

| Position/s: | Professor in Health Economics Flinders Clinical Effectiveness |
| Phone: | +61 8 82752858 |
| Email: | julie.ratcliffe@flinders.edu.au |
| Location: | Repatriation General Hospital (52:A) |
| Postal address: | GPO Box 2100, Adelaide 5001, South Australia |
Julie Ratcliffe was appointed as Professor in Health Economics within Flinders Clinical Effectiveness in the School of Medicine at Flinders University in August 2010. Previous to this appointment Julie has held academic positions within the School of Health and Related Research (ScHARR) at Sheffield University, the Health Economics Research Group (HERG) at Brunel University and the Health Economics Research Unit (HERU) at the University of Aberdeen. Julie holds a PhD in Health Economics and she has established a strong track record in health economics research and teaching. She has 70 papers in peer reviewed journals including the British Medical Journal, Health Economics and Social Science and Medicine.
PhD Health Economics, Brunel University, UK
MSc Health Economics, University of York, UK
BA Hons Economics, University of Manchester, UK
Jan 2012-Dec 2013 NHMRC Project Grant:$174,312
Adolescent population health: application of Best-Worst Scaling Discrete Choice Experiments to value health states for use in economic evaluation.Ratcliffe J, Sawyer M, Flynn T, Brazier J, Stevens K, Roberts R.
Jan 2012-Dec 2014 NHMRC Project Grant:$522,039
Is hip fracture rehabilitation cost effective in residential care?A Randomised Controlled Trial of Hip Fractures.Crotty M, Ratcliffe J, Cameron I, Miller M, Kurrle S, Sindhusake D.
Jan 2012-Dec 2014 NHMRC Project Grant:$496,904
A randomized comparison evaluating the value of high-sensitivity troponin in the efficient management of chest pain patients across the spectrum of risk for an acute coronary syndrome.Chew D, Zeitz C, Beltrame J, Quinn S, Ratcliffe J.
Jul 2011-Jun 2014 ARC Linkage:$534,939
A health economics model for the development and evaluation of innovations in aged care:an application to Consumer Directed Care.Ratcliffe J, Luszcz M, Crotty M, Paterson J, Gray L, Cameron I.
Jan 2011-Dec 2014 NHMRC Partnership Grant:$1,549,802
New Technology for New Mums - A Pragmatic Trial of Web-Based Support for Mothers of Young Children.Sawyer M, Lynch J, Baghurst P, Bowering K, Jeffs D, Ratcliffe J, Cox D, Hayes A, Kokogei B, Prosser J, Ranford R, Russell A, Strachan T.
Jan 2011-Dec 2014 NHMRC Project Grant:$629,181
The effect of acupuncture on live birth rates for IVF.Smith C, De Lacey S, Chapman M, Ratcliffe J, Norman R, Johnson N, Lytteton J.
Sep 2010-Aug 2012 ARC Linkage:$547,288
Engaging the public in healthcare decision making:Qualifying preferences for healthcare through Citizens' Juries.Scuffham P,Ratcliffe J,Kendall E,Burton P,Wilson D,Chalkidou K,Creighton A,Littlejohns P,Whitty J.
Jul 2010-Jun 2015 SA Department of Health:$4,554,000
Evaluation of the Obesity Prevention and Lifestyle program (OPAL).Cobiac L, Scott J, Ratcliffe J, Lewis F, Olds T, Magary A, Miller M, Drummond C, Drummond M, Ridley K, Trevelyan J, Field K.
Areas of research expertise include the measurement and valuation of health outcomes for economic evaluation, the economic evaluation of new and emerging health care technologies and patient and general population preferences for health care services.
Julie is currently supervising 5 PhD students in Health Economics and 2 Postdoctoral Research Fellows at Flinders University.
Brazier, J. & Ratcliffe, J., 2008. The Measurement and Valuation of Health for Economic Evaluation. In International Encyclopaedia of Public Health. San Diego: Academic Press, pp. 252-261.
Ratcliffe, J., 2003. The Economic Implications of the Edgware Birth Centre. In Birth centres: a social model for maternity care. London: Elsevier Science, pp. 131-139.
Cooper, R.J., Bissell, P., Ward, P.R., Murphy, E., Anderson, C., Avery, T., James, V., Lymn, J., Guillaume, L., Hutchinson, A., et al., 2012. Further challenges to medical dominance? The case of nurse and pharmacist supplementary prescribing. Health, 16(2), 115-133.
Payne, K., Fargher, E.A., Roberts, S.A., Tricker, K., Elliott, R.A., Ratcliffe, J., & Newman, W.G., 2011. Valuing pharmacogenetic testing services: A comparison of patients' and health care professionals' preferences. Value in Health, 14(1), 121-134.
Ratcliffe, J., Couzner, L.M., Flynn, T., Sawyer, M.G., Stevens, K., Brazier, J., & Burgess, L., 2011. Valuing Child Health Utility 9D health states with a young adolescent sample: a feasibility study to compare best-worst scaling discrete-choice experiment, standard gamble and time trade-off methods. Applied Health Economics and Health Policy, 9(1), 15-27.
Ratcliffe, J., Couzner, L.M., Flynn, T., Sawyer, M.G., Stevens, K.J., Brazier, J., & Burgess, L., 2011. Valuing child health utility 9D health states with a young adolescent sample: A feasibility study to compare best-worst scaling discrete-choice experiment, standard gamble and time trade-off methods. Applied Health Economics and Health Policy, 9(1), 15-27.
Laver, K.E., George, S., Ratcliffe, J., & Crotty, M., 2011. Virtual reality stroke rehabilitation: hype or hope?. Australian Occupational Therapy Journal, 58, 215-219.
Goodwin, P.C., Ratcliffe, J., Morris, J., & Morrissey, M.C., 2011. Using the knee-specific Hughston Clinic Questionnaire, EQ-5D and SF-6D following arthroscopic partial meniscectomy surgery: A comparison of psychometric properties. Quality of Life Research, 20, 1437-1446.
Crotty, M. & Ratcliffe, J., 2011. If Mohammed won't come to the mountain, the mountain must go to Mohammed. Age and Ageing. Age and Ageing, 40, 290-292.
Laver, K.E., Ratcliffe, J., George, S., Lester, L.H., Walker, R.B., Burgess, L., & Crotty, M., 2011. Early rehabilitation management after stroke: what do stroke patients prefer?. Journal of Rehabilitation Medicine, 43, 354-358.
Brazier, J. & Ratcliffe, J., 2008. The Measurement and Valuation of Health for Economic Evaluation. In International Encyclopaedia of Public Health. San Diego: Academic Press, pp. 252-261.
Ratcliffe, J., 2003. The Economic Implications of the Edgware Birth Centre. In Birth centres: a social model for maternity care. London: Elsevier Science, pp. 131-139.
Cooper, R.J., Bissell, P., Ward, P.R., Murphy, E., Anderson, C., Avery, T., James, V., Lymn, J., Guillaume, L., Hutchinson, A., et al., 2012. Further challenges to medical dominance? The case of nurse and pharmacist supplementary prescribing. Health, 16(2), 115-133.
Payne, K., Fargher, E.A., Roberts, S.A., Tricker, K., Elliott, R.A., Ratcliffe, J., & Newman, W.G., 2011. Valuing pharmacogenetic testing services: A comparison of patients' and health care professionals' preferences. Value in Health, 14(1), 121-134.
Ratcliffe, J., Couzner, L.M., Flynn, T., Sawyer, M.G., Stevens, K., Brazier, J., & Burgess, L., 2011. Valuing Child Health Utility 9D health states with a young adolescent sample: a feasibility study to compare best-worst scaling discrete-choice experiment, standard gamble and time trade-off methods. Applied Health Economics and Health Policy, 9(1), 15-27.
Ratcliffe, J., Couzner, L.M., Flynn, T., Sawyer, M.G., Stevens, K.J., Brazier, J., & Burgess, L., 2011. Valuing child health utility 9D health states with a young adolescent sample: A feasibility study to compare best-worst scaling discrete-choice experiment, standard gamble and time trade-off methods. Applied Health Economics and Health Policy, 9(1), 15-27.
Laver, K.E., Ratcliffe, J., George, S., Lester, L.H., Walker, R.B., Burgess, L., & Crotty, M., 2011. Early rehabilitation management after stroke: what do stroke patients prefer?. Journal of Rehabilitation Medicine, 43, 354-358.
Laver, K.E., George, S., Ratcliffe, J., & Crotty, M., 2011. Virtual reality stroke rehabilitation: hype or hope?. Australian Occupational Therapy Journal, 58, 215-219.
Goodwin, P.C., Ratcliffe, J., Morris, J., & Morrissey, M.C., 2011. Using the knee-specific Hughston Clinic Questionnaire, EQ-5D and SF-6D following arthroscopic partial meniscectomy surgery: A comparison of psychometric properties. Quality of Life Research, 20, 1437-1446.
Crotty, M. & Ratcliffe, J., 2011. If Mohammed won't come to the mountain, the mountain must go to Mohammed. Age and Ageing. Age and Ageing, 40, 290-292.
Hutchinson, A., Coster, J.E., Cooper, K.L., McIntosh, A., Walters, S.J., Bath, P.A., Pearson, M., Young, T.A., Rantell, K., Campbell, M.J., et al., 2010. Comparison of case note review methods for evaluating quality and safety in health care. Health Technology Assessment, 1-170.
Ratcliffe, J., Laver, K., Couzner, L.M., Cameron, I.D., Gray, L.C., & Crotty, M., 2010. Not just about costs: the role of health economics in facilitating decision making in aged care. Age and Ageing, 39(4), 426-429.
Ratcliffe, J., Bekker, H., Dolan, P., & Edlin, R., 2009. Examining the attitudes and preferences of health care decision-makers in relation to access, equity and cost-effectiveness: a discrete choice experiment. Health Policy, 90(1), 45-57.
Ratcliffe, J., Brazier, J., Tsuchiya, A., Symonds, T., & Brown, M., 2009. Using DCE and ranking data to estimate cardinal values for health states for deriving a preference based single index from the sexual quality of life questionnaire. Health Economics, 18(11), 1261-1276.
Stein, K., Dyer, M., Milne, R., Round, A., Ratcliffe, J., & Brazier, J., 2009. The precision of health state valuation by members of the general public using standard gamble. Quality of Life Research, 18(4), 509-518.
Norman, R., Cronin, P., Viney, R., King, M.T., Street, D., & Ratcliffe, J., 2009. International Comparisons in Valuing EQ-5D Health States: A Review and Analysis. Value in Health, 12(8), 1194-1200.
Brazier, J., Dixon, S., & Ratcliffe, J., 2009. The role of patient preferences in cost effectiveness analysis: A conflict of values?. Pharmacoeconomics, 27(9), 705-712.
Jessep, S.A., Walsh, N.E., Ratcliffe, J., & Hurley, M.V., 2009. Long term clinical benefits and costs of an integrated rehabilitation programme compared to out-patient physiotherapy for chronic knee pain. Physiotherapy, 95(2), 94-102.
Cooper, R.J., Guillaume, L., Avery, T., Anderson, C., Bissell, P., Hutchinson, A., Lymm, J., Murphy, E., Ward, P.R., & Ratcliffe, J., 2008. Non-medical prescribing in the UK: developments and stakeholder interests. Journal of Ambulatory Care Management, 31(3), 244-252.
Cooper, R.J., Anderson, C., Avery, T., Bissell, P., Guillaume, L., Hutchinson, A., Lymn, J., Murphy, E., Ratcliffe, J., & Ward, P.R., 2008. Stakeholders' views of UK nurse and pharmacist supplementary prescribing. Journal of Health Services Research and Policy, 13(4), 215-221.
Guillaume, L., Cooper, R.J., Avery, T., Mitchell, S., Ward, P.R., Anderson, C., Bissell, P., Hutchinson, A., James, V., Lymn, J., et al., 2008. Supplementary prescribing by community and primary care pharmacists: an analysis of PACT data, 2004-2006. Journal of Clinical Pharmacy and Therapeutics, 33(1), 11-16.
McKenna, S., Meads, D.M., Ratcliffe, J., & Brazier, J., 2008. Development and validation of a preference based measure derived from the Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) for use in cost utility analyses. Health and Quality of Life Outcomes, 6(65).
Cooper, R.J., Lymn, J., Anderson, C., Avery, T., Bissell, P., Guillaume, L., Hutchinson, A., Murphy, E., Ratcliffe, J., & Ward, P.R., 2008. Learning to prescribe - pharmacists' experiences of supplementary prescribing training in England. BMC Medical Education, 8, 57-64.
Cooper, R.J., Anderson, C., Avery, T., Bissell, P., Guillaume, L., Hutchinson, A., James, V., Lymn, J., McIntosh, A., Murphy, E., et al., 2008. Nurse and pharmacist supplementary prescribing in the UK - a thematic review of the literature. Health Policy, 85(3), 277-292.
Haughney, J., Fletcher, M., Wolfe, S., Ratcliffe, J., Brice, R., & Partridge, M., 2007. Features of asthma management: quantifying the patient perspective. BMC Pulmonary Medicine, 7(16).
Caldon, L., Walters, S.J., Ratcliffe, J., & Reed, M., 2007. What influences clinicians' operative preferences for women with breast cancer? An application of the discrete choice experiment. European Journal of Cancer, 43(11), 1662-1669.
Ratcliffe, J., Brazier, J., Palfreyman, S., & Michaels, J., 2007. A comparison of patient and population values for health states in varicose veins patients. Health Economics, 16(4), 395-405.
Tappenden, P., Brazier, J., Ratcliffe, J., & Chilcott, J., 2007. A stated preference binary choice experiment to explore NICE decision making. Pharmacoeconomics, 25(8), 685-693.
Papanikolaou, P., Lyne, P., & Ratcliffe, J., 2007. Using the discrete choice experimental design to investigate decision-making about pressure ulcer prevention by community nurses. Health and Social Care in The Community, 15(6), 588-598.
Critchley, D., Ratcliffe, J., Noonan, S., Jones, R., & Hurley, M., 2007. Effectiveness and cost-effectiveness of three types of physiotherapy used to reduce chronic low back pain disability: a pragmatic randomized trial with economic evaluation. Spine, 32(14), 1474-1481.
Michaels, J., Brazier, J., Campbell, W., MacIntyre, J., Palfreyman, S., & Ratcliffe, J., 2006. Randomized clinical trial comparing surgery with conservative treatment for uncomplicated varicose veins. British Journal of Surgery, 93(2), 175-181.
Longworth, L., Young, T.A., Beath, S., Kelly, D., Protheroe, S., Mistry, H., Ratcliffe, J., & Buxton, M., 2006. An economic evaluation of pediatric small bowel transplantation in the United Kingdom. Transplantation, 82(4), 508-515.
Ratcliffe, J., Brazier, J., Campbell, W., Palfryeman, S., MacIntyre, J., & Michaels, J., 2006. Cost-effectiveness analysis of surgery versus conservative treatment for uncomplicated varicose veins in a randomised clinical trial. British Journal of Surgery, 93(2), 182-186.
Ratcliffe, J., Thomas, K., MacPherson, H., & Brazier, J., 2006. A randomised controlled trial of acupuncture care for persistent low back pain: cost effectiveness analysis. British Medical Journal, 333(7569), 626-628.
Stein, K., Dyer, M.E., Crabb, T., Milne, R., Round, A., Ratcliffe, J., & Brazier, J., 2006. A pilot Internet 'Value of Health' Panel: recruitment, participation and compliance. Health and Quality of Life Outcomes, 4(90), 1-11.
Stein, K., Ratcliffe, J., Round, A., Milne, R., & Brazier, J., 2006. Impact of discussion on preferences elicited in a group setting. Health and Quality of Life Outcomes, 4(22), 1-7.
Michaels, J., Campbell, W., Brazier, J., MacIntyre, J., Palfreyman, S., Ratcliffe, J., & Rigby, K., 2006. Randomised clinical trial, observational study and assessment of cost effectiveness of the treatment of varicose veins (REACTIV trial). Health Technology Assessment, 10(13), 1-196.
Mason, S., Coleman, P., O'Keefe, C., Ratcliffe, J., & Nicholl, J., 2006. The evolution of the emergency care practitioner role in England: Experiences and impact. Emergency Medicine Journal, 23(6), 435-439.
Ratcliffe, J., Young, T.A., Longworth, L., & Buxton, M., 2005. An assessment of the impact of informative dropout and nonresponse in measuring health-related quality of life using the EuroQol (EQ-5D) descriptive system. Value in Health, 8(1), 53-58.
Goodwin, P.C., Ratcliffe, J., & Morrissey, M.C., 2005. Physiotherapy after arthroscopic partial meniscectomy surgery: An assessment of costs to the National Health Service, patients and society. International Journal of Technology Assessment in Health Care, 21(4), 452-458.
Thomas, K., MacPherson, H., Thorpe, L., Ratcliffe, J., Brazier, J., Campbell, M.J., Fitter, M., Roman, M., Walters, S., & Nicholl, J., 2005. Longer term clinical and economic benefits of offering acupuncture care to patients with chronic low back pain. Health Technology Assessment, 9(32), 1-128.
Ratcliffe, J., Buxton, M., Young, T.A., & Longworth, L., 2005. Determining priority for liver transplantation: a comparison of cost per QALY and discrete choice experiment-generated public preferences. Applied Health Economics and Health Policy, 4(4), 249-255.
Wilmot, S., Ratcliffe, J., & Allen, C., 2004. How well do members of the public deal with a distributive justice problem in health care?. Journal of Health Services Research and Policy, 9(1), 7-13.
Ratcliffe, J., Buxton, M., McGarry, T., Sheldon, R., & Chancellor, J., 2004. Patients' preferences for characteristics associated with treatments for osteoarthritis. Rheumatology, 43(3), 337-345.
Young, T.A., Neuberger, J., Longworth, L., Ratcliffe, J., & Buxton, M., 2003. Survival gain after liver transplantation for patients with alcoholic liver disease: A comparison across models and centers. Transplantation, 76(10), 1479-1486.
Doward, L., Meads, D.M., Langley, P., Ratcliffe, J., & McKenna, S., 2003. Assessing disease-specific utility in recurrent genital herpes. Value in Health, 6, 270-271.
Longworth, L., Young, T.A., Buxton, M., Ratcliffe, J., Neuberger, J., Burroughs, A., & Bryan, S., 2003. Midterm cost-effectiveness of the liver transplantation program of England and Wales for three liver disease groups. Liver Transplantation, 9(12), 1295-1307.
Crotty, M., Laver, K., George, S., & Ratcliffe, J., 2011. Is use of the Nintendo Wii Fit in physiotherapy as effective as conventional physiotherapy training for hospitalised older adults?. Virtual Rehabilitation (ICVR), 2011 International Conference.
Brazier, J., Ratcliffe, J., Michaels, J., & Palfreyman, S., 2004. Comparison of patient and general population values: the case of varicose veins. Quality of Life Research, 13(9), 1557-1557.
Laver, K., George, S., Ratcliffe, J., & Crotty, M., 2011. Virtual reality stroke rehabilitation-hype or hope?. Australian Occupational Therapy Journal.
Crotty, M. & Ratcliffe, J., 2011. If Mohammed won't come to the mountain, the mountain must go to Mohammed. Age and Ageing, 40(3), 290-292.
Dillon, M. & Ratcliffe, J., 2010. Letters to the Editor - Cost-Effectiveness of Microprocessor-Controlled Prosthetic Knees. Archives of Physical Medicine and Rehabilitation, 91, 663-663.
Ratcliffe, J., 2011. Not just about costs- how health economics can be helpful in demonstrating the value of nutrition and dietetic interventions. Dietitians Association of Australia 29th National Conference, 68(Supplement S1), 16-16.
Ratcliffe, J., Milte, R.K., Crotty, M., Cameron, I.D., Miller, M., & Whitehead, C.H., 2010. What are frail older people prepared to endure to achieve improved mobility following a hip fracture? A discrete choice experiment. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, 29(S1), xiii-xv.
Ratcliffe, J., Milte, R.K., Crotty, M., Cameron, I.D., Miller, M.D., & Whitehead, C.H., 2010. What are frail older people prepared to endure to achieve improved mobility following a hip fracture? A discrete choice experiment [abstract]. Australasian Journal on Ageing, 29(Supp 1), 36-36.
Anderson, C., Cooper, R.J., Guillaume, L., Avery, T., Bissell, P., Hutchinson, A., James, V., Lymm, J., McIntosh, A., Murphy, E., et al., 2008. The views of pharmacists in England on their supplementary prescribing training. International Journal of Pharmacy Practice: HSRPP Abstracts, 16(S1), A6-A7.
Cooper, R.J., Guillaume, L., Avery, T., Anderson, C., Bissell, P., Hutchinson, A., James, V., Lymn, J., McIntosh, A., Murphy, E., et al., 2008. The safety climate of pharmacist supplementary prescribing in England. International Journal of Pharmacy Practice: HSRPP Abstracts, 16(S1), A21-A21.
Cooper, R.J., Guillaume, L., Avery, T., Bissell, P., Hutchinson, A., James, V., Lymm, J., McIntosh, A., Murphy, E., Ratcliffe, J., et al., 2007. Stakeholder's Views of Pharmacist Supplementary Prescribing - Benefits, Barriers, Facilitators and Challenges. International Journal of Pharmacy Practice: BPC Abstracts, 15(Supplement 2), 25-25.
Guillaume, L., Cooper, R.J., Avery, T., Anderson, C., Bissell, P., Hutchinson, A., James, V., Lymn, J., McIntosh, A., Ratcliffe, J., et al., 2007. Community and primary care nurse prescribing - an analysis of PACT data - 2002-2006. International Journal of Pharmacy Practice Special Issue: BPC Practice Abstracts, 15(S2), B62-B62.
Julie has extensive experience in health economics research and teaching and has held research grants from a number of sources, including the National Health and Medical Research Council and the Australian Research Council in Australia and the Department of Health and the Economic and Social Research Council in the UK. Julie has worked on a large number of research collaborations with economists, clinicians, nurses and health service researchers. Her research interests include the measurement and valuation of health outcomes for economic evaluation, the economic evaluation of new and emerging health care technologies and the development and application of discrete choice experiments (DCEs) to elicit patient and general population preferences for health and health care treatments and services