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Ngaire Kerse

2002–03 Harkness Fellow; Joyce Cook Chair in Ageing Well, University of Auckland

Ngaire Kerse is the Joyce Cook Chair in Ageing Well at the University of Auckland. She holds a medical degree from the University of Otago, New Zealand, a Ph.D. from the University of Melbourne, a Geriatric Medicine fellowship from the University of Pennsylvania, and general practitioner training in the United States, New Zealand, and Australia. Her research interests are the care of older people, maximizing potential function to improve well-being and better understanding the complexities of social, economic and health aspects of quality of life for older people. Kerse is a member of the National Council for the Royal New Zealand College of General Practitioners and has served on various guidelines groups.

Harkness Project Title: Who Cares for Older People?

Mentors: Edward Wagner, M.D., M.P.H., Group Health Cooperative of Puget Sound; James Logerfo, M.D., M.P.H., Harborview Medical Center

Placement: Group Health Cooperative, Center for Health Studies

Biography at time of Harkness Fellowship: Ngaire Kerse, a 2002–03 Commonwealth Fund Harkness Fellow in Health Care Policy and Practice, has her medical degree from the University of Otago, New Zealand, a Ph.D. from the University of Melbourne a Geriatric Medicine fellowship from the University of Pennsylvania, and general practitioner training in the United States, New Zealand and Australia. Her research interests are the care of older people, maximizing potential function to improve well-being and better understanding the complexities of social, economic and health aspects of quality of life for older people. As a senior lecturer in the Department of General Practice and Primary Heath Care her role in educating medical students about primary health care has developed in tandem with a programme of research about older people, the doctor patient relationship and health services research. Kerse is a member of the National Council for the Royal New Zealand College of General Practitioners and has served on various guidelines groups.

Project: Kerse’s project aimed to explore, from the perspective of older people and their families, the extent to which cultural differences related to health and health care beliefs affect care delivery in residential care setting.  She conducted an ethnographic study at two residential homes, and conducted interviews with nurses, nursing assistants, and a sample of older residents of different races and ethnicities.

Career Activity Since Fellowship

  • Head of School of Population of Health, Faculty of Medical and Health Sciences, University of Auckland, 2013
  • Professor of General Practice and Primary Health Care, University of Auckland, 2009
  • Best research presentation, Australia and New Zealand Falls Prevention conference, 2008
  • Distinguished Service Medal, Royal New Zealand College of General Practitioners, 2007
  • Associate Professor of General Practice and Primary Health Care, University of Auckland, 2003

Current Position: Joyce Cook Chair in Ageing Well, University of Auckland (Updated 4/2023)

E-Mail: [email protected]

Selected Publications

Wham CA, Redwood KM, Kerse N. Validation of the Nutrition Screening Tool 'Seniors in the Community: Risk Evaluation for Eating and Nutrition, Version II'  among Octogenarians. J Nutr Health Aging 2014;18(1):39-43.

Wilkinson-Meyers L, Brown P, McLean C, Kerse N. Met and unmet need for personal assistance among community-dwelling New Zealanders 75 years and over. Health Soc Care Community 2013 Dec 20.

Klenk J, Chiari L, Helbostad JL, Zijlstra W, Aminian K, Todd C, Bandinelli S, Kerse N, Schwickert L, Mellone S, Bagalá F, Delbaere K, Hauer K, Redmond SJ, Robinovitch S, Aziz O, Schwenk M, Zecevic A, Zieschang T, Becker C; FARSEEING Consortium and the FARSEEING Meta-Database Consensus Group. Development of a standard fall data format for signals from body-worn sensors : the FARSEEING consensus. Z Gerontol Geriatr 2013 Dec;46(8):720-6.

Lee D, Martini N, Moyes S, Hayman K, Zolezzi M, Kerse N. Potentially inappropriate medication use: the Beers' Criteria used among older adults with depressive symptoms. J Prim Health Care 2013 Sep 1;5(3):182-90.

Bellamy G, Gott M, Waterworth S, McLean C, Kerse N. 'But I do believe you've got to accept that that's what life's about': older adults living in New Zealand talk about their experiences of loss and bereavement support. Health Soc Care Community 2014 Jan;22(1):96-103.

Teh R, Doughty R, Connolly M, Broad J, Pillai A, Wilkinson T, Edlin R, Jatrana S, Dyall L, Kerse N. Agreement between self-reports and medical records of cardiovascular disease in octogenarians. J Clin Epidemiol 2013 Oct;66(10):1135-43.

Teh R, Dyall L, Kerse N. Ageing and ethnicity: identification of inaccuracy in the LiLACS NZ cohort. N Z Med J 2013 May 31;126(1375):113-6.

Koschwanez HE, Kerse N, Darragh M, Jarrett P, Booth RJ, Broadbent E. Expressive writing and wound healing in older adults: a randomized controlled trial. Psychosom Med 2013 Jul-Aug;75(6):581-90.

Mace CJ, Maddison R, Olds T, Kerse N. Validation of a Computerised Use of Time Recall for Activity Measurement in Advanced Aged Adults. J Aging Phys Act. 2013 May 22.

Benzinger P, Becker C, Kerse N, Bleibler F, Büchele G, Icks A, Rapp K. Pelvic fracture rates in community-living people with and without disability and in residents of nursing homes. J Am Med Dir Assoc 2013 Sep;14(9):673-8.

Bell KJ, Fulcher ML, Rowlands DS, Kerse N. Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial. BMJ 2013 Apr 18;346:f2310.

Dyall L, Kepa M, Hayman K, Teh R, Moyes S, Broad JB, Kerse N. Engagement and recruitment of Māori and non-Māori people of advanced age to LiLACS NZ. Aust N Z & Public Health 2013 Apr;37(2):124-31.

Robinson H, Macdonald B, Kerse N, Broadbent E. The psychosocial effects of a companion robot: a randomized controlled trial. J Am Med Dir Assoc 2013 Sep;14(9):661-7.

Robinson T, Kerse N. Medical readmissions amongst older New Zealanders: a descriptive analysis. N Z Med J. 2012 Dec 14;125(1367):24-34.

Wright-St Clair VA, Kepa M, Hoenle S, Hayman K, Keeling S, Connolly M, Broad  J, Dyall L, Kerse N. Doing what's important: valued activities for older New Zealand Māori and non-Māori. Australas J Ageing 2012 Dec;31(4):241-6.

Cameron ID, Gillespie LD, Robertson MC, Murray GR, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2012 Dec 12;12.

Elley CR, Clinick T, Wong C, Arroll B, Kennelly J, Doerr H, Moir F, FishmanT, Moyes SA, Kerse N. Effectiveness of simulated clinical teaching in general practice: randomised controlled trial. J Prim Health Care 2012 Dec 1;4(4):281-7.

Becker C, Schwickert L, Mellone S, Bagalà F, Chiari L, Helbostad JL, Zijlstra W, Aminian K, Bourke A, Todd C, Bandinelli S, Kerse N, Klenk J; FARSEEING Consortium; FARSEEING Meta Database Consensus Group. Proposal for a multiphase fall model based on real-world fall recordings with body-fixed sensors. Z Gerontol Geriatr 2012 Dec;45(8):707-15.

Robinson H, MacDonald BA, Kerse N, Broadbent E. Suitability of healthcare robots for a dementia unit and suggested improvements. J Am Med Dir Assoc 2013 Jan;14(1):34-40.

Foster SJ, Boyd M, Broad JB, Whitehead N, Kerse N, Lumley T, Connolly MJ. Aged Residential Care Health Utilisation Study (ARCHUS): a randomised controlled  trial to reduce acute hospitalisations from residential aged care. BMC Geriatr 2012 Sep 13;12:54.

Parsons M, Senior HE, Kerse N, Chen MH, Jacobs S, Vanderhoorn S, Brown PM, Anderson C. The Assessment of Services Promoting Independence and Recovery in Elders Trial (ASPIRE): a pre-planned meta-analysis of three independent randomised controlled trial evaluations of ageing in place initiatives in New Zealand. Age Ageing 2012 Nov;41(6):722-8.

Feigin VL, Barker-Collo S, Parag V, Hackett ML, Kerse N, Barber PA, Theadom A, Krishnamurthi R; Auckland Regional Community Stroke Study Group. Prevalence and predictors of 6-month fatigue in patients with ischemic stroke: a population-based stroke incidence study in Auckland, New Zealand, 2002-2003. Stroke 2012 Oct;43(10):2604-9.

Almeida OP, Pirkis J, Kerse N, Sim M, Flicker L, Snowdon J, Draper B, Byrne G, Goldney R, Lautenschlager NT, Stocks N, Alfonso H, Pfaff JJ. A randomized trial to reduce the prevalence of depression and self-harm behavior in older primary care patients. Ann Fam Med 2012 Jul-Aug;10(4):347-56.

Hayman KJ, Kerse N, Dyall L, Kepa M, Teh R, Wham C, Clair VW, Wiles J, Keeling S, Connolly MJ, Wilkinson TJ, Moyes S, Broad JB, Jatrana S. Life and living in advanced age: a cohort study in New Zealand--e Puāwaitanga o Nga Tapuwae Kia Ora Tonu, LiLACS NZ: study protocol. BMC Geriatr 2012 Jun 29;12:33.

Broadbent E, Tamagawa R, Patience A, Knock B, Kerse N, Day K, MacDonald BA. Attitudes towards health-care robots in a retirement village. Australas J Ageing 2012 Jun;31(2):115-20.

Parsons M, Senior H, Kerse N, Chen MH, Jacobs S, Vanderhoorn S, Anderson C. Should care managers for older adults be located in primary care? A randomized controlled trial. J Am Geriatr Soc 2012 Jan;60(1):86-92.

Wiles JL, Wild K, Kerse N, Allen RE. Resilience from the point of view of older people: 'There's still life beyond a funny knee'. Soc Sci Med 2012 Feb;74(3):416-24.

Connolly MJ, Kenealy T, Barber PA, Carswell P, Clinton J, Dyall L, Devlin G,  Doughty RN, Kerse N, Kolbe J, Lawrenson R, Moffitt A, Sheridan N. National variability in provision of health services for major long-term conditions in New Zealand (a report from the ABCC NZ study). N Z Med J 2011 Oct 14;124(1344):16-35.

Sheridan NF, Kenealy TW, Connolly MJ, Mahony F, Barber PA, Boyd MA, Carswell  P, Clinton J, Devlin G, Doughty R, Dyall L, Kerse N, Kolbe J, Lawrenson R, Moffitt A. Health equity in the New Zealand health care system: a national survey. Int J Equity Health 2011 Oct 20;10:45.

Kennedy P, Kerse N. Pretibial skin tears in older adults: a 2-year epidemiological study. J Am Geriatr Soc 2011 Aug;59(8):1547-8.

Dyall L, Kerse N, Hayman K, Keeling S. Pinnacle of life--Māori living to advanced age. N Z Med J 2011 Mar 25;124(1331):75-86.

Broad JB, Boyd M, Kerse N, Whitehead N, Chelimo C, Lay-Yee R, von Randow M, Foster S, Connolly MJ. Residential aged care in Auckland, New Zealand 1988-2008:  do real trends over time match predictions? Age Ageing 2011 Jul;40(4):487-94.

Hughes C, Lapane K, Kerse N. Prescribing for older people in nursing homes: challenges for the future. Int J Older People Nurs. 2011 Mar;6(1):63-70.

Williamson M, Pirkis J, Pfaff J, Tyson O, Sim M, Kerse N, Lautenschlager N, Stocks N, Almeida O (2007). "Recruiting and retaining GPs and patients in intervention studies: The DEPS-GP project as a case study.” BMC Medical Research Methodology, 7 (1), 42.

Pfaff JJ, Draper B, Pirkis J, Stocks N, Snowdon J, Sim M, Byrne G, Lautenschlager N, Flicker L, Kerse N, Goldney R, Wilson I, Almeida OP (2009). “Medical morbidity and mental health status in a large primary care sample of older Australians: The DEPS-GP Project.” Medical Journal of Australia, 190 (7), S75-S80.

Hughes CM, Roughead E, Kerse N.  “People in Long-Term Care: Contrasting the Policy Approaches of Four Countries,” Healthcare Policy 2008; 3(3).

Crampton P, Kerse N. “Kiwis In America: Reflections on the US Primary Care System,” New Zealand Medical Journal 2004; 117(1192).

Kiata L, Kerse N. “Inter-cultural Residential Care in New Zealand,” Qualitative Health Research 2004; 14:313-327.

Kerse N. “Elder Health: Dementia, a Brief Update,” New Zealand Doctor January 19th 2003.

Mainous III AG, Kerse N, Brock CD, Hughes K, Pruitt C. “Physician Approaches to the Creation of Patient Trust: Evidence the United States and New Zealand,” New Zealand Family Physician 2003; 30:336-341.