School of Population Health


Health Systems - Research

Research in Health Systems covers a range of disciplines and expertise including health economics, health management, programme evaluation, health services research, organizational psychology and public health ethics. Our broad aims are to advance understanding of the structure, processes and effects of health services and health policy, with a view to the more effective management and delivery of services and a more efficient and equitable health system. Research areas are wide ranging and include, but are not limited to:

  • Evaluation of health services and programmes
  • Economic evaluation of health interventions
  • Health policy analysis
  • Health ethics
  • Health informatics
  • Health organisation leadership, and developmental behaviours
  • Health leadership and health management
  • Health coaching
  • Interorganisational relationships in the health sector 

Current projects


Implementing models of primary health care for older adults with complex needs (iCOACH): In this HRC-funded project, we are collaborating with a team of Canadian researchers to examine what are the steps to the successful implementation and scaling-up of integrated models of community-based primary health care that address health and social needs and improve outcomes for older adults with complex care needs. Key outcomes of this research will be performance measures at the patient/family, provider, organisation and system levels, and a systematic guide to the design, implementation and scaling-up of innovative models of community-based primary health care.

Shorter Stays in Emergency Departments (SSED): The SSED National Research Project is a joint HRC-funded project between Auckland District Health Board and the University of Auckland investigating the effect of the 6hr NZ ED time target on clinical markers of quality of care and the process of policy implementation. See the SSED Research website.

Implementing the System Level Measures policy framework for improving health system outcomes: Identifying early indicators of success and failure:   The New Zealand government has recently introduced a new approach to measuring and managing performance of the publicly-funded health sector. This System Level Measures (SLM) framework requires District Alliances (DAs) of District Health Boards and Primary Health Organisations to collaboratively develop and implement plans to improve specified health outcomes such as amenable mortality, which are, in theory, amenable to health service delivery. Success of this internationally novel approach will depend on local implementation processes. This research aims to identify early indicators of implementation success and failure by comparing the collaborative governance and knowledge management capacity of New Zealand’s twenty DAs.   

Recent publications and reports


TENBENSEL, T., MILLER, F., BRETON, M., COUTURIER, Y., MORTON-CHANG, F., ASHTON, T., KENEALY, T. (2017). How do Policy and Institutional Settings Shape Opportunities for Community-Based Primary Health Care? A Comparison of Ontario, Québec and New Zealand. International Journal of Integrated Care, 17 (2).10.5334/ijic.2514 
Other University of Auckland co-authors: Timothy KenealyToni AshtonNicolette Sheridan

CHALMERS, L. M., ASHTON, T., & TENBENSEL, T. (2017). Measuring and managing health system performance: An update from New Zealand. Health policy (Amsterdam, Netherlands)10.1016/j.healthpol.2017.05.012

TENBENSEL, T., & BURAU, V. (2017). Contrasting approaches to primary care performance governance in Denmark and New Zealand. Health Policy10.1016/j.healthpol.2017.05.013

More Publications for Timothy Tenbensel

Baker, G. R., Shaw, J., Gutberg, J., Kenealy, T., CARSWELL P., Breton, M., ... Wodchis, W. (2017). Effective Organizational Leadership in the Implementation of Integrated Care; Lessons from 9 cases in the iCoach Project. International Journal of Integrated Care. 10.5334/ijic.3193

Other University of Auckland co-authors: Timothy Kenealy

EVANS, J. M., GRUDNIEWICZ, A., GRAY, C. S., WODCHIS, W. P., Carswell, P., & BAKER, G. R. (2017). Organizational Context Matters: A Research Toolkit for Conducting Standardized Case Studies of Integrated Care Initiatives. International Journal of Integrated Care, 17 (2).10.5334/ijic.2502

CARSWELL, P. (2015). Te Whiringa Ora: person-centred and integrated care in the Eastern Bay of Plenty, New Zealand. International Journal of Integrated Care, 15 (6).10.5334/ijic.2242

More publications for Peter Carswell

DAY, K., HUMPHREY, G., & COCKCROFT, S. (2017). How do the design features of health hackathons contribute to participatory medicine?. Australasian Journal of Information Systems, 2110.3127/ajis.v21i0.1383
URL: http://hdl.handle.net/2292/35474 
Other University of Auckland co-authors: Gayl Humphrey

DAY, K., KENEALY, T. W., & SHERIDAN, N. F. (2016). Should we embed randomized controlled trials within action research: arguing from a case study of telemonitoring. BMC Medical Research Methodology, 16, 1-11. 10.1186/s12874-016-0175-6

URL: http://hdl.handle.net/2292/29463 
Other University of Auckland co-authors: Timothy KenealyNicolette Sheridan

TABER, C., WARREN, J., & DAY, K. (2016). Improving the Quality of Informed Consent in Clinical Research with Information Technology. In A. J. Maeder, K. Ho, J. Warren (Eds.) The Promise of New Technologies in an Age of New Health Challenges. Selected Papers from Global Telehealth 2016, 135-142. Auckland, New Zealand: IOS Press. 10.3233/978-1-61499-712-2-135
URL: http://hdl.handle.net/2292/33390 
Other University of Auckland co-authors: Jim Warren

More publications for Karen Day

AYELEKE, R. O., NORTH, N., WALLIS, K. A., LIANG, Z., & DUNHAM, A. (2016). Outcomes and Impact of Training and Development in Health Management and Leadership in Relation to Competence in Role: A Mixed-Methods Systematic Review Protocol. International Journal of Health Policy and Management, 5 (12), 715-720. 10.15171/ijhpm.2016.138 
Other University of Auckland co-authors: Nicola NorthKatharine Wallis

DUNHAM, A., SKOUTERIS, H., NOLAN, A., EDWARDS, S., & SMALL, J. (2016). A cooperative pedagogical program linking preschool and Foundation teachers: apilot study. Australasian Journal of Early Childhood, 41 (3), 66-75. 
URL: http://hdl.handle.net/2292/32064

DUNHAM, A. H., & ROSS, M. (2016). What can reverse mentoring models contribute to communities of practice involving developed and rising economies?. In S. Buckley, G. Majewski, A. Giannakopoulos (Eds.) Organizational Knowledge Facilitation through Communities of Practice in Emerging Markets (pp. 61-84). Hershey, PA: IGI Global. 10.4018/978-1-5225-0013-1.ch004
URL: http://hdl.handle.net/2292/29687

More Publications for Annette Dunham

LAO, C., EDLIN, R., ROUSE, P., BROWN, C., HOLMES, M., GILLING, P., & LAWRENSON, R. (2017). The cost-effectiveness of active surveillance compared to watchful waiting and radical prostatectomy for low risk localised prostate cancer. BMC Cancer, 17 (1)10.1186/s12885-017-3522-z 
Other University of Auckland co-authors: Peter GillingPaul Rouse

BABAR, Z. U. D., & EDLIN, R. (2016). Economic Evaluation of a Medicines Management Model in New Zealand: A Proposal. Economic Evaluation of Pharmacy Services (pp. 215-221). 10.1016/B978-0-12-803659-4.00010-2

HEGARTY, J. E., HARDING, J. E., GAMBLE, G. D., CROWTHER, C. A., EDLIN, R., & ALSWEILER, J. M. (2016). Prophylactic Oral Dextrose Gel for Newborn Babies at Risk of Neonatal Hypoglycaemia: A Randomised Controlled Dose-Finding Trial (the Pre-hPOD Study). PLoS Medicine, 13 (10), 1-19. 10.1371/journal.pmed.1002155
URL: http://hdl.handle.net/2292/31359 
Other University of Auckland co-authors: Caroline CrowtherJane HardingJane AlsweilerJo HegartyGreg Gamble

More publications for Richard Edlin

JONAS, M. F. (2017). Social Licence: A Conceptual Analysis. Wellington, New Zealand. 31 March - 31 March 2017. (pending verification)

JONAS, M. F., & Exeter, D. (2017). The Role of the Integrated Data Infrastructure in New Zealand's Health System. Paper presented at Optimising Patient Experience through Digital Innovation, Stamford Plaza Auckland. 27 March 2017 - 28 March 2917. (pending verification) 
Other University of Auckland co-authors: Daniel Exeter

JONAS, M., MALPAS, P., KERSEY, K., MERRY, A., & BAGG, W. (2017). Applying ethical and legal principles to new technology: the University of Auckland Faculty of Medical and Health Sciences' policy 'Taking and Sharing Images of Patients.'. The New Zealand medical journal, 130 (1449), 30-38. 
URL: http://hdl.handle.net/2292/33618 
Other University of Auckland co-authors: Warwick BaggPhillipa MalpasAlan Merry

More pubications for Monique Jonas

WILKINSON-MEYERS, L., BROWN, P. M., MCNEILL, R., REEVE, J., PATSTON, P., & BAKER, R. (2015). To live an ordinary life: resource needs and additional costs for people with a physical impairment. Disability and Society, 30 (7), 976-990. 10.1080/09687599.2015.1061479 
Other University of Auckland co-authors: Laura Wilkinson-Meyers

SOPINA, E., & MCNEILL, R. (2015). Investigating the relationship between quality, format and delivery of feedback for written assignments in higher education. Assessment and Evaluation in Higher Education, 40 (5), 666-680. 10.1080/02602938.2014.945072

WILKINSON-MEYERS, L., BROWN, P., REEVE, J., MCNEILL, R., PATSTON, P., DYLAN, S., ... MCELDOWNEY, J. (2014). Reducing disablement with adequate and appropriate resources: a New Zealand perspective. Disability & Society, 29 (10), 1540-1553. 10.1080/09687599.2014.966803 
Other University of Auckland co-authors: Laura Wilkinson-Meyers

More publications for Rob McNeill

AYELEKE, R. O., NORTH, N., WALLIS, K. A., LIANG, Z., & DUNHAM, A. (2016). Outcomes and Impact of Training and Development in Health Management and Leadership in Relation to Competence in Role: A Mixed-Methods Systematic Review Protocol. International Journal of Health Policy and Management, 5 (12), 715-720. 10.15171/ijhpm.2016.138 
Other University of Auckland co-authors: Annette DunhamKatharine Wallis

MOHAMMED, J., ASHTON, T., & NORTH, N. (2016). Wave Upon Wave: Fiji's Experiments in Decentralizing Its Health Care System. Asia-Pacific journal of public health, 28 (3), 232-243. 10.1177/1010539516635270 
Other University of Auckland co-authors: Toni Ashton

MOHAMMED, J., NORTH, N., & ASHTON, T. (2015). Decentralisation of Health Services in Fiji: A Decision Space Analysis. International journal of health policy and management, 5 (3), 173-181. 10.15171/ijhpm.2015.199 
Other University of Auckland co-authors: Toni Ashton

More publications for Nicola North 

SHEKHAWAT, G. S., SUNDRAM, F., BIKSON, M., TRUONG, D., DE RIDDER, D., STINEAR, C. M., SEARCHFIELD, G. D. (2016). Intensity, Duration, and Location of High-Definition Transcranial Direct Current Stimulation for Tinnitus Relief. Neurorehabilitation and neural repair, 30 (4), 349-359. 10.1177/1545968315595286

SHEKHAWAT, G. S., STINEAR, C. M., & SEARCHFIELD, G. D. (2013). Transcranial Direct Current Stimulation Intensity and Duration Effects on Tinnitus Suppression. NEUROREHABILITATION AND NEURAL REPAIR, 27 (2), 164-172. 10.1177/1545968312459908

SHEKHAWAT, G. S., SEARCHFIELD, G. D., & STINEAR, C. M. (2013). Role of hearing AIDS in tinnitus intervention: a scoping review. J Am Acad Audiol, 24 (8), 747-762. 10.3766/jaaa.24.8.11

More publications for Giriraj Shekhawat

PALAPAR, L., WILKINSON-MEYERS, L., LUMLEY, T., & KERSE, N. (2017). Usual primary care of older people in New Zealand: association between practice characteristics and practice activities. JOURNAL OF PRIMARY HEALTH CARE, 9 (1), 78-84. 10.1071/HC16039 
Other University of Auckland co-authors: Thomas LumleyNgaire Kerse

GARDINER, C., BRERETON, L., FREY, R., WILKINSON-MEYERS, L., & GOTT, M. (2016). Approaches to capturing the financial cost of family care-giving within a palliative care context: a systematic review. Health & social care in the community, 24 (5), 519-531. 10.1111/hsc.12253
URL: http://hdl.handle.net/2292/30865 
Other University of Auckland co-authors: Merryn GottRosemary Frey

WILKINSON-MEYERS, L., BROWN, P. M., MCNEILL, R., REEVE, J., PATSTON, P., & BAKER, R. (2015). To live an ordinary life: resource needs and additional costs for people with a physical impairment. Disability and Society, 30 (7), 976-990. 10.1080/09687599.2015.1061479 
Other University of Auckland co-authors: Rob McNeill

More publications for Laura Wilkinson-Meyers