Harkness Project Title: Indigenous Disparities in Health Status: A Cross-Country Comparison of New Zealand, Australia, Canada and the United States
Mentor: Mark R. Chassin, M.D.
Placement: Mount Sinai-New York University Medical Center and Health System
Biography at time of Harkness Fellowship: Dale Bramley, a 2003-04 Commonwealth Fund Harkness Fellow in Health Care Policy and Practice, is general manager for funding and planning at the Waitemata District Health Board (DHB), Auckland, New Zealand. Bramley is also a senior lecturer in public health for the School of Population Health at the University of Auckland. His research interests including cardiovascular health gain at a population level including risk screening and assessment, disparities in health for indigenous peoples and clinical interventions to reduce health inequalities. Bramley is a member of several national advisory committees including the National Ethics Advisory Committee, which has responsibility for providing advice to the Minister of Health on ethical issues of national significance in the health and disability sector.
Project: Bramley investigated disparities in health status among indigenous peoples in Australia, Canada, New Zealand, and the U.S., the ways in which these are documented and tracked, and the policy approaches to reducing these disparities. He used available indicators of health outcomes, preventive services, modifiable risk factors, and treatment services in each country, and collaborated with country experts to interpret the results and analyze each country’s policy responses.
Career Activity Since Fellowship
Current Position: CEO, Waitemata District Health Board. (Updated 1/2014)
Sandiford P, Salvetto M, Bramley D, Wong S, Johnson L. The effect of Māori ethnicity misclassification on cervical screening coverage. N Z Med J 2013 Apr 5;126(1372):55-65.
Taylor HE, Bramley DE. An analysis of the readability of patient information and consent forms used in research studies in anaesthesia in Australia and New Zealand. Anaesth Intensive Care. 2012 Nov;40(6):995-8.
Robinson T, Elley CR, Wells S, Robinson E, Kenealy T, Pylypchuk R, Bramley D, Arroll B, Crengle S, Riddell T, Ameratunga S, Metcalf P, Drury PL. New Zealand Diabetes Cohort Study cardiovascular risk score for people with Type 2 diabetes: validation in the PREDICT cohort. J Prim Health Care 2012 Sep 1;4(3):181-8.
Sandiford P, Mosquera D, Bramley D. Ethnic inequalities in incidence, survival and mortality from abdominal aortic aneurysm in New Zealand. J Epidemiol Community Health 2012 Dec;66(12):1097-103.
Cullen J, Bramley D, Armstrong D, Butler L, Rouse P, Ashton T. Increasing productivity, reducing cost and improving quality in elective surgery in New Zealand: the Waitemata District Health Board joint arthroplasty pilot. Intern Med J 2012 Jun;42(6):620-6.
Ashton T, Bramley D, Armstrong D. Improving the productivity of elective surgery through a new ‘package of care.’ Health Policy 2012.
Whittaker R, Dorey E, Bramley D, Bullen C, Denny S, Elley CR, Maddison R, McRobbie H, Parag V, Rodgers A, Salmon P. A theory-based video messaging mobile phone intervention for smoking cessation: randomized controlled trial. J Med Internet Res 2011 Jan 21;13(1):e10.
Cullen J, Bramley D, Armstrong D, Butler L, Rouse P, Ashton T. Increasing productivity, reducing cost and improving quality in elective surgery in New Zealand: the Waitemata District Health Board joint arthroplasty pilot. Intern Med J. 2012 Jun;42(6):620-6.
Hosking J, Ameratunga S, Bramley D, Crengle S. Reducing ethnic disparities in the quality of trauma care: an important research gap. Annuals of Surgery. 2011 Feb;253(2):233-7. Review.
Gorton D, Mhurchu CN, Bramley D, Dixon R. Interpretation of two nutrition content claims: a New Zealand survey. Aust N Z J Public Health 2010 Feb;34(1):57-62.
Wells S, Furness S, Rafter N, Horn E, Whittaker R, Stewart A, Moodabe K, Roseman P, Selak V, Bramley D, Jackson R. Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practice. Eur J Cardiovasc Prev Rehabil 2008 Apr;15(2):173-8.
Bramley D, Latimer S. The accuracy of ethnicity data in primary care. N Z Med J 2007 Oct 26;120(1264):U2779
Bramley D, Hebert P, Tuzzio L, Chassin M. “Disparities in Indigenous Health: A Cross-Country Comparison between New Zealand and the United States,” American Journal of Public Health 2005; 95: 844-850.
Bramley D, Riddell T, Crengle, S, Curtis E, Harwood M, Nehua D, Reid P. A call to action on Maori Cardiovascular Health. Volume 117, Number 1197. July 2004.
* Bramley D, Hebert P, Jackson R, Chassin M. “Indigenous Disparities in Disease-Specific Mortality, a Cross-Country Comparison: New Zealand, Australia, Canada, and the United States,” New Zealand Medical Journal 2004; 117(1207).