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Biannual Report January-June 2014

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Page 1: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

Biannual ReportJanuary-June 2014

Page 2: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

All registered nurses and general practitioners (GPs) providing our services hold unconditional registration with the Australian Health Practitioner Registration Authority (AHPRA). All GPs have unconditional registration with the Medical Board of Australia. All registered nurses and GPs have a minimum of three years experience.

Foreword

I am pleased to present the Healthdirect Australia report for the period January to June 2014.

This report contains data for the following services:

1. healthdirect

healthdirect provides easy access to trusted health information and advice online and over the phone. It is available 24 hours a day, 7 days a week, to help Australians make informed choices anywhere, any time.

The healthdirect website allows consumers to search for health information that is safe and reliable. All the information on our website undergoes a clinical governance review process and is sourced from credible and trusted partners.

By calling the healthdirect helpline, people calling from the ACT, NSW, the NT, SA, TAS and WA are able to speak to registered nurses who are available to provide advice on how to manage the condition at home or when to see a health service. Our nurses do not provide a diagnosis – only advice and information to guide callers on what to do next, based on their symptoms.

2. after hours GP helpline

The after hours GP helpline is an addition to existing after hours medical services. Callers in the after hours period to the nurse triage services provided by healthdirect, NURSE-ON-CALL in Victoria and 13 HEALTH in Queensland, have their condition assessed by a registered nurse and if appropriate, the nurse transfers their call to a telephone-based GP. The GP will assess the caller’s condition and provide medical advice. If a caller needs to see a health professional immediately, they will be referred to the most appropriate local face-to-face after hours service. If the call is an emergency, it will be transferred to Triple Zero (000).

All Australians have access to telephonic health advice from registered and accredited GPs in the after hours period (Tasmanian callers have access via the GP Assist service).

3. Pregnancy, Birth and Baby

Pregnancy, Birth and Baby is a phone and online service for all Australians, providing information, advice and counselling about pregnancy, childbirth and a baby’s first year. Quality information is provided on topics such as maternal nutrition, breastfeeding, a baby’s development and sleeping habits.

Women and their families who are facing other challenges such as emotional distress, perinatal issues, and questions about pregnancy options can call the helpline and be transferred to a qualified counsellor.

4. mindhealthconnect

mindhealthconnect is a national mental health and wellbeing website funded by the Australian Federal Government to provide Australians with confidential support for themselves or someone they know. It is available for different age groups, life stages and cultural backgrounds providing information, self-help programs, tools and services relating to mental health and wellbeing.

The website is also useful to health professionals as it complements their knowledge and assists in the care of patients. With information partners including beyondblue, Black Dog Institute, ReachOut and Lifeline; mindhealthconnect brings together Australia’s leading mental health organisations in one place.

5. National Health Services Directory

The National Health Services Directory is a joint initiative of all Australian Governments, developed and delivered by Healthdirect Australia to enable health professionals and consumers access free, reliable and consistent information about health services.

The range of health services that are included in the National Health Services Directory include primary care and hospital and community services to support health professionals to coordinate ongoing care for patients with chronic and complex conditions.

The National Health Services Directory also enables access to a greater breadth and depth of service information including home visiting, online and phone services, telehealth enabled services as well as accessibility and referral pathway information.

Colin Seery CEO Healthdirect Australia

Foreword

2 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 3

Page 3: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

1. healthdirect 61.1 Number of calls 6 1.1.1 Calls handled 6 1.1.2 Call type 71.2 Time of calls 7 1.2.1 Time of day 7 1.2.2 Day of week 71.3 Patient age and gender 7 1.4 Caller relationship to patient 8 1.5 Location 8 1.6 Aboriginal and Torres Strait Islander patients 8 1.7 Interpreter and hearing services 8 1.8 Clinical issues 9 1.9 Advice 91.10 Number of website visits 10 1.11 Time of website visits 10 1.11.1 Time of day 10 1.11.2 Day of week 101.12 Website visitor location 10 1.13 Most popular pages 10

1.14 Average visit duration 10

2. after hours GP helpline 12 2.1 Number of calls 12 2.2 Time of calls 13 2.2.1 Time of day 13 2.2.2 Day of week 132.3 Patient age and gender 13 2.4 Caller relationship to patient 13 2.5 Location 14 2.6 Aboriginal and Torres Strait Islander patients 14 2.7 Interpreter and hearing services 14 2.8 Clinical issues 14 2.9 Advice 15

3. Pregnancy, Birth and Baby 163.1 Number of calls 163.2 Time of calls 16 3.2.1 Time of day 16 3.2.2 Day of week 163.3 Caller age and gender 17 3.4 Caller relationships 17 3.5 Location of callers 17 3.6 Aboriginal and Torres Strait Islander patients 18 3.7 Interpreter and hearing services 18 3.8 Type of information requested by callers 18 3.9 Advice given to callers 193.10 Number of website visits 193.11 Time of website visits 19 3.11.1 Time of day 19 3.11.2 Day of week 193.12 Website visitor location 193.13 Most popular pages 20

3.14 Average visit duration 20

4. mindhealthconnect 224.1 Number of website visits 22 4.2 Time of website visits 22 4.2.1 Time of day 22 4.2.2 Day of week 224.3 Website visitor location 22 4.4 Most popular pages 22

4.5 Average visit duration 22

5. National Health Services Directory 24 5.1 Services in the NHSD 25 5.2 Number of services in the database 255.3 NHSD Database Query Transactions 25

Contents

Services managed by Healthdirect Australia include healthdirect, after hours GP helpline, Pregnancy, Birth and Baby, mindhealthconnect, the National Health Services Directory, My Aged Care and Get Healthy.This report features data from healthdirect, after hours GP helpline, Pregnancy, Birth and Baby, mindhealthconnect and the National Health Services Directory.

4 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 5

Page 4: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

The following statistics pertain to calls handled by the telephone nurse triage service for the period January - June 2014. The healthdirect helpline operates in the ACT, NSW, the NT, SA, TAS and WA.

1.1 Number of calls1.1.1 Calls handled

healthdirect helpline handled 404,982 calls between January-June 2014 (Fig 1).

0

10

20

30

40

50

60

70

80

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

72,4

19

63,5

73

70,2

59

68,3

51

64,5

70

65,8

10

Figure 1: Calls per month (healthdirect)

Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period in 2013 (Fig 2).

0 100 200 300 400 500

404,982

462,796

434,234Jan - June

2013

July - Dec2013

Jan - June2014

Figure 2: Calls per 6 month period (healthdirect)

In February 2014 the healthdirect Australia helpline and the healthinsite website were brought together under the one brand ‘healthdirect’, to deliver an enhanced product offering to the public. This is part of our evolution to become a multiple service provider that consumers recognise as the place to go for health information and advice.

1. healthdirect Nurse triage

1.1.2 Call type

Between January-June 2014, the majority of calls were triaged (82.8%), followed by a request for health information (9.8%), a quick call (4.3%) and a provider referral (3.0%). Quick calls include feedback, wrong numbers and media enquiries (Fig 3).

Figure 3: Call type (healthdirect)

1.2 Time of calls1.2.1.Time of day

Between January-June 2014, the most frequent call time was 8.00pm while the least frequent call time was 5.00am (times are AEST / AEDST). The period 5.00pm – 11.00pm had the heaviest call traffic (41.0%) (Fig 4).

0

5

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11 P

M10

PM

9 PM

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7 PM

6 PM

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M11

AM

10 A

M9

AM8

AM7

AM6

AM5

AM4

AM3

AM2

AM1

AM12

AM

Figure 4: Calls per hour (healthdirect)

1.2.2 Day of week

Between January-June 2014, Sunday was the busiest day (17.0% calls), followed by Saturday (15.9%). Tuesday had the lowest volume of calls (12.7%).

1.3 Patient age and genderCallers and patients are not necessarily the same person, for example a mother might call on behalf of a child. The information in this section pertains to the patient.

Between January-June 2014, 58.0% of patients were female and 38% male. 26.7% of calls were made on behalf of a child aged 0-4 years, representing a significantly higher proportion of patients than any other age group for both females and males (Fig 5).

0

10

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30

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> 80

75 -

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74

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44

35 -

39

30 -

34

25 -

29

20 -

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15 -

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10 -

145

- 90

- 4

Female patients

Male patients

Figure 5: Patients by age and gender (healthdirect)

6 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 7

Page 5: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

1.6 Aboriginal and Torres Strait Islander patientsBetween January-June 2014, 3.6% of patients identified themselves as being Aboriginal or Torres Strait Islander (Table 2).

Cultural Background %

Aboriginal or Torres Strait Islander 3.6

Not Aboriginal or Torres Strait Islander 84.5

Declined 11.9

Table 2: Cultural background

1.7 Interpreter and hearing servicesBetween January-June 2014, 124 people required the services of an interpreter and 18 used the National Relay Service.

1.8 Clinical issuesWhere appropriate, clinical issues are categorised as adult or paediatric (child).

Between January-June 2014, the most common clinical issues addressed by a triage nurse were medication queries, abdominal pain and vomiting (by a child) (Table 3).

(P) represents paediatric conditions

Clinical issue

1 Medication queries

2 Abdominal pain

3 Vomiting (P)

4 Chest pain

5 Head trauma (P)

6 Fever (P)

7 Cough (P)

8 Colds (P)

9 Diarrhoea (P)

10 Miscarriage

11 Headache

12 Postoperative problems

13 Nausea / vomiting

14 Rashes (P)

15 Dizziness / vertigo

16 Croup (P)

17 Back pain

18 Diarrhoea

19 GI Bleeding

20 Rash / hives / eruptions

Table 3: 20 most common clinical issues (healthdirect)

1.9 AdviceBetween January-June 2014, the most frequent types of advice given by triage nurses were ‘Refer to after hours GP helpline’ (21.7%) and ‘Self care at home’ (18.1%). 15.6% of callers were advised that the patient should ‘Attend an Emergency Department immediately,’ while 7.2% of calls were transferred to Triple Zero (000) (Table 4).

Recommendation / advice %

Refer to after hours GP helpline 21.7

Self care at home 18.1

Attend Emergency Department immediately 15.6

See Doctor / health provider within 24 hours 11.0

See Doctor / health provider immediately 9.6

See Doctor / health provider within 4 hours 8.7

Transfer to Triple Zero (000) 7.2

See Doctor / health provider within 72 hours 5.0

See Doctor / health provider within 2 weeks 1.5

Call Poisons Information Centre immediately 1.3

See mental health provider immediately 0.2

Table 4: Recommendation / advice (healthdirect)

1.4 Caller relationship to patientOf the callers who identified their relationship to the patient, the majority of calls were made for concerns about personal health (58.9%) (Table 1).

Relationship of caller to patient %

Self 58.9

Mother 28.7

Father 4.8

Wife / partner 2.0

Table 1: Top four caller-to-patient relationships (healthdirect)

1.5 LocationBetween January-June 2014, the highest number of patients originated from NSW (189,658), followed by WA (82,043) and SA (50,802). 74% of patients were from major cities (Fig 6).

0

50

100

150

200

WATASSANTNSWACT

Major Cities

Inner Regional

Outer Regional

Remote

Very Remote

16,0

79

189,

658

5,17

3

50,8

02

15,8

36

82,0

43

Figure 6: Patients by location (healthdirect)

1. healthdirect Nurse triage

8 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 9

Page 6: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

The following statistics pertain to the website www.healthdirect.gov.au for the period January-June 2014.

1.10 Number of website visitsThere were 548,202 visits to the healthdirect website between January-June 2014 (Fig 7).

0

20

40

60

80

100

120

140

160

Jun - 14May - 14Apr -14Mar -14Feb - 14Jan - 14

Figure 7: Total visits (healthdirect website)

1.11 Time of website visits1.11.1 Time of dayBetween January-June 2014, 77.0% of visits occurred between 9.00am and 10.00pm (Fig 8).

11 P

M10

PM

9 PM

8 PM

7 PM

6 PM

5 PM

4 PM

3 PM

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M11

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M9

AM8

AM7

AM6

AM5

AM4

AM3

AM2

AM1

AM12

AM

0

10

20

30

40

50

Figure 8: Time of visits (healthdirect website)

1.11.2 Day of weekThe busiest days of the week between January-June 2014 were Monday and Wednesday (16.0%) and Saturday had the lowest number of visits (10.8%).

1.12 Website visitor locationBetween January-June 2014, the highest number of visits originated from NSW (29.1%), followed by VIC (18.2%) and QLD (14.6%) (Fig 9).

0

50

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200

WAVICTASSAQLDNTNSWACT14

,545

159,

489

1,39

4

79,7

74

33,6

72

6,98

8

99,9

69

50,8

92

Figure 9: Visitor location (healthdirect website)

The remaining 101,479 visits were from overseas or did not have location data available.

1.13 Most popular pagesBetween January-June 2014, the most popular page on healthdirect was ‘Diabetes’ (Table 5).

Popular pages

1 Diabetes

2 Menopause: the facts

3 Healthy eating

4 Is your blood pressure healthy?

5 Heart attack

Table 5: Most popular pages on the healthdirect website

1.14 Average visit durationThe average time people spend on the healthdirect website was 1 minute and 36 seconds in the period between January to June 2014.

10 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 11

1. healthdirect Website

“May was the busiest month of traffic to the healthdirect website with 115,526 visits.”

Page 7: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

2.2 Time of calls2.2.1 Time of day

Between January-June 2014, the most frequent call time was 8.00pm while the least frequent call time was 11.00am (times are AEST/AEDST). The period 6.00pm – 12.00am had the heaviest call traffic (55.0%) (Fig 12).

Note that calls between 8.00am and 6.00pm reflect calls that were received on weekends and public holidays.

0

2

4

6

8

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12

11 P

M10

PM

9 PM

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12 P

M11

AM

10 A

M9

AM8

AM7

AM6

AM5

AM4

AM3

AM2

AM1

AM12

AM

Figure 12: Calls per hour (after hours GP helpline)

2.2.2 Day of week

Between January-June 2014, Sunday was the busiest day (23.7% calls), followed by Saturday (18.0%) and Monday (13.5%). Thursday had the lowest volume of calls (10.8%).

2.3 Patient age and genderCallers and patients are not necessarily the same person; for example a mother might call on behalf of a child. The information in this section pertains to the patient. Between January-June 2014, 60% of patients were female and 37.0% male. 25.7% of calls were made on behalf of a child aged 0-4 years (Fig 13).

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> 80

75 -

79

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44

35 -

39

30 -

34

25 -

29

20 -

24

15 -

19

10 -

145

- 90

- 4

Female patients

Male patients

Figure 13: Patients by age and gender (after hours GP helpline)

2.4 Caller relationship to patientOf the callers who identified their relationship to the patient, the majority of calls were made for concerns about personal health (54.4%) (Table 6).

Relationship of caller to patient %

Self 54.4

Parent 35.0

Wife / partner 2.2

Child 1.8

Husband / partner 1.4

Table 6: Top five caller-to-patient relationships (after hours GP helpline)

2.1 Number of callsThe after hours GP helpline handled 100,393 calls between January-June 2014 (Fig 10).

0

5

10

15

20

Jun-14May-14Apr-14Mar-14Feb-14Jan-1417

,585

15,2

57 18,0

23

17,7

95

15,1

02

16,6

31

Figure 10: Calls per month (after hours GP helpline)

Between January-June 2014, there was a 7.0% decrease in calls from the previous half year (Fig 11).

100,393

107,940

86,666Jan - June

2013

July - Dec2013

Jan - June2014

Figure 11: Calls per 6 month period (after hours GP helpline)

The after hours GP helpline is available in all states and territories of Australia with the exception of Tasmania, (which has access to accredited GPs via GP Assist service).

The service operates during the following hours:

• 6.00pm – 8.00am Monday to Saturday,

• 12.00pm Saturday – 8.00am Monday, and

• 24 hours a day on public holidays.

Callers to the telephone-based nurse triage services healthdirect, NURSE-ON-CALL in Victoria and 13 HEALTH in Queensland during after hours GP helpline operating hours may be transferred to a GP when a triage nurse determines it is clinically appropriate.

Between January-June 2014, approximately 64,000 patients were provided with self care advice by telephone GPs, assisting in the prevention of unnecessary visits to emergency departments and after hours services. Approximately 33,000 patients were specifically redirected from requiring and seeking urgent after hours face-to-face treatment by speaking with a GP via the telephone.

12 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 13

2. after hours GP helpline Calls transferred by triage nurses

Page 8: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

2.9 AdviceBetween January-June 2014, the most frequent types of advice given by GPs on the after hours GP helpline were ‘Self care and see a doctor / health provider within normal operating hours’ (52.2%), ‘See a GP immediately’ (26.3%) and ‘Self care at home’ (10.9%). 0.6% of calls were transferred to Triple Zero (000) (Table 9).

Recommendation / advice %

Self care advice and see a doctor / health provider within normal operating hours

52.2

See a GP immediately 26.3

Self care at home 10.9

Emergency department immediately 6.0

No recommendation / advice reached 4.0

Transfer to Triple Zero (000) 0.6

Mental health referral 0.1

Table 9: Recommendation / advice (after hours GP helpline)

2.5 LocationBetween January-June 2014, the highest number of patients originated from NSW (39,262) followed by VIC (31,055) and WA (13,603). 75.0% of patients were from major cities (Fig 14).

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5

10

15

20

25

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35

40

VICQLDWASANTNSWACT

Major Cities

Inner Regional

Outer Regional

Remote

Very Remote

2,97

1

39,2

62

966

9,48

1

13,6

03

3,19

3

31,0

55

Figure 14: Patients by location (after hours GP helpline)

2.6 Aboriginal and Torres Strait Islander patientsBetween January-June 2014, 3.4% of patients identified themselves as being Aboriginal or Torres Strait Islander (Table 7).

Cultural background %

Aboriginal or Torres Strait Islander 3.4

Not Aboriginal or Torres Strait Islander 92.2

Declined 4.4

Table 7: Cultural background (after hours GP helpline)

Note: this table excludes triage calls transferred from the NURSE-ON-CALL service, as these calls do not provide information on the cultural background of the caller.

2.7 Interpreter and hearing services32 callers required the services of an interpreter and seven callers used the National Relay Service.

2.8 Clinical issuesWhere clinically appropriate, specific conditions are categorised as adult or paediatric (child).

Between January-June 2014, the most common clinical issues addressed by the after hours GP helpline were medication queries, diarrhoea and rashes (Table 8).

(P) represents paediatric conditions.

Clinical issue

1 Medication queries

2 Diarrhoea

3 Rash / hives / eruptions

4 Cough (p)

5 Dizziness / vertigo

6 Nausea / vomiting

7 Vomiting (P)

8 Croup (P)

9 Headache

10 GI bleeding

11 Chest Pain

12 Ear - pain/injury/foreign body

13 Diarrhoea (P)

14 Hives (P)

15 Bloody urine

16 Sore throat / hoarseness

17 Postoperative problems

18 Flank pain

19 Earache (P)

20 Constipation (P)

Table 8: 20 most common clinical issues (after hours GP helpline)

14 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 15

2. after hours GP helpline Calls transferred by triage nurses

Page 9: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

3. Pregnancy, Birth and Baby Advice and counselling

3.2 Time of calls3.2.1 Time of day

Between January-June 2014, the most popular call time was 6.00pm while the least frequent call time was 5.00am (times are AEST/AEDST) (Fig 17).

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Figure 17: Calls per hour (Pregnancy, Birth and Baby)

3.2.2 Day of week

Between January-June 2014, Monday and Wednesday were the busiest days of the week (15.1%). Sunday had the lowest volume of calls (12.9%).

The following statistics pertain to Pregnancy, Birth and Baby for the period January - June 2014.

3.1 Number of callsPregnancy, Birth and Baby handled 25,547 calls between January-June 2014 (Fig 15).

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5

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

4,78

5

4,33

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3,95

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4,27

4

3,87

0

Figure 15: Calls per month (Pregnancy, Birth and Baby)

Between January-June 2014, there was a 17.0% increase in calls from the previous half year and a 35.0% increase in calls from the same period in 2013. (Fig 16).

Jan - June2013

July - Dec2013

Jan - June2014 25,547

21,818

18,993

Figure 16: Calls per 6 month period (Pregnancy, Birth and Baby)

3.3 Caller age and genderCallers and patients are not necessarily the same person; for example a mother might call on behalf of a child. The information in this section pertains to the caller.

Between January-June 2014, 81.0% of callers were female and 11.8% male. 7.5% of callers elected not to disclose their gender (Fig 18).

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5

Female callers

Male callers

Figure 18: Callers by age and gender (Pregnancy, Birth and Baby)

3.4 Caller relationshipsOf the callers who identified their relationship to the patient, the majority of calls were made for concerns about personal health (60.3%) (Table 10).

Relationship of caller to patient %

Self 60.3

Mother 31.3

Father 5.2

Husband / male partner 1.7

Table 10: Top four caller-to-subject relationships (Pregnancy, Birth and Baby)

3.5 Location of callersBetween January-June 2014, the highest number of calls originated from NSW (9,650) followed by SA (3,887) and WA (3,219) (Fig 19).

0

2

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6

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10

Other*WAVICTASSAQLDNTNSWACT

Major Cities

Inner Regional

Outer Regional

Remote

Very Remote

423

9,65

0

159

2,24

7

185

3,17

3

3,21

9

2,60

43,88

7

Figure 19: Callers by location (Pregnancy, Birth and Baby)

*Other represents location data that was not available or not collected.

16 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 17

Page 10: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

3.6 Aboriginal and Torres Strait Islander callersBetween January-June 2014, 1.5% of callers identified themselves as being Aboriginal or Torres Strait Islander (Table 11).

Cultural background %

Aboriginal or Torres Strait Islander 1.5

Not Aboriginal or Torres Strait Islander 82.2

Declined 16.3

Table 11: Cultural background (Pregnancy, Birth and Baby)

3.7 Interpreter and hearing servicesBetween January-June 2014, 11 callers required the services of an interpreter and one caller used the National Relay Service.

3.8 Types of information requested by callersBetween January-June 2014, the most common types of information requested via the helpline were regarding the topics of ‘Constipation,’ ‘Maternal and child health’ and ‘Crying baby’ (Table 12).

Type of Information Requested

1 Constipation

2 Maternal and child health

3 Crying baby

4 Drug and alcohol services

5 Nappies poos and wees

6 Bottle feeding - formula

7 Breastfeeding

8 Introducing solid food

9 Hospitals-Maternity and/or Children

10 Foods to avoid

11 Early signs of pregnancy

12 Sleep - 6 months to 3 years

13 Sleep - 3 to 6 months

14 Pregnancy, Birth and Baby helpline information provided

15 Safe sleep for babies and toddlers

16 Teeth - development and care

17 Getting your baby to sleep

18 Morning sickness

19 Family welfare/crisis intervention-financial and homelessness

20 Immunisation for babies

Table 12: Top 20 types of information requested (Pregnancy, Birth and Baby)

3.9 Advice given to callersBetween January-June 2014, the most common types of advice or recommendations given were ‘Referral to a nurse’ (68.5%),‘Supply of pregnancy and perinatal fact sheets’ (16.7%) and ‘General counselling’ (5.1%) (Table 13).

Recommendation / advice %

Referral to a nurse triage 68.5

Supply of pregnancy and perinatal fact sheets 16.7

General counselling 5.1

Health provider contact details 5.3

Referred back to a treating medical professional 1.3

Pregnancy counselling 1.2

Referral to a pregnancy / perinatal support agency 1.0

Counselling: enquiry 0.6

Counsellor call back offered 0.1

Third party support details provided 0.2

Activate Triple Zero (000) 0.1

Table 13: Recommendation / advice (Pregnancy, Birth and Baby)

3.10 Number of website visitsThere were 251,328 visits to the Pregnancy, Birth and Baby website between January-June 2014 (Fig 20).

0

10

20

30

40

50

60

Jun - 14May - 14Apr -14Mar -14Feb - 14Jan - 14

Figure 20: Total visits (Pregnancy, Birth and Baby)

3.11 Time of website visits3.11.1 Time of day

Between January-June 2014, 73.0% of visits occurred between 9.00am and 10.00pm (Fig 21).

11 P

M10

PM

9 PM

8 PM

7 PM

6 PM

5 PM

4 PM

3 PM

2 PM

1 PM

12 P

M11

AM

10 A

M9

AM8

AM7

AM6

AM5

AM4

AM3

AM2

AM1

AM12

AM

0

5

10

15

20

Figure 21: Time of visits (Pregnancy, Birth and Baby)

3.11.2 Day of week

The busiest day of the week between January-June 2014 was Monday (15.7% of visits), followed by Wednesday (14.8%) and Tuesday (14.7%).

3.12 Website visitor locationBetween January-June 2014, the highest number of visits originated from NSW (26.0%), followed by VIC (19.6%) and QLD (11.7%) (Fig 22).

0

10

20

30

40

50

60

70

80

WAVICTASSAQLDNTNSWACT

3,58

0

65,4

44

415

29,2

96

12,4

97

1,79

8

49,1

89

19,2

11

Figure 22: Visitor location (Pregnancy, Birth and Baby)

The remaining 69,898 visits were from overseas or did not have location data available.

18 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 19

3. Pregnancy, Birth and Baby Advice and counselling

Page 11: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

3.13 Most popular pagesBetween January-June 2014, the most popular page on Pregnancy, Birth and Baby was ‘First trimester (first three months)’ (Table 14).

Popular pages

1 First trimester (first three months)

2 Foods to avoid

3 Antenatal care and visits

4 Pregnancy - 0 to 8 weeks

5 Third trimester (last three months)

Table 14: Most popular pages on the Pregnancy, Birth and Baby website

3.14 Average visit durationThe average time people spend on the Pregnancy, Birth and Baby website was 2 minutes and 13 seconds in the period between January to June 2014.

“There was a 35% increase in calls to the Pregnancy, Birth and Baby helpline from the same period in the previous year”

20 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 21

3. Pregnancy, Birth and Baby Advice and counselling

Page 12: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

4. mindhealthconnect Mental health and wellbeing

The following statistics pertain to the website www.mindhealthconnect.org.au for the period January-June 2014.

4.1 Number of website visitsThere were 318,617 visits to the mindhealthconnect website between January-June 2014 (Fig 23).

0

20

40

60

80

100

Jun - 14May - 14Apr -14Mar -14Feb - 14Jan - 14

Figure 23: Total visits (mindhealthconnect)

4.2 Time of website visits4.2.1 Time of dayBetween January-June 2014, 78.0% of visits occurred between 9.00am and 10.00pm (Fig 24).

11 P

M10

PM

9 PM

8 PM

7 PM

6 PM

5 PM

4 PM

3 PM

2 PM

1 PM

12 P

M11

AM

10 A

M9

AM8

AM7

AM6

AM5

AM4

AM3

AM2

AM1

AM12

AM

0

5

10

15

20

25

Figure 24: Time of visits (mindhealthconnect)

4.2.2 Day of weekThe busiest day of the week between January-June 2014 was Monday (16.3%) and then Tuesday (15.5%). Saturday continued to have the lowest number of visits (12.1)%).

4.3 Website visitor locationBetween January-June 2014, the highest number of visits originated from NSW (33.0%), followed by VIC (24.6%) and QLD (16.0%) (Fig 25).

0

20

40

60

80

100

120

WAVICTASSAQLDNTNSWACT

7,14

0

105,

254

622

50,9

69

20,1

23

3,85

4

78,5

12

30,7

43

Figure 25: Visitor location (mindhealthconnect)

The remaining 21,400 visits were from overseas or did not have location data available.

4.4 Most popular pagesBetween January-June 2014, the most popular page on mindhealthconnect was ‘Anxiety’ (Table 14).

Popular pages

1 Anxiety

2 Spot the difference*

3 Depression

4 Nine signs of mental health issues

5 Stress

Table 15: Most popular pages on the mindhealthconnect website

*Landing page specifically developed to support the “Spot the difference’ marketing campaign that ran from March to July 2014.

4.5 Average visit durationThe average time people spend on the mindhealthconnect website was 2 minutes and 11 seconds in the period between January to June 2014.

22 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 23

“There was a 37.8% increase in visits to the mindhealthconnect website from the previous period”

Page 13: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

24 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 25

5. National Health Services Directory Access to health services information

The National Health Services Directory (NHSD) is a consolidated and comprehensive national directory of health services and provider information. It covers all Australian jurisdictions with services across the public and private sector. The data within the directory is used to support a growing number of ehealth as well as health and related human services initiatives for consumers and providers such as after hours GP helpline and the My Aged Care gateway.

The NHSD completed its first year running in an operational mode on June 30, 2014. This first year of operations saw substantial improvements in the system and increased adoption of the service.

Some of the highlights are:

• Doubling of the Health Services content in the database

• Significant adoption of the NHSD widget with 54 now in production and more underway

• Development of the National Endpoint Proxy Service to support electronic messaging

• Inclusion of the NHSD for new projects such as HealthPathways, Linkages, Ambulance Victoria

5.1 Services in the NHSDThe current services nationally are GPs, Emergency Departments, Hospitals and Pharmacies with a significant collection of additional services including allied health and dentists developing both the depth and breadth of the service information. The information stored within the directory has increased dramatically, doubling over the last 12 months. The NHSD now has over 300 categories of services and some 300,000 records. (Fig 26).

0

50

100

150

200

250

300

350

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

Service points

Total records

Figure 26: Total NHSD records

Note: Service Points are services at a location. Total records includes service points, organisation records and practitioner records.

5.2 Number of services in the database The total number of services in the database is more than 114,000.

On average, 5813 services per month were added to the NHSD database in the period between January- June 2014 (Fig 27).

0

2

4

6

8

10

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

Aged Care

NHSD

Figure 27: Services added to the NHSD, per month

To ensure the relevance of the information contained on the database, the NHSD is regularly updated. On average, 15,152 services per month were updated in the period between January- June 2014. (Fig 28).

0

5

10

15

20

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

Aged Care

NHSD

Figure 28: Services updated in the NHSD, per month

5.3 NHSD Database Query TransactionsThere are now over 50 organisations using the NHSD data as the source of directory information and available across a number of digital platforms (websites, widgets and mobile applications) enabling consumers and health professionals to find health services based on location and a variety of criteria. Some key users of the NHSD widget range from Medicare Locals to RACGP (Royal Australian College of General Practitioners), Cancer Council, the Department of Veterans Affairs and SA Health.

Transactions on the database continue to grow as usage and adoption increases across jurisdictions, hospitals and through the widespread usage of the widgets (Fig 29).

2500

3000

3500

4000

Jun-14May-14Apr-14Mar-14Feb-14Jan-14

Figure 29: Average transactions per month

Note: Transactions include all search and interface queries to the database.

Content Management

SystemContent

ManagementFramework

Repository

eHealth

OriginalData Sources

WebsiteManagement

InterfaceWidget Mobile App Health Map API

e.g Hospitals

National Shared Capabilities

Page 14: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

26 Healthdirect Australia Biannual Report January-June 2014 Healthdirect Australia Biannual Report January-June 2014 27

Healthdirect Australia was established, and is jointly funded, by the Australian Government and the Governments of the Australian Capital Territory, New South Wales, Northern Territory, South Australia, Tasmania and Western Australia.

It is a public company limited by shares and is responsible for delivering health information websites and health advice phone lines by contracting with service providers and managing ongoing operations.

Our Shareholders

Page 15: Biannual Report January-June 2014€¦ · Between January-June 2014, there was a 12.5% decrease in calls from the previous half year and a 6.7% decrease in calls from the same period

Level 19 133 Castlereagh StreetSydney NSW 2000(02) 9263 [email protected] 28 118 291 044