HOSPITAL ADMISSIONS AND EMERGENCY DEPARTMENT VISITS


People access hospitals and emergency departments to diagnose and treat serious illness or injury. Information on levels of access is useful in determining service provision. In 2014-15, approximately 2.5 million people aged 15 years and over (14%) were admitted to hospital in the previous 12 months and 2.7 million (15%) had visited an emergency department (ED) for their own health. The proportion of people who had visited an ED or been admitted to hospital has remained steady across the six cycles of the survey (2009 to 2014-15). See Tables 1 and 2.2 in Downloads.

ADMISSIONS TO HOSPITAL

The graph below shows admissions to hospital in the previous 12 months by age and sex. Overall, females are more likely than males to have been admitted to hospital (16% compared with 11%). (See Table 2.2 in Downloads.) This difference is particularly evident in the child bearing age group of 15-44 years where females are twice as likely as males to have been admitted to hospital (15% compared with 7%). However, after the age of 55 males and females were admitted at similar rates (18%).

The proportion of people who had been admitted to hospital generally increased with age, with one in twelve people aged 15-24 being admitted to hospital (9%) compared with one in four people aged 85 years and over (25%). See Table 2.2 in Downloads.



People living in areas of most socio-economic disadvantage were more likely to be admitted to hospital compared with those living in areas of least disadvantage (15% compared with 12%). Those who live in inner regional Australia were more likely to be admitted to hospital compared with those living in major cities (15% compared with 13%). See Table 3.2 in Downloads.

Hospital admission is also related to health characteristics, with those having a long term health condition more likely to have been admitted to hospital than those without (19% compared with 8%). Likewise, those who rated their health as fair or poor were more likely to be admitted to hospital than those who rated their health as excellent, very good, or good (27% compared with 12%). See Table 3.2 in Downloads.

VISITS TO THE EMERGENCY DEPARTMENT

The graph below shows visits to the ED in the previous 12 months by age and sex. Both males and females visited the ED at similar rates (15% compared with 14%). (See Table 2.2 in Downloads.) People in the older age groups were most likely to visit the ED, with 17% of persons aged 75 to 84 years and 20% of those aged 85 years and over visiting, compared with 14% of those aged 15 to 74 years.



People living in areas of most socio-economic disadvantage were more likely to visit the ED compared with those living in areas of least disadvantage (16% compared with 11%). In addition, those living in outer regional, remote and very remote areas were more likely to visit the ED compared with those living in major cities (17% compared with 14%). See Table 3.2 in Downloads.

As with hospital admissions, visits to the ED are also related to health characteristics, with those having a long term health condition more likely to have visited the ED than those without (20% compared with 9%). See Table 3.2 in Downloads.

When people who visited the ED were asked the main reason they went to an ED instead of a GP, just under half reported that they were taken by ambulance (44%). Around 23% of people said GP not available when required, 10% of people said they were sent by a GP. People living in outer regional, remote and very remote areas were more likely to report a GP not available when required compared with those living in major cities (34% compared with 19%). Of those who went to the ED for their own health in the previous 12 months, 18% thought care could have been provided by a general practitioner. This was lower than the rate in 2013-14 (22%). See Tables 20.2 and 21.2 in Downloads.

EXPERIENCE WITH HOSPITAL AND EMERGENCY DEPARTMENT DOCTORS AND NURSES

The way that a patient is treated by a health professional is an important aspect of their satisfaction with their care. All respondents who had seen a hospital or ED doctor or nurse were asked for their perceptions on how they were treated by the doctor or nurse they had seen.

Of those who went to a ED, 74% reported that the ED nurses always listened carefully to them, 76% reported they always showed them respect and 71% reported they always spent enough time with them. The results were slightly lower for ED doctors and specialists, with 69% reporting that ED doctors and specialists always listened carefully, 72% reporting they always showed respect and 66% reporting they always spent enough time with them. See Table 20.2 in Downloads.