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University of Exeter Medical School

Professor Anne Spencer

Professor Anne Spencer

Professor

 a.e.spencer@exeter.ac.uk

 6441

 +44 (0) 1392 726441

 


Overview

Anne Spencer joined the Health Economics Group at the University of Exeter in January 2012. Formerly she worked for 12 years as a Lecturer and Senior Lecturer in the School of Economics and Finance, at Queen Mary University of London.

Anne studied Economics at St Andrews University (BSc 1987) and Oxford University (M.Phil 1989). She developed an interest in Health Economics during her two years as an Overseas Development Institute Fellow in the Ministry of Health in Lesotho, Southern Africa. This was followed by a research fellowship in Economics at York University, during which she completed a Ph.D under the supervision of Graham Loomes. Her Ph.D investigated the methods commonly used to elicit preferences for risky treatments.

A common theme of her work is towards developing methodology of health economic evaluation and preference elicitation as well as leading the primary economic evaluation of trails. She has become known for her research around decision making and preference elicitation and the challenges of these methods. Other areas of interest include the application of models to evaluate competing configurations of services.  Examples of her work in this area include applications of models to domestic violence and the configuration of neonatal services in England.  As part of these applications Anne has experience in developing models alongside clinical trials, from pilot to main trial. This work has helped to highlight the usefulness of developing a pilot model and shows how the economic model can be further refined in the light of new external data sources. Anne's research on the identification and prevention of domestic violence has informed WHO-Europe and National Guidelines for Domestic Violence.

Anne is currently joint-principal investigator on a CRUK funded study – measuring the impact of the NICE suspected cancer guidelines – involving difference-in-differences, quantile and time series regressions.  Anne also leads the HE work package of the with EU-funded project, Inclusivity Project, with Professor Brit Grosskopf in the Department of Economics, that explores the behavioural barriers/facilitators to retention and recruitment of disabled and older workers. 

Anne is the Health Economics lead for the CRUK CanTest international collaborative which aims to develop the next generation of methodologists and primary care cancer researchers to evaluate interventions to expedite early cancer diagnosis. The £4 Million CanTest award has funded over 10 PhDs and Post-Doctoral Research Fellows. She developed the methodological programme, alongside Professor Yoryos Lyratzopoulos, Professor of Epidemiology at UCL, for the first CanTest International Summer School in Cancer Detection held at Cambridge University, 9th – 14th April 2018. Professor Fiona Walter (Cambridge) and Professor Jon Emery (Melbourne Australia) were the clinical leads for the first CanTest International Summer School in Cancer Detection.

Anne is a member of the Medical Research Council Skills Development Panel and NIHR Development and Skills Enhancement Award Selection Committee.  She is also Associate Editor of Health Economics (Wiley) and BMC Diagnostic and Prognostic Research (Springer, Nature).

Research group links

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Research

Research interests

Anne's works on improving the methods to inform policy makers including:

Applying behavioural models to predict patient choice

Applying decision analytic models to forecast the longer term impacts of trials

Measurement and valuation of patient reported health outcomes

Health service research design and implementation of economic evaluations alongside trails 

Investigation of methods to calculate the Value of Statistical Life

She is also the lead researcher for the health economics analysis of a number of large trials including early cancer diagnosis (ERICA), exercise interventions (OPERA), domestic violence (IRIS and PREDOVE) and knee pain (TOIB).

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Publications

Books

Morris S, Devlin N, Parkin D, Spencer A (2012). Economic Analysis in Healthcare., Wiley. Abstract.

Journal articles

Ward T, Medina-Lara A, Mujica-Mota RE, Spencer AE (In Press). Accounting for heterogeneity in resource allocation decisions: methods and practice in UK cancer technology appraisals. Value in Health
Hall R, Medina-Lara A, Hamilton W, Spencer A (In Press). Attributes used for cancer screening discrete choice experiments: a systematic review. The Patient: Patient Centered Outcomes Research
Price SJ, Spencer A, Medina-Lara A, Hamilton W (In Press). Availability of cancer decision-support tools: a cross-sectional survey of UK primary care. British Journal of General Practice
Henstock L, Wong R, Tsuchiya A, Spencer A (In Press). Behavioural theories that have influenced the way health state preferences are elicited and interpreted: a bibliometric mapping analysis of the time trade-off method with VOSviewer visualisation. Frontiers Health Serv: Cost Resource Allocation
Dean S, Poltawski L, Forster A, Taylor R, Spencer A, James M, Allison R, Stevens S, Norris M, Shepherd A, et al (In Press). Community-based Rehabilitation Training after stroke: protocol of a pilot randomised controlled trial (ReTrain). BMJ Open
Norman R, Spencer A, Feder G (In Press). Cost-effectiveness analysis: What you always wanted to know but were afraid to ask. Family Violence Prevention & Health Pract
Barbosa EC, Verhoef TI, Morris S, Solmi F, Johnson M, Sohal A, El-Shoghri F, Ronalds C, Griffiths C, Eldridge S, et al (In Press). Cost-effectiveness of a domestic violence and abuse training and support programme in primary care in the real world: updated modelling based on a MRC phase IV observational pragmatic implementation study. BMJ Open
Spencer AE, Tomeny E, Mujica Mota R, Robinson A, Covey J, Pinto-Prades JL (In Press). Do Time Trade-off values fully capture attitudes that are relevant to health related choices?. European Journal of Health Economics
Walter F, Thompson MJ, Wellwood I, Abel G, Hamilton W, Johnson M, Lyratzopoulos G, Messenger M, Neal R, Greg R, et al (In Press). Evaluating diagnostic strategies for early detection of cancer: the CanTest Framework. BMC Cancer
Wang J, Spencer A, Hulme C, Corbett A, Khan Z, Vasconcelos Da Silva M, O'Dwyer S, Wright N, Testad I, Ballard C, et al (In Press). Healthcare utilisation and physical activities for older adults with comorbidities in the UK during COVID-19. Health and Social Care in the Community
Wang J, Spencer A, Hulme C, Khan Z, Vasconcelos Da Silva M, O'Dwyer S, Wright N, Testad I, Ballard C, Creese B, et al (In Press). Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England. European Journal of Ageing
Ward T, Mujica-Mota RE, Spencer AE, Medina-Lara A (In Press). Incorporating equity concerns in cost-effectiveness analyses: a systematic literature review. PharmacoEconomics
Shepherd A, Pulsford R, Poltawski L, Forster A, Taylor R, Spencer A, Hollands L, James M, Allison R, Norris M, et al (In Press). Physical activity, sleep, and fatigue in community dwelling Stroke Survivors. Scientific Reports
Tarrant M, Carter M, Dean S, Taylor R, Warren F, Spencer A, Adamson J, Landa P, Code C, Calitri RA, et al (In Press). Singing for People with Aphasia (SPA): a Protocol for a Pilot Randomised Controlled Trial of a Group Singing Intervention to Improve Wellbeing. BMJ Open
Alzehr A, Hulme C, Spencer A, Morgan-Trimmer S (In Press). The Economic Impact of Cancer Diagnosis to Individuals and Their Families: a Systematic Review. Supportive Care in Cancer Abstract.
Derbyshire D, Spencer AE, Grosskopf B, Blackmore T (In Press). The Importance of Disability Representation to Address Implicit Bias in the Workplace. Frontiers in Rehabilitation Sciences Abstract.
Norris M, Poltawski L, Calitri RA, Shepherd A, Dean S (In Press). The acceptability and experience of a functional training programme (ReTrain) in community dwelling stroke survivors in South West England: a qualitative study. BMJ Open
Spencer A, Pitt M, Allen M (In Press). The heterogeneous effects of neonatal care: a model of endogenous demand for multiple treatment options based on geographical access to care. Health Economics
Ashaye T, Hounsome N, Carnes D, Taylor SJC, Homer K, Eldridge S, Spencer AE, Rahman A, Foell J, Underwood MR, et al (In Press). The over-prescription of opioids for chronic musculoskeletal pain in UK primary care: results from a cohort analysis of the COPERS trial. BMJ open
Dunn BD, Widnall E, Warbrick L, Warner F, Reed N, Price A, Kock M, Courboin C, Stevens R, Wright K, et al (2023). Preliminary clinical and cost effectiveness of augmented depression therapy versus cognitive behavioural therapy for the treatment of anhedonic depression (ADepT): a single-centre, open-label, parallel-group, pilot, randomised, controlled trial. eClinicalMedicine, 61, 102084-102084.
Alzehr A, Hulme C, Spencer AE, Morgan-Trimmer S (2023). SA38 Out-of-Pocket Expenses and Lost Earnings for Breast Cancer Patients Undergoing Treatment: Evidence from the UK Persephone Randomised Controlled Trial Abstract. Value in Health, 26(12).
Merriel SWD, Hall R, Walter FM, Hamilton W, Spencer AE (2023). Systematic Review and Narrative Synthesis of Economic Evaluations of Prostate Cancer Diagnostic Pathways Incorporating Prebiopsy Magnetic Resonance Imaging. European Urology Open Science, 52, 123-134. Abstract.
Swancutt D, Tarrant M, Ingram W, Baldrey S, Burns L, Byng R, Calitri R, Creanor S, Dean S, Evans L, et al (2022). A group-based behavioural intervention for weight management (PROGROUP) versus usual care in adults with severe obesity: a feasibility randomised controlled trial protocol. Pilot and Feasibility Studies, 8(1). Abstract.
Hall R, Medina-Lara A, Hamilton W, Spencer AE (2022). Correction to: Attributes Used for Cancer Screening Discrete Choice Experiments: a Systematic Review. Patient, 15(3), 379-381.  Author URL.
Price S, Spencer A, Hamilton W (2022). Revising the Suspected-Cancer Guidelines: Impacts on Patients’ Primary Care Contacts and Costs. Value in Health
Merriel SWD, Pocock L, Gilbert E, Creavin S, Walter FM, Spencer A, Hamilton W (2022). Systematic review and meta-analysis of the diagnostic accuracy of prostate-specific antigen (PSA) for the detection of prostate cancer in symptomatic patients. BMC Medicine, 20(1). Abstract.
Spencer A, Rivero-Arias O, Wong R, Tsuchiya A, Bleichrodt H, Edwards RT, Norman R, Lloyd A, Clarke P (2022). The QALY at 50: One story many voices. Social Science & Medicine, 296, 114653-114653.
Hall R, Medina-Lara A, Hamilton W, Spencer A (2022). Women’s priorities towards ovarian cancer testing: a best–worst scaling study. BMJ Open, 12(9), e061625-e061625. Abstract.
Tarrant M, Carter M, Dean S, Taylor R, Warren F, Spencer A, Landa P, Adamson J, Code C, Backhouse A, et al (2021). Singing for people with aphasia (SPA): Results of a pilot feasibility randomised controlled trial of a group singing intervention investigating acceptability and feasibility. BMJ Open Abstract.
Merriel SWD, Pocock L, Gilbert E, Creavin S, Walter FM, Spencer A, Hamilton W (2021). Systematic Review & Meta-Analysis of the Diagnostic Accuracy of Prostate Specific Antigen (PSA) for the Detection of Prostate Cancer in Symptomatic Patients. BMC Medicine
Medina-Lara A, Grigore B, Lewis R, Peters J, Price S, Landa P, Robinson S, Neal R, Hamilton W, Spencer AE, et al (2020). Cancer diagnostic tools to aid decision-making in primary care: mixed-methods systematic reviews and cost-effectiveness analysis. Health Technology Assessment, 24(66), 1-332. Abstract.
Price S, Zhang X, Spencer A (2020). Measuring the impact of national guidelines: What methods can be used to uncover time-varying effects for healthcare evaluations?. Social Science and Medicine, 258 Abstract.
Ward T, Medina-Lara A, Mujica-Mota RE, Spencer AE (2020). PCN134 Heterogeneity Considerations in Economic Analyses of Cancer. Value in Health, 23
Ward T, Medina-Lara A, Mujica-Mota RE, Spencer AE (2020). PCN135 Considerations of Heterogeneity in Resource Use and Health Utility Quantification in Economic Analyses of Cancer. Value in Health, 23
Price S, Spencer A, Zhang X, Ball S, Lyratzopoulos G, Mujica-Mota R, Stapley S, Ukoumunne OC, Hamilton W (2020). Trends in time to cancer diagnosis around the period of changing national guidance on referral of symptomatic patients: a serial cross-sectional study using UK electronic healthcare records from 2006–17. Cancer Epidemiology, 69, 101805-101805.
Dunn BD, Widnall E, Reed N, Taylor R, Owens C, Spencer A, Kraag G, Kok G, Geschwind N, Wright K, et al (2019). Evaluating Augmented Depression Therapy (ADepT): Study protocol for a pilot randomised controlled trial. Pilot and Feasibility Studies, 27, 63-63.
Villeneuve E, Landa P, Allen M, Spencer AE, Prosser S, Gibson A, Kelsey K, Mujica Mota R, Manktelow B, Modi N, et al (2018). A framework to address key issues of neonatal service configuration in England: the NeoNet multimethods study. NIHR Health Technology Assessment, 6 Abstract.
Dean S, Poltawski L, Forster A, Taylor RS, Spencer A, James M, Allison R, Stevens S, Norris M, Shepherd AI, et al (2018). Community-based Rehabilitation Training after stroke: Results of a pilot randomised controlled trial (ReTrain) investigating acceptability and feasibility. BMJ Open
Ashaye T, Hounsome N, Carnes D, Taylor SJC, Homer K, Eldridge S, Spencer A, Rahman A, Foell J, Underwood MR, et al (2018). Opioid prescribing for chronic musculoskeletal pain in UK primary care: results from a cohort analysis of the COPERS trial. BMJ Open, 8(6). Abstract.  Author URL.
Robinson A, Spencer AE, Pinto-Prades JL, Covey JA (2016). Exploring Differences between TTO and DCE in the Valuation of Health States. Medical decision making : an international journal of the Society for Medical Decision Making, 37(3), 273-284. Abstract.
Taylor SJC, Carnes D, Homer K, Pincus T, Kahan BC, Hounsome N, Eldridge S, Spencer A, Diaz-Ordaz K, Rahman A, et al (2016). Improving the self-management of chronic pain: COping with persistent Pain, Effectiveness Research in Self-management (COPERS). Programme Grants for Applied Research, 4(14), 1-440. Abstract.
Taylor SJC, Carnes D, Homer K, Kahan BC, Hounsome N, Eldridge S, Spencer A, Pincus T, Rahman A, Underwood M, et al (2016). Novel Three-Day, Community-Based, Nonpharmacological Group Intervention for Chronic Musculoskeletal Pain (COPERS): a Randomised Clinical Trial. PLoS Med, 13(6). Abstract.  Author URL.
White MP, Elliott LR, Taylor TJ, Wheeler BW, Spencer AE, Bone A, Depledge MH, Fleming LE (2016). Recreational physical activity in natural environments and implications for health: a population based cross-sectional study in England. Preventative Medicine
Papathanasopoulou E, White MP, Hattam C, Lannin A, Harvey A, Spencer A (2016). Valuing the health benefits of physical activities in the marine environment and their importance for marine spatial planning. Marine Policy, 63, 144-152. Abstract.
Dodds L, Woolcott CG, Weiler H, Spencer A, Forest JC, Armson BA, Giguère Y (2016). Vitamin D Status and Gestational Diabetes: Effect of Smoking Status during Pregnancy. Paediatric and Perinatal Epidemiology, 30(3), 229-237. Abstract.
Robinson A, Spencer A, Moffatt P (2015). A framework for estimating health state utility values within a discrete choice experiment: modeling risky choices. Med Decis Making, 35(3), 341-350. Abstract.  Author URL.
Goodwin E, Green C, Spencer A (2015). Estimating a Preference-Based Index for an Eight-Dimensional Health State Classification System for Multiple Sclerosis. Value Health, 18(8), 1025-1036. Abstract.  Author URL.
Chilton S, Covey J, Jones-Lee M, Loomes G, Pidgeon N, Spencer A (2015). Response to 'Testing the validity of the "value of a prevented fatality" (VPF) used to assess UK safety measures'. PROCESS SAFETY AND ENVIRONMENTAL PROTECTION, 93, 293-298.  Author URL.
Allen M, Spencer A, Gibson A, Matthews J, Allwood A, Prosser S, Pitt M (2015). Right cot, right place, right time: improving the design and organisation of neonatal care networks – a computer simulation study. Health Services and Delivery Research, 3(20), 1-128. Abstract.
Achkar M, Dodds L, Giguère Y, Forest JC, Armson BA, Woolcott C, Agellon S, Spencer A, Weiler HA (2015). Vitamin D status in early pregnancy and risk of preeclampsia. American Journal of Obstetrics and Gynecology, 212(4), 511.e1-511.e7. Abstract.
Devine A, Taylor SJC, Spencer A, Diaz-Ordaz K, Eldridge S, Underwood M (2014). The agreement between proxy and self-completed EQ-5D for care home residents was better for index scores than individual domains. J Clin Epidemiol, 67(9), 1035-1043. Abstract.  Author URL.
Underwood M, Lamb SE, Eldridge S, Sheehan B, Slowther A, Spencer A, Thorogood M, Atherton N, Bremner SA, Devine A, et al (2013). Exercise for depression in care home residents: a randomised controlled trial with cost-effectiveness analysis (OPERA). Health Technol Assess, 17(18).
Underwood M, Lamb SE, Eldridge S, Sheehan B, Slowther A, Spencer AE, Thorogood M, Atherton N, Bremner SA, Devine A, et al (2013). Exercise for depression in care home residents: a randomised controlled trial with cost-effectiveness analysis (OPERA). Health Technol Assess, 17(18), 1-1.
Underwood M, Lamb SE, Eldridge S, Sheehan B, Slowther A-M, Spencer A, Thorogood M, Atherton N, Bremner SA, Devine A, et al (2013). Exercise for depression in elderly residents of care homes: a cluster-randomised controlled trial. The Lancet
Devine AM, Taylor SJC, Spencer A, Diaz-Ordaz K, Eldridge S, Underwood M (2013). OP77 Proxy Reporting of Health-Related Quality of Life using the Euroqol-5D in Care Home Residents; how Good is it and how should we Deal with Clustering Effects?. Journal of Epidemiology and Community Health, 67(Suppl 1), A36.2-A37.
Allen VM, Dodds L, Spencer A, Cummings EA, MacDonald N, Kephart G (2012). Application of a national administrative case definition for the identification of pre-existing diabetes mellitus in pregnancy. Chronic Diseases and Injuries in Canada, 32(3), 113-120. Abstract.
Spencer AE (2012). Cost effectiveness of a system level intervention to improve the primary health care response to intimate partner violence. Journal of Health Services Research and Policy
Devine A, Spencer A, Eldridge S, Norman R, Feder G (2012). Cost-effectiveness of Identification and Referral to Improve Safety (IRIS), a domestic violence training and support programme for primary care: a modelling study based on a randomised controlled trial. BMJ Open, 2(3). Abstract.  Author URL.
Dodds L, MacDonald N, Scott J, Spencer A, Allen VM, McNeil S (2012). The Association Between Influenza Vaccine in Pregnancy and Adverse Neonatal Outcomes. Journal of Obstetrics and Gynaecology Canada, 34(8), 714-720. Abstract.
Taylor SJC, Bremner SA, Choudhury A, Cook V, Devine A, Eldridge S, Feder G, Foster G, Islam K, Sohanpal R, et al (2011). OEDIPUS: a CLUSTER RANDOMISED TRIAL OF EDUCATION FOR SOUTH ASIANS WITH ASTHMA, AND THEIR PRIMARY AND SECONDARY CARE PHYSICIANS, TO REDUCE UNSCHEDULED CARE. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 65, A13-A13.  Author URL.
Spencer AE, Robinson, Covey, Loomes (2010). Are some deaths worse than others ? the effect of labelling on peoples perceptions. Journal of Economic Psychology
Norman R, Spencer A, Eldridge S, Feder G (2010). Cost-effectiveness of a programme to detect and provide better care for female victims of intimate partner violence. Journal of Health Services Research and Policy, 15(3), 143-149. Abstract.
McConachie H, Barry R, Spencer A, Parker L, Couteur AL, Colver A (2009). Dasl<sup>n</sup>e: the challenge of developing a regional database for autism spectrum disorder. Archives of Disease in Childhood, 94(1), 38-41. Abstract.
Feder G, Ramsay J, Dunne D, Rose M, Arsene C, Norman R, Kuntze S, Spencer A, Bacchus L, Hague G, et al (2009). How far does screening women for domestic (partner) violence in different health-care settings meet criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria. HEALTH TECHNOLOGY ASSESSMENT, 13(16), 1-+.  Author URL.
Dodds L, Spencer A, Shea S, Fell D, Armson BA, Allen AC, Bryson S (2009). Validity of autism diagnoses using administrative health data. Chronic Diseases in Canada, 29(3), 102-107. Abstract.
Spencer AE, Castelnuovo, Underwood (2008). Cost-effectiveness of advising the use of topical or oral ibruprofen for knee pain. Rheumatology
Castelnuovo E, Cross P, Mt-Isa S, Spencer A, Underwood M, TOIB study team (2008). Cost-effectiveness of advising the use of topical or oral ibuprofen for knee pain; the TOIB study [ISRCTN: 79353052]. Rheumatology (Oxford), 47(7), 1077-1081. Abstract.  Author URL.
Underwood M, Ashby D, Carnes D, Castelnuovo E, Cross P, Harding G, Hennessy E, Letley L, Martin J, Mt-Isa S, et al (2008). Topical or oral ibuprofen for chronic knee pain in older people. The TOIB study. Health Technol Assess, 12(22), iii-155. Abstract.  Author URL.
Spencer A, Robinson A (2007). Tests of utility independence when health varies over time. J Health Econ, 26(5), 1003-1013. Abstract.  Author URL.
Underwood MR, Parsons S, Eldridge SM, Spencer AE, Feder GS (2006). Asking older people about fear of falling did not have a negative effect. J Clin Epidemiol, 59(6), 629-634. Abstract.  Author URL.
Robinson A, Spencer A (2006). Exploring challenges to TTO utilities: valuing states worse than dead. HEALTH ECONOMICS, 15(4), 393-402.  Author URL.
Spencer A, Riley AJ, Carter YH, Meads G, Underwood MR, McGuire A (2005). Costs and consequences of Personal Medical Services (PMS): a case study approach to the national evaluation of PMS in the UK. Primary Health Care Research and Development, 6(3), 232-243. Abstract.
Towers I, Spencer A, Brazier J (2005). Healthy year equivalents versus quality-adjusted life years: the debate continues. Expert Review of Pharmacoeconomics and Outcomes Research, 5(3), 245-254. Abstract.
Cross PL, Ashby D, Harding G, Hennessy EM, Letley L, Parsons S, Spencer AE, Underwood M, TOIB Study Team (2005). TOIB Study. Are topical or oral ibuprofen equally effective for the treatment of chronic knee pain presenting in primary care: a randomised controlled trial with patient preference study. [ISRCTN79353052]. BMC Musculoskelet Disord, 6 Abstract.  Author URL.
Spencer A, Covey J, Chilton S, Taylor M (2005). Testing the internal consistency of the lottery equivalents method using health outcomes: a comment to Oliver. Health Econ, 14(2), 161-167.  Author URL.
Eldridge S, Spencer A, Cryer C, Parsons S, Underwood M, Feder G (2005). Why modelling a complex intervention is an important precursor to trial design: lessons from studying an intervention to reduce falls-related injuries in older people. J Health Serv Res Policy, 10(3), 133-142. Abstract.  Author URL.
Spencer A (2004). The implications of linking questions within the SG and TTO methods. Health Econ, 13(8), 807-818. Abstract.  Author URL.
Spencer A (2003). A test of the QALY model when health varies over time. Soc Sci Med, 57(9), 1697-1706. Abstract.  Author URL.
Spencer A (2003). The TTO method and procedural invariance. Health Econ, 12(8), 655-668. Abstract.  Author URL.
Chilton S, Covey J, Hopkins L, Jones-Lee M, Loomes G, Pidgeon N, Spencer A (2002). Public perceptions of risk and preference-based values of safety. JOURNAL OF RISK AND UNCERTAINTY, 25(3), 211-232.  Author URL.
Chilton S, Spencer AE (2001). Empirical evidence of inconsistency in Standard Gamble choices under direct and indirect elicitation methods. Swiss J Economics, 137, 65-65.
Carthy T, Chilton S, Covey J, Hopkins L, Jones-Lee M, Pidgeon N, Spencer AE (1999). On the Contingent Valuation of Safety and the Safety of Contingent Valuation: Part 2 - the CV/SG "Chained" Approach. J Risk Uncertainty, 17, 187-213.
Newbold KB, Eyles J, Birch S, Spencer A (1998). Allocating resources in health care: alternative approaches to measuring needs in resource allocation formula in Ontario. Health & Place, 4(1), 79-89.
Beattie J, Covey J, Dolan P, Hopkins L, Jones-Lee M, Loomes G, Pidgeon N, Robinson A, Spencer A (1998). On the Contingent Valuation of Safety and the Safety of Contingent Valuation: Part 1-Caveat Investigator. Journal of Risk and Uncertainty, 17(1), 5-26. Abstract.
Torgerson DJ, Spencer A (1996). Marginal costs and benefits. BMJ, 312(7022), 35-36.
Torgerson DJ, Spencer A (1996). Methods used in economic evaluations of prenatal screening are disputed. BMJ, 313(7052), 303-303.

Chapters

Chilton S, Covey J, Hopkins L, Jones-Lee M, Loomes G, Pidgeon N, Robinson A, Spencer A (2004). Valuing the "value of life": a case of constructed preferences?. In  (Ed) Mixing Methods in Psychology: the Integration of Qualitative and Quantitative Methods in Theory and Practice, 120-144.
Chilton S, Covey J, Hopkins L, Jones-Lee M, Loomes G, Pidgeon N, Spencer A (1998). New Research Results on the Valuation of Preventing Fatal Road Accident Casualties. In  (Ed) Road accidents Great Britain the casual report 1997, London: the Stationary Office.

Conferences

Ward T, Medina-Lara A, Mujica-Mota RE, Spencer AE (2020). CONSIDERATIONS OF HETEROGENEITY IN RESOURCE USE AND HEALTH UTILITY QUANTIFICATION IN ECONOMIC ANALYSES OF CANCER.  Author URL.
Ward T, Medina-Lara A, Mujica-Mota RE, Spencer AE (2020). HETEROGENEITY CONSIDERATIONS IN ECONOMIC ANALYSES OF CANCER.  Author URL.
Calitri R, Mounce L, Abel G, Campbell J, Spencer A, Medina-Lara A, Pitt M, Shepard E, Warren F, Dean S, et al (2019). Protocol for a pragmatic cluster randomised controlled trial assessing the clinical effectiveness and cost effectiveness of electronic risk-assessment tools for cancer for patients in general practice (ERICA).  Author URL.
Tarrant M, Carter M, Adamson J, Warren F, Taylor R, Spencer A, Landa P, Code C, Dean S, Calitri R, et al (2018). Singing for People with Aphasia (SPA): results of a pilot randomised controlled trial of a group singing intervention to improve wellbeing.  Author URL.
Dean S, Calitri R, Shepherd A, Hollands L, Poltawski L, James M, Allison R, Stevens S, Norris M, Spencer A, et al (2016). Community-based Rehabilitation Training after Stroke (ReTrain): Results of a pilot randomised control trial (RCT).  Author URL.
Bremner SA, Barnes N, Choudhury A, Cook V, Devine A, Eldridge S, Feder G, Foster G, Islam K, Sohanpal R, et al (2011). Oedipus: a Cluster Randomized Trial of Education for South Asians with Asthma, and Their Primary and Secondary Care Physicians, to Reduce Unscheduled Care. C95. ISSUES IN GLOBAL ASTHMA.

Reports

Allen M, Spencer A, Gibson A, Matthews J, Allwood A, Prosser S, Pitt M, Spencer AE (2015). Right cot, right place, right time: improving the design and organisation of neonatal care networks.
Chilton S, Covey J, Jones-Lee M, Loomes G, Metcalf H, Robinson A, Spackman M, Spencer A (2007). Valuation of health and safety benefits: Dread risks.
Feder G, Ramsay J, Spencer AE, Hague G (2005). PREvention of DOmestic ViolencE: a pilot study in primary care (PREDOVE).  Nuffield Foundation Report.
Burton T, Chilton S, Covey J, Gilbert H, Pidgeon NF, Jones-Lee M, Loomes G, Robinson A, Twist J, Spencer A, et al (2001). Valuation of benefits of health and safety control: Follow-up study.

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Teaching

Anne is a Senior Fellow of the Higher Education Academy and has taught extensively during her 12 years at the School of Economics and Finance at Queen Mary, University of London. Teaching first year Microeconomics and third year Health Economics.

She is the co-author on a second edition of the book ‘Economic Analysis in Health Care’, in collaboration with Stephen Morris, Nancy Devlin and David Parkin. The text book is intended as a core textbook for advanced undergraduate and postgraduate students of health economics and provides comprehensive coverage of the field of economics in health care and the evaluation of health care technologies. This edition has been fully revised with up-to-date case studies from the UK, Europe and the Rest of the World.  It includes a new chapter on health care labour markets and contains new material integrated throughout the text on the economics of public health. The exercises on the website for the book draw heavily upon Anne’s experience of integration Health Economics more formally within an Economics Department and uses algebraic examples to illustrate the key issues addressed by Health Economics.

Economic Analysis in Healthcare, S Morris, N Devlin, D Parkin, A Spencer John Wiley & Sons 2012, ISBN: 978-1119951490

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Supervision / Group

Postgraduate researchers

  • Rebekah Hall
  • Sam Merriel

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