Richard Gauld
Dados Biográficos
| ID | 1399141 |
|---|---|
| NOME | Richard Gauld |
| PRENOMES | Richard |
| SOBRENOME | Gauld |
| ASSINATURA | GAULD R |
| AFILIAÇÕES | University of Otago |
| ORCID | 0000-0001-5401-1192 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 159 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1995 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 8 |
A multi-stakeholder perspective to improve the efficacy of management consulting practice in the New Zealand public health system
The global health sector is increasingly utilizing management consulting services to enhance performance. This study, based on strategy-as-practice perspective, examines the effectiveness of these services. Using a modified Delphi method, we gathered insights from 28 management consultants and 30 health organization managers. Results indicate that management consulting falls short in improving performance and building new capabilities in the heal…
Facilitators and barriers of public–private partnerships for universal health coverage in sub-Saharan Africa
Universal health coverage (UHC) provides a platform for attaining ‘Health for All’. Attaining UHC requires substantial investment and resources in the health sector. This can be challenging for many sub-Saharan African (SSA) countries. Public–private partnerships (PPPs) could be a potential solution. The implementation of healthcare PPPs for developing health system capacities for UHC presents both significant opportunities and notable challenges…
Hauora Māori – Māori health
Māori practices are an expression of autonomy in the face of enduring health system failure. Apart from lower immunisation rates, health outcomes were not different from other models of care, despite patients having higher health risk profiles. Across all models, primary care need was unmet for many Māori, despite increased clinical input. Funding must support under-resourced Māori practices and ensure accountability for the health outcomes of Mā…
Nurses’ work in relation to patient health outcomes
Transferring work to nurses in Traditional, Health Care Home, and Corporate practices, would release general practitioner clinical time for other work. Worse patient health outcomes were associated with higher patient need and higher clinical input. It is plausible that there is insufficient clinical input to meet the degree of patient need. More practitioner clinical time is required, especially in practices with high volumes of complex patients
Opinion Paper
Transformative artificially intelligent tools, such as ChatGPT, designed to generate sophisticated text indistinguishable from that produced by a human, are applicable across a wide range of contexts. The technology presents opportunities as well as, often ethical and legal, challenges, and has the potential for both positive and negative impacts for organisations, society, and individuals. Offering multi-disciplinary insight into some of these, …
A review of public policies on Covid-19
Purpose This article reviews New Zealand's journey through managing Covid-19. It provides a chronological overview of key developments. The article analyses the impacts of Covid-19 on business and society and offers lessons for others from the New Zealand case. Design/methodology/approach The article draws on various sources, primarily media pieces and government information. It also critically analyses and interprets the New Zealand response. Fi…
Is there equity of patient health outcomes across models of general practice in Aotearoa New Zealand? A national cross-sectional study
Model-level associations with poor patient outcomes suggest inequity in measures that might be used to target investment in primary care
What components are important for effective healthcare alliance governance? Findings from a modified Delphi study in New Zealand
Private choices, public costs
Why is Quality Improvement so Challenging? A Viable Systems Model Perspective to Understand the Frustrations of Healthcare Quality Improvement Managers
Trust in government increased during the Covid‐19 pandemic in Australia and New Zealand
Using an online panel, we surveyed a representative sample of 500 each in Australia and New Zealand during July 2020, in the middle of the Covid‐19 pandemic. We find trust in government has increased dramatically, with around 80% of respondents agreeing government was generally trustworthy. Around three quarters agreed management of the pandemic had increased their trust in government. Over 85% of respondents have confidence that public health sc…
Has the clinical governance development agenda stalled? Perceptions of New Zealand medical professionals in 2012 and 2017
Citizen's Charter in a primary health‐care setting of Nepal
BACKGROUND: Despite some empirical findings on the usefulness of citizen's charters on awareness of rights and services, there is a dearth of literature about charter implementation and impact on health service delivery in low-income settings. OBJECTIVE: To gauge the level of awareness of the Charter within Nepal's primary health-care (PHC) system, perceived impact and factors affecting Charter implementation. METHOD: Using a case study design, a…
Rethinking health workforce planning
Could lessons have been drawn from New Zealand for England’s NHS reforms
This article argues that New Zealand (NZ) could be an important case for drawing health system reform lessons from for the English National Health Service. Reasons for this are outlined, including the close similarities between the two countries and their health systems. The article describes the diverging health reform agendas of conservative governments in both countries, noting a series of lessons for England that might have been drawn from NZ…
How responsive are government agencies when contacted by email? Findings from a longitudinal study in Australia and New Zealand
Social inclusion through ageing-in-place with care
The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the…
Is Public Trust in Government Associated With Trust in E-Government
The term e-government describes the use of information and communications technology, particularly the Internet, for the delivery of public services. As governments invest in e-government, there is only limited knowledge of the extent of public trust in the new electronic modes of delivery; we also know little about whether there is any relationship between trust in government and trust in e-government. This article reports on research designed t…
The forgotten promise of e-government maturity
Information and communications technology use, e-government, pain and stress amongst public servants
This paper examines information and communications technologies use, work intensity, technology preference, respondent characteristics, pain and stress in 240 New Zealand public servants across six agencies. In particular, we find that four variables are the most consistent predictors of pain—hours using a cell phone, stress, female gender and one's salary
The Age of Supported Independence
Are elected health boards an effective mechanism for public participation in health service governance
Background There is growing interest in the idea of elected members on health service governing boards as a means to induce public participation in planning and decision making, yet studies of elected boards are limited. Whether elected boards are an effective mechanism for public participation remains unclear. Setting and participants This article discusses the experiences of New Zealand where, since 2001, there have been three sets of elections…
Factors Associated With E-mail and Internet Use for Health Information and Communications Among Australians and New Zealanders
Research into the use of e-mail and the Internet for health information and communications has predominantly hailed from North America and European Union countries. By drawing on an Australian and New Zealand survey sample (n = 406) of health Internet users, this article expands the field. It explores factors associated with a series of e-mail and Internet use behaviors including use of e-mail to communicate with doctors, presenting Internet info…
Do they want it? Do they use it? The ‘Demand-Side’ of e-Government in Australia and New Zealand
This body does not want free medicines
OBJECTIVES Like many other developing countries, South Africa provides free medicines through its public health care facilities. Recent policies encourage generic substitution in the private sector. This study explored South African consumer perceptions of drug quality and whether these perceptions influenced how people procured and used their medicines. METHODS The study was undertaken in Durban, Cape Town and Johannesburg in South Africa betwee…
Trust in government increased during the Covid‐19 pandemic in Australia and New Zealand
Using an online panel, we surveyed a representative sample of 500 each in Australia and New Zealand during July 2020, in the middle of the Covid‐19 pandemic. We find trust in government has increased dramatically, with around 80% of respondents agreeing government was generally trustworthy. Around three quarters agreed management of the pandemic had increased their trust in government. Over 85% of respondents have confidence that public health sc…
The Participation Divide? Political Participation, Trust in Government, and E‐government in Australia and New Zealand
Drawing on 438 telephone interview surveys in Australia and 500 in New Zealand, we find evidence of a ‘participation divide’ where those participating in politics do so using a range of means, including electronic ones. Those less likely to participate in politics, are less likely to participate across all means measured. Those with higher levels of education and income and of European ethnicity are more likely to participate. We confirm the exis…
Do they want it? Do they use it? The ‘Demand-Side’ of e-Government in Australia and New Zealand
How responsive is E-Government? Evidence from Australia and New Zealand
Social inclusion through ageing-in-place with care
The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the…
Is Public Trust in Government Associated With Trust in E-Government
The term e-government describes the use of information and communications technology, particularly the Internet, for the delivery of public services. As governments invest in e-government, there is only limited knowledge of the extent of public trust in the new electronic modes of delivery; we also know little about whether there is any relationship between trust in government and trust in e-government. This article reports on research designed t…
The forgotten promise of e-government maturity
Maintaining Centralized Control in Community-based Forestry
Community-based forestry management is emerging as an important component of forest policies in the developing world. Using the Philippines as a case-study, this article critically examines the way in which community-based forestry is constructed and understood among government policy makers. The author suggests that the new policy discourse of community-based forestry policy in the Philippines is still shaped by efforts to maintain centralized c…
Public sector information system project failures
One Country, Four Systems
There is a growing literature in comparative health policy that analyzes the experiences of different countries. This article draws upon the comparative tradition, but has an intra-country focus. It considers the case of New Zealand, which has had four different public health sector structures in a decade, with fundamental changes enacted following general elections in 1990, 1996 and 1999. New Zealand's structures have included a system of locall…
Rethinking health workforce planning
How responsive are government agencies when contacted by email? Findings from a longitudinal study in Australia and New Zealand
This body does not want free medicines
OBJECTIVES Like many other developing countries, South Africa provides free medicines through its public health care facilities. Recent policies encourage generic substitution in the private sector. This study explored South African consumer perceptions of drug quality and whether these perceptions influenced how people procured and used their medicines. METHODS The study was undertaken in Durban, Cape Town and Johannesburg in South Africa betwee…
One step forward, one step back? Restructuring, evolving policy, and information management and technology in the New Zealand health sector
A survey of the Hong Kong health sector
Information and communications technology use, e-government, pain and stress amongst public servants
This paper examines information and communications technologies use, work intensity, technology preference, respondent characteristics, pain and stress in 240 New Zealand public servants across six agencies. In particular, we find that four variables are the most consistent predictors of pain—hours using a cell phone, stress, female gender and one's salary
Factors Associated With E-mail and Internet Use for Health Information and Communications Among Australians and New Zealanders
Research into the use of e-mail and the Internet for health information and communications has predominantly hailed from North America and European Union countries. By drawing on an Australian and New Zealand survey sample (n = 406) of health Internet users, this article expands the field. It explores factors associated with a series of e-mail and Internet use behaviors including use of e-mail to communicate with doctors, presenting Internet info…
Health Care Rationing Policy in New Zealand
This article discusses New Zealand's experiences with health care rationing policy. It reviews attempts to define ‘core services’, the development of prioritisation techniques for service access and funding, new technology assessment, and the management of subsidised pharmaceuticals. The New Zealand experience offers various lessons: that rationing policy development is, by nature, a ‘messy’ process; that central coordination of rationing policy …
The Attitudes of Senior Officials in the ‘New’ New Zealand Health Sector
Notes1 The author would like to thank the following: the Internal Grants Committee of the Victoria University of Wellington for funding assistance; the Director-General of Health and the Chief Executives of the three participating Regional Health Authorities for supporting the project; the respondents for their willingness to participate; Stephen Haslett and Gurusingham Sathiyandra of the VUW Institute of Statistics and Operations Research for SY…
The Attitudes of Senior Officials in the ‘New’ New Zealand Health Sector
Notes1 The author would like to thank the following: the Internal Grants Committee of the Victoria University of Wellington for funding assistance; the Director-General of Health and the Chief Executives of the three participating Regional Health Authorities for supporting the project; the respondents for their willingness to participate; Stephen Haslett and Gurusingham Sathiyandra of the VUW Institute of Statistics and Operations Research for SY…
A survey of the Hong Kong health sector
Beyond New Zealand's Dual Health Reforms
The New Zealand health system was substantially reformed in 1993 with the introduction of a purchaser–provider split, competitive contracting and managerialism. The new system failed to deliver the desired gains and, in 1996, the reforms were “reformed”. While there has been widespread study of the 1993 reforms, there has been little discussion to date of the 1996 changes and the emerging directions for New Zealand health policy and service deliv…
From Technocrats to Classical Bureaucrats
This article presents the findings of two surveys conducted in 1993 and 1997 respectively. The surveys are in the tradition of a growing body of international research inquiring into the attitudes of officials in key policy-making and administrative posts toward aspects of their operating environments. The surveys provide comparative ‘snapshots’ of the attitudes of respondents at two very important phases in the existence of the agencies. Moreove…
Maintaining Centralized Control in Community-based Forestry
Community-based forestry management is emerging as an important component of forest policies in the developing world. Using the Philippines as a case-study, this article critically examines the way in which community-based forestry is constructed and understood among government policy makers. The author suggests that the new policy discourse of community-based forestry policy in the Philippines is still shaped by efforts to maintain centralized c…
Contextual Pressures on Health—Implications for Policy Making and Service Provision
This article posits that health is one of the more difcult areas of public policy making and service provision, owing to a variety of circumstantial and contextual issues. It suggests that advance-ments in medical practice and organization are not simplifying health policy; along with the changing context of health, they are complicating the processes of policy making and provision. The article discusses a number of trends and emerging issues in …
Citizen participation in resource allocation
Community participation in a rural community health trust
Since the mid-1980s, the New Zealand health sector has been in a state of continual change. The most radical changes were in the early-1990s, with the creation of an internal market system for public health care delivery. Rural health services, seen to be unviable, were given the option of establishing themselves as 'community trusts', owning and running their own services. Community trusts have since become a feature of rural health care in New …
One Country, Four Systems
There is a growing literature in comparative health policy that analyzes the experiences of different countries. This article draws upon the comparative tradition, but has an intra-country focus. It considers the case of New Zealand, which has had four different public health sector structures in a decade, with fundamental changes enacted following general elections in 1990, 1996 and 1999. New Zealand's structures have included a system of locall…
The politics of social inequality
Health Care Rationing Policy in New Zealand
This article discusses New Zealand's experiences with health care rationing policy. It reviews attempts to define ‘core services’, the development of prioritisation techniques for service access and funding, new technology assessment, and the management of subsidised pharmaceuticals. The New Zealand experience offers various lessons: that rationing policy development is, by nature, a ‘messy’ process; that central coordination of rationing policy …
One step forward, one step back? Restructuring, evolving policy, and information management and technology in the New Zealand health sector
Politics and policymaking
Public sector information system project failures
Hong Kong's Health System
Principal-Agent Theory and Organisational Change
Principal-agent theory has provided a powerful and all-encompassing framework for public sector organisation. Its influence in New Zealand since the late-1980s has been particularly strong, despite questions over its appropriateness. This article discusses the case of health information management in New Zealand's health sector which, through the 1990s, endured several policy changes. One constant during this period was reliance on principal-agen…
Do Hospital Bed Reduction and Multiple System Reform Affect Patient Mortality
BACKGROUND: The impact of hospital and system restructuring on the quality and pattern of care is an important issue of public policy concern. OBJECTIVE: To assess the effect on patterns of care and patient outcomes of a substantial reduction in public hospital bed availability and multiple reorganizations in New Zealand through the 1990s. RESEARCH DESIGN: Trend analysis using both tabular and multilevel techniques. SUBJECTS: Access to discharge …
How responsive is E-Government? Evidence from Australia and New Zealand
The Participation Divide? Political Participation, Trust in Government, and E‐government in Australia and New Zealand
Drawing on 438 telephone interview surveys in Australia and 500 in New Zealand, we find evidence of a ‘participation divide’ where those participating in politics do so using a range of means, including electronic ones. Those less likely to participate in politics, are less likely to participate across all means measured. Those with higher levels of education and income and of European ethnicity are more likely to participate. We confirm the exis…
The Age of Supported Independence
Are elected health boards an effective mechanism for public participation in health service governance
Background There is growing interest in the idea of elected members on health service governing boards as a means to induce public participation in planning and decision making, yet studies of elected boards are limited. Whether elected boards are an effective mechanism for public participation remains unclear. Setting and participants This article discusses the experiences of New Zealand where, since 2001, there have been three sets of elections…
Factors Associated With E-mail and Internet Use for Health Information and Communications Among Australians and New Zealanders
Research into the use of e-mail and the Internet for health information and communications has predominantly hailed from North America and European Union countries. By drawing on an Australian and New Zealand survey sample (n = 406) of health Internet users, this article expands the field. It explores factors associated with a series of e-mail and Internet use behaviors including use of e-mail to communicate with doctors, presenting Internet info…
Do they want it? Do they use it? The ‘Demand-Side’ of e-Government in Australia and New Zealand
This body does not want free medicines
OBJECTIVES Like many other developing countries, South Africa provides free medicines through its public health care facilities. Recent policies encourage generic substitution in the private sector. This study explored South African consumer perceptions of drug quality and whether these perceptions influenced how people procured and used their medicines. METHODS The study was undertaken in Durban, Cape Town and Johannesburg in South Africa betwee…
Is Public Trust in Government Associated With Trust in E-Government
The term e-government describes the use of information and communications technology, particularly the Internet, for the delivery of public services. As governments invest in e-government, there is only limited knowledge of the extent of public trust in the new electronic modes of delivery; we also know little about whether there is any relationship between trust in government and trust in e-government. This article reports on research designed t…
Political science (34 obras) · Business (26 obras) · Public relations (22 obras) · Economics (20 obras) · Public Administration (19 obras) · Health care (16 obras) · Law (16 obras) · Medicine (14 obras) · Computer Science (13 obras) · Public Administration (13 obras)