Co-Director, Centre for Health Systems & Technology, University of Otago. Harkness Senior Fellow. Professor, Dunedin School of Medicine & Otago Business School.
Dunedin City, New Zealand
Joined July 2015
- Tweets565
- Following289
- Followers303
- Likes513
Robin Gauld retweeted
The argument that private healthcare relieves pressure on the public system is misleading.
Private care profits from failures of the public system and patients’ desperation for timely treatment.
@otago's Elizabeth Fenton + @robingauld explain:
#NZpol
bit.ly/3C2Ljon
Robin Gauld retweeted
New Zealand’s health system has been plagued by short-term thinking for decades and major reform is needed.
The data highlighted major differences in access and care by region – the so-called “postcode lottery”, writes @Otago's @robingauld.
#NZpol
bit.ly/3ld5Gdh
Robin Gauld retweeted
Not every uni campus can boast its own rafting course #otago
Robin Gauld retweeted
Our homepage has a shiny new Altmetric banner! Click through to explore our Altmetrics Report and the top 10 articles - currently featuring @ashleylschram @robingauld @SWilliamsonUNSW @fibuick @JeremiahTBrown @gemcarey @MikeMintrom and many more altmetric.com/explorer/repor…
Robin Gauld retweeted
UDST Graduation Ceremony - حفل التخرج teapawt.org/i/broadcasts/1YqGopdyZ…
Robin Gauld retweeted
#2 in 2021 with 7219 downloads is Shaun Goldfinch, Ross Taplin and @robingauld: "Trust in government increased during the Covid-19 pandemic in Australia and New Zealand" onlinelibrary.wiley.com/doi/…
Robin Gauld retweeted
New Zealand's major health restructure has a fundamental funding issue. As @otago's @robingauld writes, the government needs to make deeper changes if it wants to achieve an "equitable system". #nzpol bit.ly/36QHJkG
Robin Gauld retweeted
What makes an effective Quality Improvement Manager? Experience, expertise, interpersonal skills & leadership competencies say authors Adeel Akmal, Nataliya Podgorodnichenko @StokesTim63 Jeff Foote, Richard Greatbanks & @robingauld
bmchealthservres.biomedcentr… @chest_otago @DSMOtago
Robin Gauld retweeted
So funny...50 years ago, 1972, Business Horizons journals published an article "Business schools fail to communicate with managers" and the author, Ray Hilgert, gives 6 solutions to bridge the gap.
I like "faculty internships in business"
#oldimpact
doi.org/10.1016/0007-6813(72…
Robin Gauld retweeted
See @HSR_HRET's new special issue featuring cross-country comparisons of #HighNeedHighCost patients, in collaboration with the ICCONIC project and input from @IPapanicolas.
Read it here: ow.ly/zYgo50GFVja
Robin Gauld retweeted
(1/10) Over the last three years, the International Collaborative on Costs, Outcomes and Needs in Care (ICCONIC.net) has been looking for ways to improve care for the most complex and costliest patient populations.
#ICCONIC
Robin Gauld retweeted
The perfect storm? Waves of summer arrivals from Auckland, seeding Covid-19 outbreaks in the remotest communities, among some of the most vulnerable, least vaccinated populations, in places where health provision is scarce and hospitals a long way away.
thespinoff.co.nz/covid-19/23…
Robin Gauld retweeted
Link to @HSR_HRET full special issue: onlinelibrary.wiley.com/toc/…
Link to executive summary: onlinelibrary.wiley.com/doi/…
Visit ICCONIC.net for more information.
10/10
Robin Gauld retweeted
Fun working w/ @IPapanicolas @ashishkjha @RB_Today @wwodchis @SarahDeeny @HannahEllin @robingauld @iacs_aragon @niljan77 @IQhealthcare @CHERE_UTS @OECD_Social @RW_Intl @irdes + others for past 2yrs!
Special thanks to @commonwealthfnd & @HealthFdn
More work to come! 9/10
Robin Gauld retweeted
6. Better, linked data across the entire care trajectory across many countries is still needed.
Major data gaps exist/not available for research, which limits learnings from international comparisons.
Only a few countries can track patients across 7 domains of care. 8/10
Robin Gauld retweeted
5. Substantial variation in health outcomes across countries - does not appear to be correlated with spending
While US performs relatively well in short-term (mortality & readmissions), it's among worst in long-term at 1yr
In England, high mortality rates are concerning. 7/10
Robin Gauld retweeted
4. Drivers of high spending differ across countries
In US, "it's still the prices, stupid!" US pays more across each care setting when accounting for utilization
Other contributors? Way more costly rehab care and relatively more specialty care
Care in England is cheap! 6/10
Robin Gauld retweeted
As for spending on outpatient drugs, the US is really winning!
Much higher levels of spending in the US on outpatient drugs over the course of 1yr despite being in the middle of the pack when it comes to unique drug prescriptions. 5/10
