Harkness Project Title: The Role of Community Health Centers for Vulnerable Populations: A Comparative Study of the United States and New Zealand
Mentor: Barbara Starfield, M.D.
Placement: Johns Hopkins Bloomberg School of Public Health
Biography at time of Harkness Fellowship: Peter Crampton, a 2002-03 Commonwealth Fund Harkness Fellow in Health Care Policy and Practice, is professor and head of the department of public health at the Wellington School of Medicine and Health Sciences. He has a background in public health medicine and general practice. His research is focused on primary care policy, primary care organization and funding, social indicators, and social epidemiology. He is particularly interested in the role of the third sector in serving the primary health care needs of vulnerable population groups. Crampton has served on numerous advisory panels for the New Zealand Ministry of Health in a variety of policy areas related to primary care and public health and has strong links with a range of primary care organizations. He teaches undergraduate and postgraduate courses related to public health, health systems, and health services management.
Project: Crampton compared the state of Maryland with New Zealand with respect to: a) the institutional and policy arrangements that have promoted the development of third-sector primary care for vulnerable populations; b) the relative importance of third-sector primary care; c) the extent to which primary care organizations in Maryland and in New Zealand conform to theoretical predictions regarding their structural characteristics. He undertook a literature review, interviews with key informants, and a quantitative analysis of data from both Maryland and New Zealand.
Career Activity Since Fellowship
Current Position: Pro-Vice-Chancellor, Health Sciences, and Dean, Faculty of Medicine, University of Otago. (Updated 1/2014)
Imlach Gunasekara F, Carter KN, Crampton P, Blakely T. Income and individual deprivation as predictors of health over time. Int J Public HealtH 2013 Aug;58(4):501-11.
Salmond C, Crampton P. Measuring socioeconomic position in New Zealand. J Prim Health Care 2012 Dec 1;4(4):271-80.
Crampton P, Weaver N, Howard A. Holding a mirror to society? The sociodemographic characteristics of the University of Otago's health professional students. N Z Med J 2012 Sep 7;125(1361):12-28.
Crampton P. The challenges of selecting students. N Z Med J 2012 Sep 7;125(1361):9-11.
Perera R, Dowell A, Crampton P. Painting by numbers: a guide for systematically developing indicators of performance at any level of health care. Health Policy 2012 Nov;108(1):49-59.
Jatrana S, Crampton P, Richardson K, Norris P. Increasing prescription part charges will increase health inequalities in New Zealand. N Z Med J 2012 May 25;125(1355):78-80.
Jatrana S, Crampton P. Gender differences in financial barriers to primary health care in New Zealand. J Prim Health Care 2012 Jun 1;4(2):113-22.
Rasiah D, Edwards R, Crampton P. Funding community medicines by exception: a descriptive epidemiological study from New Zealand. N Z Med J. 2012 Feb 24;125(1350):21-9.
Salmond CE, Crampton P. Development of New Zealand's deprivation index (NZDep) and its uptake as a national policy tool. Can J Public Health. 2012 May 9;103(8 Suppl 2):S7-11.
Salmond, C., Crampton, P., Atkinson, J., & Edwards, R. A decade of tobacco control efforts in New Zealand (1996–2006): Impacts on inequalities in census-derived smoking prevalence. Nicotine & Tobacco Research 2012, 14(6), 664-673.
Jatrana, S., Crampton, P., & Norris, P. Ethnic differences in access to prescription medication because of cost in New Zealand. Journal of Epidemiology & Community Health 2011, 65(5), 454-460.
Norris, P., Horsburgh, S., Lovelock, K., Becket, G., Keown, S., Arroll, B., Herbison, P., Crampton, P. Medicalisation or under-treatment? Psychotropic medication use by elderly people in New Zealand. Health Sociology Review 2011, 20(2), 202-218.
Norris, P., Horsburgh, S., Keown, S., Arroll, B., Lovelock, K., Cumming, J., Herbison, P., Crampton, P., Becket, G. Too much and too little? Prevalence and extent of antibiotic use in a New Zealand region. Journal of Antimicrobial Chemotherapy 2011, 66, 1921-1926.
Jatrana, S., Crampton, P., & Richardson, K. Continuity of care with general practitioners in New Zealand: Results from SoFIE-Primary Care. New Zealand Medical Journal 2011, 124(1329).
Horsburgh, S., Norris, P., Becket, G., Crampton, P., Arroll, B., Cumming, J., Herbison, P., Sides, G. The Equity in Prescription Medicines Use study: Using community pharmacy databases to study medicines utilisation. Journal of Biomedical Informatics 2010, 43(6), 982-987.
Jatrana, S., & Crampton, P. Affiliation with a primary care provider in New Zealand: Who is, who isn't. Health Policy 2009, 91(3), 286-296.
Jatrana, S., & Crampton, P. Gender differences in general practice utilisation in New Zealand. Journal of Primary Health Care 2009, 1(4), 261-269.
Jatrana, S., & Crampton, P. Primary health care in New Zealand: Who has access? Health Policy 2009 93(1), 1-10.
Jatrana, S., Crampton, P., & Filoche, S. The case for integrating oral health into primary health care. New Zealand Medical Journal 2009, 122(1301).
Jatrana S. Crampton P. “Primary health care in New Zealand: Who has access?” Health Policy 93 (2009): 1-10.
Bindman A, Forrest C, Britt H, Crampton P, Majeed A. “Diagnostic Scope of and Exposure to Primary Care Physicians in Australia, New Zealand, and the U.S.,” British Medical Journal 2007; 334(7606):1261.
HURA Research Alliance: Cormack D, McLeod D, Love T, Salmond C, Robson B, Dowell A, Howard M, Crampton P. Ramage S. “Ethnicity Data and Primary Care: Lessons from the Health Utilisation Research Alliance (HURA) Study,” New Zealand Medical Journal 2006; 119(1231).
HURA Research Alliance: McLeod D, Cormack D, Love T, Salmond C, Robson B, Dowell A, Howard M, Crampton P, Ramage S. “Ethnicity, Socioeconomic Deprivation and Consultation Rates in New Zealand General Practice,” Journal of Health Services & Research Policy 2006; 11(3):141-149
Crampton P, Davis P, Lay Lee R, Raymont A, Forrest C, Starfield B. “Does Community-Governed Non-profit Primary Care Improve Access to Services? Cross-Sectional Survey of Practice Characteristics,” International Journal of Health Services 2005; 35(3): 465–478.
Hefford M, Crampton P, Foley J. “Reducing Health Disparities Through Primary Care Reform: The New Zealand Experiment,” Health Policy 2005; 72:9-23.
Crampton P, Davis P, Lay Lee R, Raymont A, Forrest C, Starfield B. “Comparison of Private For-Profit with Private Community-Governed Not-For-Profit Primary Care Services in New Zealand,” Journal of Health Services & Research Policy 2004; 9(Suppl 2): S2 17-22.
Crampton P, Starfield B. “A Case for Government Ownership of Primary Care Services in New Zealand: Weighing the Arguments,” International. Journal of Health Services 2004; 34:709-727.
Crampton P, Kerse N. “Kiwis In America: Reflections on the US Primary Care System,” New Zealand Medical Journal 2004; 117(1192).
Love T, Dowell A, Salmond C, Crampton P. “Quality Indicators and Variation in Primary Care: Modelling GP Referral Patterns,” Family Practice 2004; 21:160-165.