Divisions

Text version of Figure 9.18

Figures in this description are approximate as they have been read from the graph.
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
-
1.5
September 05
-
2
December 05
-
2
March 06
-
2
June 06
-
2.5
September 06
-
3
December 06
5
3
March 07
18
3
June 07
22
2.5
September 07
25
2.5
December 07
26
2.5
March 08
28
2.5
June 08
34
3
September 08
35
3
December 08
35.5
3
March 09
36
3
Top of page

Table 9.13 Estimated change in trends for uptake of ATAPS, 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
1.145 (1.106-1.187)
<0.001
1.039 (1.007-1.072)
0.016
0.907 (0.865-0.952)
<0.001
Services used
1.148 (1.108-1.190)
<0.001
1.043 (1.010-1.077)
0.010
0.908 (0.865-0.953)
<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.

Table 9.14 Estimated change in trends in uptake of ATAPS, 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
1.133 (1.091-1.178)
<0.001
1.033 (0.997-1.070)
0.074
0.911 (0.864-0.961)
0.001
Services used
1.141 (1.097-1.187)
<0.001
1.034 (0.998-1.070)
0.061
0,906 (0.859-0.955)
<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.