Institute of Health & Society

Staff Profile

Dr Michele Castelli

Lecturer in Health Policy and Systems


I am a health policy and systems researcher with a background in political science and social science and PhD in Health Policy and Management, with a particular expertise on comparative health systems analysis, health policy analysis, health services evaluation and global health.

I have been involved in several research projects and have worked with different partners, including the Italian and English National Health Service, local governments, international organisations and academic institutions in both developed and developing countries. I’m a member of several international health policy networks.

I have experience in developing policy analysis and conducting mixed method research (mostly qualitative), and I’m particularly interested in the intersection between health policy, socio/political determinants of health, health systems, and global health phenomena.

Roles and Responsibilities

I am Lecturer in Health Policy and Systems.

I am a member of the Social Determinants and Health Inequalities research team. I am Degree Programme Director for the Public Health and Global Health postgraduate programmes of the Faculty of Medical Sciences and Module Leader of the ‘Introduction to Health Policy and Systems’ module within these programmes


Doctorate in Healthcare Policy and Management, Catholic University of Sacred Heart, Rome, Italy, 2009
Master Degree in Health Statistics, University of Milan Bicocca, Milan, Italy, 2006
BA (Hons) Political Science, Catholic University of Sacred Heart, Milan, Italy, 2004
Postgraduate Certificate in Higher Education Practice, Durham University, 2014

Previous academic positions

2012 - 2017 Lecturer International Health Policy and Systems – Durham University
2009 – 2012 Post Doc in Healthcare Management and Policy – CRISP (Interuniversity research centre on public services), University of Milan Bicocca


  • European Health Policy Group
  • Health Policy and Politics Network
  • Strategic advisory team of the “Teaching and Learning Health Policy and Systems Research” group within the Health Systems Global Association
  • European Young Forum Gastein


My research is aimed at studying and analysing the impact of socio/political and health systems factors on the improvement of the health and wellbeing of the population, the improvement of universal access to health services and the way in which both developed and developing countries try to face global challenges (like the ageing of the population, the patient centred delivery of health services and the impact of austerity measures on resources allocation in healthcare).

I’m available to supervise students in any areas of my research activity and expertise.

Areas of expertise

  • Healthcare systems analysis and comparison
  • Health policy and systems research
  • Analysis of healthcare policy reforms
  • Performance evaluation and quality improvement in healthcare
  • Global health policies (like universal access to healthcare and priority setting in healthcare)
  • Health policy analysis
  • Health services research evaluation

Research funding

Recently completed funded projects:

  • 2016 Wellcome Trust – “Trust, risk and uncertainty in medicinal transactions in Sub-Saharan Africa: Integrating Behavioural Game Theory and Ethnography to develop a robust analytical framework to address a major global public health challenge” (Co-I - £49,954)
  • 2016 Durham University  Seedcorn - Age-based rationing: Research design workshop for comparative study of health systems – (Co-I - £12,931)

2015 NHS R&D - Integrated Clinical Care: Putting Patients at the Centre

Current funded project:

  • 2017 Joint Health Systems Research Initiative Wellcome Trust and UK research Councils -Developing an evidence base to support and strengthen community health workers utilization of mobile phones in Ghana, Malawi and Ethiopia (Co-I - £190,000)



I’m Degree Programme Director and Chair of the Board of Studies within the Graduate School for the Public Health and Global Health Postgraduate Programmes of the Faculty of Medical Sciences and module leader of the Health Policy and Systems module within these programmes. I’m also member of the IHS Teaching and Learning Strategy Group.

I have teaching experience in areas like international health policy and systems, global health, public health, health services evaluation and health services delivery, public policy, health management, and social policy.



  • Hamill H, Hampshire K, Mariwah S, Amoako-Sakyi D, Kyei A, Castelli M. Managing uncertainty in medicine quality in Ghana: The cognitive and affective basis of trust in a high-risk, low-regulation context. Social Science and Medicine 2019, 234, 112369.
  • Erskine J, Castelli M, Hunter D, Hungin P. The Persistent Problem of Integrated Clinical Care in English NHS Hospitals: Is the Mayo Model the Answer?. Journal of Health Organization and Management 2018, 32(4), 532-544.
  • Powell M, Castelli M. "Strange Animals": Hybrid organisations in health care. Journal of Health Organization and Management 2017, 31(7/8), 746-762.
  • Brown S, Castelli M, Hunter DJ, Erskine J, Vedsted P, Foot C, Rubin G. How might healthcare systems influence speed of cancer diagnosis: A narrative review. Social Science and Medicine 2014, 116, 56-63.
  • Vittadini G, Berta P, Castelli M. Manuale del sistema di valutazione della performance degli ospedali lombardi (Manual for the hospital performance evaluation model in Lombardy region). 2012.
  • Castelli M. OCSE Health at glance 2011: come si colloca la sanità italiana nel contesto internazionale? (OECD Health at glance 2011: how the Italian health system perform at international level?). Aboutpharma 2012, 94.
  • Castelli M, Cicchetti A. Salute e sussidiarieta nel sistema sanitario italiano (Health and subsidiarity in the italian NHS). In: Violini, L; Vittadini, G, ed. La sfida del cambiamento (The challenge of change). Milano: Bur, 2012.
  • Castelli M. La valutazione della qualità nel sistema sanitario: analisi dell’efficacia ospedaliera in Lombardia” (Health care quality evaluation: effectiveness evaluation in Lombardy Region). Sanitá pubblica e privata 2011, 3.
  • Castelli M, Merlino L. Il sistema sanitario lombardo (Lombardy health care system). In: Vittadini, G, ed. La valutazione della qualità nel sistema sanitario (Quality evaluation in health care systems). Milano: Guerini e Associati, 2010.