| Measure | Description | Calculation | Numerator | Denominator | Notes and definitions | Data sources |
|---|---|---|---|---|---|---|
| 1.1.1 | Prevalence of vision impairment and blindness | Crude rate: Numerator ÷ denominator x 100 Age-standardised rate (ASR): where:
| Number of participants with:
| Number of participants responding to NEHS | NEHS | |
| 1.1.2 | Proportion of target population with self-reported eye or sight problems, | Numerator ÷ denominator x 100 | Number of participants who reported that they had an eye or sight problem | Number of participants responding to AATSIHS | AATSIHS | |
| 1.2.1 | Main cause of vision impairment and blindness | Numerator ÷ denominator x 100 | Number of participants with bilateral vision impairment caused by:
| Number of participants with bilateral vision impairment (<6/12–6/60) | Numbers were too small to present for main causes of blindness | NEHS |
| 1.2.2 | Self-reported causes of eye or sight problems | Numerator ÷ denominator x 100 | Number of participants who reported that they had an eye or sight problem caused by:
| Number of participants who reported that they had an eye or sight problem | AATSIHS | |
| 1.3.1 | Observed prevalence of trachoma | Numerator ÷ denominator x 100 | Number of children aged 5–9 with active trachoma | Number of children aged 5–9 screened for trachoma | Target age group is children aged 5–9 | Australian Trachoma Surveillance Report |
| 1.3.2 | Prevalence of trichiasis | Numerator ÷ denominator x 100 | Number of adults aged 40 and over reported with trichiasis, previously unknown to the health system | Number of adults aged 40 and over screened for trichiasis | Target age group is those aged 40 and over, but data for those aged 15 and over are shown by age group | Australian Trachoma Surveillance Report |
| 2.1.1 | Annual health assessments for First Nations people | Numerator ÷ denominator x 100 See calculation for Measure 1.1 for age-standardised rate | Number of First Nations people who had a face-to-face health assessment (MBS items 715, 228, 93470 and 93479) or a Telehealth assessment (MBS items 92004, 92011) claimed in the financial year | First Nations population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | MBS, and ABS population data | |
| 2.1.2 | Proportion of the population that had an annual health assessment and an initial eye examination by an optometrist | Numerator ÷ denominator x 100 See calculation for Measure 1.1 for age-standardised rate | First Nations population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | MBS, and ABS population data | ||
| 2.2 | Proportion of the population that had an eye examination by an eye care professional | Numerator ÷ denominator x 100 See calculation for Measure 1.1 for age-standardised rate | Number of people who had an eye examination (MBS items 11215, 11218, 10910–10916 or 10918 within the reference period) claimed in the financial year | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | MBS, VII and ABS population data | |
| 2.3.1 | Eye examinations among those tested for diabetes | Numerator ÷ denominator x 100 | Number of people who claimed MBS item 66551 in the financial year or year before, and who had an eye examination in the financial year:
| Number of people who claimed MBS item 66551 (Quantitation of glycosylated haemoglobin performed in the management of established diabetes) in the financial year or year before | MBS and VII | |
| 2.3.2 | Proportion of the target population screened for diabetic retinopathy (survey data) | Numerator ÷ denominator x 100 | Number of participants responding to the NEHS with diabetes mellitus who have had a diabetic eye examination within the specified time categories | Number of participants responding to NEHS with diabetes mellitus | NEHS | |
| 2.3.3 | Number and rate per 1,000 of the target population who were screened for diabetic retinopathy with a retinal camera | Numerator ÷ denominator x 1,000 | Number of people who claimed MBS item 12325 in the financial year or the year before | Population at the middle of the financial year, calculated from the average of the populations at 30&bsp;June, at the beginning and end of the financial year | MBS and ABS population data | |
| 2.4.1 | Screening coverage for: trachoma | Numerator ÷ denominator x 100 | Number of children aged 5–9 screened for trachoma | Estimated number of First Nations children aged 5–9 in at-risk communities that were screened for trachoma | Australian Trachoma Surveillance Report | |
| 2.4.2 | Screening coverage for trichiasis | Numerator ÷ denominator x 100 | Number of adults aged 40 and over screened for trichiasis | Estimated number of adults aged 40 and over in trachoma endemic regions based on ABS census data. | Target age group is those aged 40 and over, but data for those aged 15 and over are shown by age group | Australian Trachoma Surveillance Report and ABS population data |
| 2.5 | Undiagnosed eye conditions | Numerator ÷ denominator x 100 | Number of participants with vision impairment or blindness attributed to each main cause who self-reported ‘No’ or ‘Unsure’ to the question ‘Have you ever been told by a doctor that you have the following condition?’ for that condition | Number of participants with vision impairment or blindness attributed to each main cause | NEHS | |
| 3.1 | Hospitalisation rates for diseases of the eye | Numerator ÷ denominator x 1,000 (See calculation for Measure 1.1 for ASR) | Number of hospitalisations with a principal diagnosis of diseases of the eye and adnexa (International Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification (ICD-10-AM) codes H00–H59) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | Includes hospitalisations in public and private hospitals | NHMD and ABS population data |
| 3.2 | Hospitalisation rates for injuries to the eye | Numerator ÷ denominator x 1,000 (See calculation for Measure 1.1 for ASR) | Number of hospitalisations with a principal diagnosis of injuries to the eye and adnexa (ICD-10-AM codes S001, S002, S011, S021, S023, S028, S040–S042, S044, S050–S059, T150, T151, T158, T159, T260–T264, T495, T904) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | Includes hospitalisations in public and private hospitals | NHMD and ABS population data |
| 3.3 | Hospitalisation rates for eye procedures | Numerator ÷ denominator x 1,000 (See calculation for Measure 1.1 for ASR) | Number of hospitalisations, that had a procedure on the eye or adnexa (Australian Classification of Health Interventions (ACHI) block codes 160–256) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ (For some analysis, the numerator is disaggregated by AR-DRG version 7.0) | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | Includes hospitalisations in public and private hospitals Only includes patients who received acute care | NHMD and ABS population data |
| 3.4 | Cataract surgery rate | Numerator ÷ denominator x 1,000,000 Numerator ÷ estimated need x 100 (for analysis by roadmap region only) (See calculation for Measure 1.1 for ASR) | Number of hospitalisations that had a procedure related to cataract surgery (ACHI procedure blocks 193-203) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | Includes hospitalisations in public and private hospitals The estimated number of people requiring cataract surgery was derived from the Calculator for the co-ordination and delivery of eye care services developed by the IEHU at the University of Melbourne | NHMD and ABS population data |
| 3.5.1 | Cataract surgical coverage rate (NEH definition) | Numerator ÷ denominator x 100 | Number of participants in the NEHS who have had cataract surgery | Number of participants in the NEHS who have cataracts and vision impairment or blindness + number of participants who have had cataract surgery | Cataract surgery coverage using the NEHS definition was calculated as the number who have had cataract surgery, as a proportion of those who have had cataract surgery, plus the number with bilateral presenting visual acuity worse than 6/12 with cataract in 1 or both eyes Data are weighted to account for sampling rate in each remoteness stratum | NEHS |
| 3.5.2 | Cataract surgical coverage rate (WHO definition) | Numerator ÷ denominator x 100 | Number of participants in the NEHS who have had cataract surgery | Number of participants in the NEHS who have cataracts and vision impairment or blindness + number of participants who have had cataract surgery | Cataract surgery coverage using the WHO definition was calculated as the number who have had cataract surgery, as a proportion of the number who have had cataract surgery, plus the number of participants with best corrected visual acuity worse than 6/18 with cataracts in both eyes Data are weighted to account for sampling rate in each remoteness stratum | NEHS |
| 3.6.1 | Waiting times for elective cataract surgery | i) 50th and 90th percentile: The 50th percentile (median waiting time) represents the number of days within which 50% of patients were admitted for elective cataract surgery The 90th percentile data represent the number of days within which 90% of patients were admitted for elective cataract surgery | The time elapsed in days for a patient on the public hospital elective surgery waiting list, from the date they were added to the waiting list for the procedure to the date they were removed from the waiting list for hospitalisations, that had a procedure related to cataract surgery (indicator procedure ‘01’) and care type not ‘new born –unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ (Based on first indicator procedure waiting time) | Number of hospitalisations for a patient on the public hospital elective surgery waiting list that had a procedure related to cataract surgery (indicator procedure ‘01’) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ | NHMD | |
| 3.6.2 | Proportion of hospitalisations for cataract surgery treated within 90 days, and within 365 days |
| Number of hospitalisations for a patient on the public hospital elective surgery waiting list that had a procedure related to cataract surgery (indicator procedure ‘01’) and care type not ‘new born – unqualified days only’ or ‘organ procurement – posthumous’ or ‘hospital boarder’ for which the waiting time was:
| Number of hospitalisations for a patient on the public hospital elective surgery waiting list that had a procedure related to cataract surgery (indicator procedure ‘01’) and care type not ‘new born
| NHMD | |
| 3.7.1 | Target population screened for diabetic retinopathy who underwent treatment for diabetic retinopathy | i) Numerator ÷ denominator x 100 (See calculation for Measure 1.1 for ASR) | Number of people who had a laser eye procedure (MBS item 42809) and/or Intravitreal injection (MBS items 42738 and 42739), and who claimed MBS item 66551 in the financial year or year before | Number of people who claimed MBS item 66551 in the financial year or year before, and who had an eye examination in the financial year:
| MBS and VII | |
| 3.7.2 | Target population tested for diabetes who underwent treatment for diabetic retinopathy | ii) Numerator ÷ denominator x 100 (See calculation for Measure 1.1 for ASR) | Number of people who had a laser eye procedure (MBS item 42809) and/or Intravitreal injection (MBS items 42738 and 42739), and who claimed MBS item 66551 in the financial year or year before | Number of people who claimed MBS item 66551 in the financial year or year before | MBS and VII | |
| 3.8.1 | Trachoma treatment coverage | Numerator ÷ denominator x 100 | Number of active cases and household/ community contacts treated in communities where active trachoma was identified | Estimated number of active cases and household/ community contacts requiring treatment in communities with active trachoma according to CDNA guidelines | Australian Trachoma Surveillance Report | |
| 3.8.2 | Trichiasis treatment occasions | Number | Number of persons aged 40 years and over who had surgery to correct trichiasis in the past 12 months. | N/A | Surgery may include cases identified in previous years | Australian Trachoma Surveillance Report |
| 3.9 | Treatment of refractory error | Numerator ÷ denominator x 100 | Number of participants who reported distance spectacle or contact lens correction and had visual acuity (VA)≥6/12 | Number of participants who reported distance spectacle or contact lens correction and had VA≥6/12 + participants who had refractive error as their main cause of vision impairment or blindness | Data are weighted to account for sampling rate in each remoteness stratum | NEHS |
| 3.10 | Number and rate of glasses dispensed under state spectacle schemes | Numerator ÷ denominator x 1,000 | Data are the number of spectacles provided to First Nations people | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | Only 5 jurisdictions could provide data The estimated number of people requiring spectacles was derived from the Calculator for the co-ordination and delivery of eye care services developed by the IEHU at the University of Melbourne | NSW Depart of Family & Community Services; Australian College of Optometry Victorian; Queensland Health, SA Dept of Human Services, Tasmanian Health Service data (unpublished) and ABS population data |
| 4.1 | Number and rate of optometrists | Number | Number of registered optometrists employed in Australia working in registered profession | Population at 30 June | FTE based on a 38-hour work week | NHWDS and ABS population data |
| FTE rate: Numerator (FTE) ÷ denominator x 100,000 | FTE of registered optometrists employed in Australia working in registered profession | |||||
| 4.2 | Number and rate of ophthalmologists | Number | Number of registered ophthalmologists employed in Australia working in registered profession | Population at 30 June | FTE based on a 40-hour work week | NHWDS and ABS population data |
| FTE rate: Numerator (FTE) ÷ denominator x 100,000 | FTE of registered ophthalmologists employed in Australia working in registered profession | |||||
| 4.3 | Number and rate of allied ophthalmic personnel | Number | Number of allied ophthalmic personnel employed in the workforce | Population at 30 June | FTE based on a 38-hour work week | Census; professional associations and employer organisations; and ABS population data |
| FTE rate: Numerator (FTE) ÷ denominator x 100,000 | FTE of allied ophthalmic personnel employed in the workforce | |||||
| 4.4.1 | Occasions of eye health services provided under Visiting Optometrist Scheme (VOS) outreach programs | Crude rate: Numerator ÷ denominator x 1,000 | The number of occasions of service by eye health professionals under the VOS | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | The Department of Health and Aged Care and ABS population data | |
| 4.4.2 | Occasions of eye health services provided under Rural Health Outreach Fund (RHOF) outreach programs | Crude rate: Numerator ÷ denominator x 1,000 | The number of First Nations occasions of service by eye health professionals under the RHOF | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year (Note that RHOF services are provided in Inner regional, Outer regional, Remote and very remote areas only. Therefore populations used to calculate the rates for RHOF did not include Major cities) | The Department of Health and Aged Care and ABS population data | |
| 4.4.3 | Occasions of eye health services provided under Medical Outreach Indigenous Chronic Disease Program (MOICDP) outreach programs | Crude rate: Numerator ÷ denominator x 10,000 | The number of First Nations occasions of service by eye health professionals under the MOICDP | Population at the middle of the financial year, calculated from the average of the populations at 30 June, at the beginning and end of the financial year | The Department of Health and Aged Care and ABS population data | |
| 4.4.4 | Combined outreach programs | The number of First Nations occasions of service by eye health professionals under the VOS, RHOF and MOICDP | The Department of Health and Aged Care and ABS population data | |||
| 4.4.5 | Eye and Ear Surgical Support Program (EESS) | The number of First Nations occasions of service that received support from the EESS. | The Department of Health and Aged Care and ABS population data |
Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data
Web report
Last updated:
Topic: First Nations people
Citation
AIHW
Australian Institute of Health and Welfare (2024) Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data, AIHW, Australian Government, accessed 11 October 2024.
APA
Australian Institute of Health and Welfare. (2024). Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data. Retrieved from https://www.aihw.gov.au/reports/first-nations-people/eye-health-measures-for-aboriginal-and-torres-stra
MLA
Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data. Australian Institute of Health and Welfare, 10 October 2024, https://www.aihw.gov.au/reports/first-nations-people/eye-health-measures-for-aboriginal-and-torres-stra
Vancouver
Australian Institute of Health and Welfare. Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data [Internet]. Canberra: Australian Institute of Health and Welfare, 2024 [cited 2024 Oct. 11]. Available from: https://www.aihw.gov.au/reports/first-nations-people/eye-health-measures-for-aboriginal-and-torres-stra
Harvard
Australian Institute of Health and Welfare (AIHW) 2024, Eye health measures for Aboriginal and Torres Strait Islander people 2024: interactive data, viewed 11 October 2024, https://www.aihw.gov.au/reports/first-nations-people/eye-health-measures-for-aboriginal-and-torres-stra