Health Economics

City Health Economics Centre

The City Health Economics Centre (CHEC) is dedicated to advancing research focused on the evaluating the performance of health care systems and determinants of health, using advanced quantitative research methods.

About the centre

CHEC members use a wide range of experimental and non-experimental approaches to analyse research questions of policy relevance. CHEC is collaboration between health economists based in the Department of Economics and the School of Health and Medical Sciences.

Researchers and academic staff at CHEC have produced high quality research work on a wide range of health economics topics. We have received research grants from MacMillan Cancer Support, The Health Foundation, British Academy, ESRC and NIHR.

Our current research programme includes the following main themes:

  • Analysis of the English National Health Service
  • The impact of macroeconomic shocks on health outcomes and wellbeing
  • Health outcomes measurement and valuation
  • Adaptation to health states
  • Inequalities in health and health access
  • Vaccine hesitancy and vaccination strategies
  • Health technology adoption and diffusion
  • Healthcare workforce wellbeing and retention
  • Pharmaceutical R&D and competition
  • Economic evaluation of new health care technologies
  • Health behaviours and lifestyle decision making
  • Intimate partner violence and health outcomes
  • Maternal working patterns and children’s wellbeing
  • Effects of health care reforms in developed and Low and Middle Income Countries (LMICs)
  • Child and maternal health in developed and LMICs
  • Migration and health.

photo of Agne Suziedelyte

Dr Agne Suziedelyte

People

Members

Dr Victoria Serra-Sastre, Director

Reader, Department of Economics

Research interests:

  • Technology uptake and diffusion in health care
  • Workforce wellbeing and retention
  • Maternal and child health outcomes

View full academic profile.

Dr Dagmara Celik Katreniak

Lecturer, Department of Economics

Research interests:

  • Experimental economics
  • Development economics
  • Vaccination strategies

View full academic profile.

Dr Giulia Faggio

Reader, Department of Economics

Research interests:

  • Labour economics
  • Urban economics
  • Local economic development

View full academic profile.

Dr Kyriaki Giorgakoudi

Senior Research Fellow, School of Health and Medical Sciences

Research interests:

  • Economic evaluation
  • Mathematical modelling
  • Cancer treatment
  • Infectious diseases

View full academic profile.

Dr Bansi Malde

Reader, Department of Economics

Research interests:

  • Development economics
  • Maternal and child health in LMICs
  • Adoption of new technologies

View full academic profile.

Prof Emmanouil Mentzakis

Professor, Department of Economics

Research interests:

  • Discrete choice experiments
  • Lifestyle and behaviours
  • Health technology assessment

View full academic profile.

Prof Alice Mesnard

Professor, Department of Economics

Research interests:

  • Development Economics
  • Migration and health
  • Policy Evaluations.

View full academic profile.

Dr Charitini Stavropoulou

Reader, School of Health and Medical Sciences

Research interests:

  • Understanding individual behaviour in health
  • Decision-making and the physician-patient relationship
  • Patient safety.

View full academic profile.

Dr Agne Suziedelyte

Senior Lecturer, Department of Economics

Research interests:

  • ICT and media
  • Mental health
  • Vaccine hesitancy

View full academic profile.

PhD Students

Current

  • Sayuri Rentschler
    Subject: ‘The economics of vaccine hesitancy’
    Type: Full-time.
    Degree expected: 2025.

Completed

  • Yi Mu: ‘Essays on policy evaluation: assessing policy impacts on physical and mental well-being among vulnerable populations using quasi-experimental methods’, 2022.
  • Chandanee Wasana Kalansooriya: ‘Topics in Non-Communicable Diseases in Sri Lanka’, 2023.
  • Alina Velias: ‘Essays in Behavioural and Experimental Economics’, 2021.
  • Iris Lopes-Rafegas: 'Essays on eating disorders: predisposing factors, peers networks, and later-in-life consequences of having been diagnosed', 2021.
  • Ekaterina Kusnetzova: 'Essays on attitudes towards risk and health risks of Immigrants and its relationship with Hepatitis B vaccine uptake in the UK'. January 2019.
  • Xenia Radu: 'Essays on the impact of the changes in financial ratings on the health and well-being of some European countries: A Natural Experiment', July 2018.
  • Elisa Ruiz Burga: ' Migration, identity and risk: the experiences of migrant male sex workers in London', Dec 2017.
  • Amira El-Shal: 'Essays on the impact on children's and maternal health of the health care reforms in Egypt: A Natural Experiment', December 2016.
  • Joseph Kamara: 'Essays on the willingness and ability to pay for health insurance in the informal sector in Sierra Leone using a Discrete Choice Experiment', 2015.
  • Melcior Rossello-Roig: 'Topics on Health and Lifestyle Decisions: A Microeconometric Approach', 2017.
  • Angeliki Bistaraki: 'Interagency collaboration in mass gatherings: the case of public health and safety organisations in the 2012 London Olympic Games', 2017.
  • Carl Camilleri: ' Topics on the Introduction of the DRG system in Malta', 2015.
  • Sofia Dimakou: 'Waiting time distributions and national targets for elective surgery in UK: theoretical modelling and duration analysis', 2012.
  • MZ Sadique: 'Essays on the willingness to pay for vaccination', 2008.
  • Maria Raikou: 'Essays on the medical care costs under conditions of censoring, 2002.
  • Steve Morris: 'An economic analysis of nurses earnings in Britain', 2002.

Honorary Members

  • Prof John Cairns, Professor Health Economics, London School of Hygiene and Tropical Medicine
  • Prof  Graham Cookson, Chief Executive, Office of Health Economics
  • Dr Patricia Cubi-Molla, Senior Principal Economist, Office of Health Economics
  • Nancy Devlin, Chair In Health Economics, University of Melbourne
  • Mike Drummond, Professor of Health Economics, University of York
  • Prof Mireia Jofre-Bonet, Chief Research Officer and Head of Education, Office of Health Economics
  • Dr Ioannis Laliotis, University of Patras
  • Dr Liv Nymark, Danish Medicines Council
  • Prof David Parkin, Senior Visiting Fellow, Office of Health Economics
  • Prof Lotte Steuten, Deputy Chief Executive, Office of Health Economics

Research Themes

Health system performance

Theme Lead: Dr Victoria Serra-Sastre

Our research in this theme has a strong focus on programme evaluation and policy design, examining questions around productivity, efficiency, and quality of care in the NHS (and other health care systems) in primary and secondary care. Researchers at the CHEC also work in the area of healthcare workforce retention and job satisfaction, and the impact of staff turnover on patient outcomes. Additional research areas are centred around the policy levers available to influence the uptake of private health insurance in mixed systems, as well as the presence of risk selection and inequalities in non-competitive health care systems. Other research includes evaluation of primary care services, unmet need, prescribing behaviour and inequalities.

Determinants of health and health behaviours

Theme Lead: Dr Agne Suziedelyte

Among health economists there has traditionally been a large interest in understanding individual behaviours around specific risk factors that influence morbidity. CHEC researchers have examined questions around these behaviours related to obesity, diabetes, alcohol and media. Increasingly, research is broadening to understand the environmental factors that determine health and health disparities. Examples of that are the impact of pollution, working conditions and housing, as well as outcome-related risk perceptions for environmental outcomes in choices about changes in air quality are some of the factors that attracted large attention.

Health Technology Assessment

Theme Lead: Prof Emmanouil Mentzakis

CHEC has a solid interest in the economic evaluation of new health care technologies. Any health care system operates in a resource constraint context, and economic evaluation has become an established tool for optimal resource allocation and priority setting. The role of health technology assessment has become ever more relevant in the current environment where new health technologies are developed at a faster pace than before, and health systems are facing severe financing challenges. CHEC researchers lead economic evaluation models to assess new cancer treatments, AI-enabled technologies, medical devices and service delivery evaluation. The recent merger between City and St George’s, has expanded the possibilities for collaboration in the field of economic evaluation in healthcare technologies.

Global health

Theme Lead: to be confirmed

Research done by CHEC colleagues working in global health focuses on understanding the economic and social factors influencing health outcomes and healthcare systems in Low- and Middle-Income Countries (LMICs). Their research is largely rooted in field experiments and evaluation of interventions aimed to promote population health, address inequalities and exploring ways to reduce financial barriers to healthcare access. Projects in this stream also examine the impact of policies on maternal and child health, mental health and infectious diseases. Colleagues have carried out fieldwork collecting data and evaluating policy strategies in several countries such as Colombia, Malawi, Sierra-Leone, and Brazil.

Events

CHEC Workshops

The CHEC runs regular events. We have recently organised an interdisciplinary workshop on NHS Staff Wellbeing and a round table on Excessive Pricing in Pharma in collaboration with the Centre for Competition and Regulatory Policy (CCRP). Among the next series of next events we are planning a workshop on maternal and child health.


Health Economists’s Study Group (HESG)

The CHEC organised the HESG Winter 2018 conference at City, University of London 10th-12th January 2018. We are also scheduled to organise the HESG Winter HESG in January 2028.


CHEC Seminars

Upcoming seminars

We will be resuming our seminar series very soon. Information on dates and speakers will be posted soon.

Past seminars

2020

DatePresenters
12 May 2020
  • Dr. Matt Skellern
    (NHS England and NHS Improvement)
21 April 2020
  • Dr. Kyriaki Giorgakoudi  
    (City, University of London)
24 March 2020
  • Prof. Martin Gorsky
    (LSHTM)

2016-2019

DatePresenters
10 December 2019
  • Prof.  Sergi Jiménez Martín
    (Universitat Pompeu Fabra)
3 December 2019
  • Prof. Anne Beeson Royalty
    Indiana University Purdue University Indianapolis (IUPUI)
8 October 2019
  • Prof. Lotte Steuten
    (Office of Health Economics)
11 June 2019
  • Dr Giuseppe Moscelli
    (University of Surrey)
14 May 2019
  • Dr Koonal Shah
    (Office of Health Economics)
12 February 2019
  • Dr Luke Munford
    (University of Manchester)
8 January 2019
  • Dr Apostolos Davillas
    (University of Exeter)
16 October 2018
  • Dr David Lugo
    (Imperial College London)
13 June 2017
  • Dr Eugenio Zucchelli (University of Lancaster)
9 May 2017
18 April 2017
  • Dr Elisa Cavatorta (Kings College)
14 March 2017
  • Dr Katharina Hauck (Imperial College)
14 February 2017
  • Prof. Andrew Street (York)
17 January 2017
  • Prof. Eric French, (UCL)
13 December 2016
  • Dr Hannah Kuper (LSHTM)
15 November 2016
  • Dr Ranjeeta Thomas (Imperial College)
11 October 2016
  • Agne Suziedelyte
14 June 2016
  • Seraina Anagnostopoulou (University of Reading)
10 May 2016
  • Kyriaki Giorgakoudi
12 April 2016
  • Ed Kendall (Monitor)
8 March 2016
  • Catia Nicodemo (University of Oxford)
9 February 2016
  • John Appleby (The Kings Fund)

London Health Economics Group

Upcoming events

DateHost InstitutionPresenters
June 2025 To be confirmed
  • To be confirmed

Past events

Date Host institutionPresenters
20 March 2025OHE
  • Patricia Cubi-Molla, OHE
  • John Cairns, LSHTM
24 October 2024UCL
  • Lina Gonzalez, UCL
  • Rolando Leiva-Granados, UCL
23 May 2024City, University of London
  • Caroline Clark, UCL
  • Miqdad Asaria, LSE
29 February 2024QMUL
  • Runguo Wu, QMUL
  • Nilesh Raut, LSE
2 November 2023Imperial College London
  • Judite Gonçalves, Imperial College London
  • Katharina Hauck, Imperial College London
  • David Lugo-Palacios, LSHTM
24 November 2021UCL
  • Gianluca Baio, UCL
  • Nikita Arora, LSHTM
28 November 2019  City University of London
  • Huajie (Lily) Jin, King’s College London
  • Victoria Serra-Sastre, City, University of London
11 April 2019  NHS Improvement
  • Ali McGuire, LSE
  • Dimitris Pipinis, NHS Improvement
29 November 2018  Imperial College Business School
  • Adrian Towse, OHE
  • Marisa Miraldo, Imperial College London
26 April 2018  University College London
  • Mylene Lagarde, LSE
9 November 2017 LSE
  • Marisa Miraldo, Imperial College London
9 March 2017 (5-7pm) IFS (basement)
  • Nicos Savva, London Business School (5-6pm)
  • Alice Mesnard, City, University of London (6-7pm).
17 November 2016 (5-7pm) The Office of Health Economics
  • Rachel Baker (Glasgow Caledonian University) will present a paper and Koonal Shah (OHE) will reply/discuss.
9 June 2016 King's College London
  • Paula Lorgelly (Office of Health Economics)
  • George Stoye (Institute for Fiscal Studies)
10 March 2016 Imperial College London
  • Ioannis Laliotis (University of Surrey)
  • Pedro Rosa Dias (Imperial College London)
10 November 2015 LSHTM
  • Richard Cookson (The University of York)
  • Mylene Lagarde (LSHTM)
November 2014 City University London
  • Chiara Orsini
  • Gabriella Conti
June 2014 King's College London
  • Eliana Pires Barrenho
  • Mireia Jofre-Bonet
March 2014 University College London
  • Emla Fitzsimons
  • Rachel Hunter
November 2013 LSE Health & Social Care
  • Mauro Laudicella
  • Matteo Galizzi
February 2012 LSHTM
  • Jeshika Singh
  • Stephanie von Hinke Kessler Scholder
November 2011 City University London
  • Manuel Gomes
  • Charitini Stavropoulou
November 2010 City University London
  • Michael Drummond
  • Irene Papanicolas
May 2010 Imperial College
  • Rodrigo Morena-Serra
  • Carol Propper
  • Marisa Miraldo
March 2010 City University London
  • Stephen Morris
  • Zack Cooper
October 2009 Imperial College
  • Carol Propper
  • Marcus Vera-Hernandez