Associate Professor Hossein Afzali

Associate Professor in Health Economics

College of Medicine and Public Health

place Margaret Tobin Centre (2.34)
GPO Box 2100, Adelaide 5001, South Australia

I have a background in medicine (MD) and obtained my PhD in health economics from the University of Adelaide. My main area of expertise relates to the economic evaluation of new health technologies with a focus on the application of decision analytic models aiming to improve models of clinical care in the primary care setting and the decision-making process around the public funding of health care interventions. In terms of applied economic evaluations, my major research activity is the design, conduct and analysis of economic evaluations alongside observational studies and clinical trials. This also includes the application of decision analytic models to extrapolate the findings beyond the observed data in order to estimate lifetime costs and outcome of new health technologies. The main focus of my methodological research is on the improvements in the decision-making process with a view to better inform public funding decisions. Examples include the development of diseases-specific models, model structuring (including structural uncertainty) and the estimate of the cost-effectiveness threshold in Australia.

I am a member of the Evaluation Sub-Committee (ESC) of the Medical Services Advisory Committee (MSAC) whose role is to advise the Australian government on evidence relating to the safety, effectiveness and cost-effectiveness of new medical technologies and procedures. Previously I was an evaluator of submissions to the Pharmaceutical Benefits Advisory Committee (PBAC) to determine funding of medicines. I have also been involved in revising MSAC and PBAC Guidelines. Over the past three years, as a chief investigator, I have received over $5 million in research funding from competitive grants and tender submissions.

Qualifications

2004-2007    PhD (Health Economics) (The University of Adelaide)

2003-2004    Graduate Diploma in Public Health

1987-1994    Medicine (MD)     

Honours, awards and grants
  • Research grants, tenders, awards (last 5 years)
    • (Chief Investigator): Iodine supplementation in pregnancy to improve early childhood neurodevelopment: how much is enough? (2020-2025). MRFF (APP1199617)
    • (Chief Investigator): Sunrrise Australia: A randomised clinical trial of Single Use Negative pRessure dressing for Reduction In Surgical site infection following Emergency laparotomy (2020-2022). MRFF International Clinical Trial Collaborations grant program (MRF1179938)
    • (Chief Investigator): Australian lifestyle change program to prevent or delay type 2 diabetes amongst a high-risk population (AUS 2 Prevent) (2020-2023). Diabetes SA
    • (Chief Investigator): Economic evaluation of targeted lung cancer screening in Australia (2020-2021). Cancer Australia
    • (Chief Investigator): Economic evaluation of the Silver Chain service (Integrum SA) (2020-2021). Silver Chain
    • (Chief Investigator): Economic burden of frailty in Australia (2019-2020). Flinders Foundation (Seed grant Scheme)
    • (Chief Investigator): Estimation of the cost-effectiveness threshold for the Australian health system (2015-2019). NHMRC (GNT1084387)
    • Alan Williams Fellowship Award: Disease-specific (reference) models. Centre for Health Economics (CHE), the University of York (UK), 2016
    • Best Presentation Award: Good practices for structuring cost-effectiveness models in decision making. 20th International Conference in Applied Health Economics and Health Policy. Singapore, March 2018
Key responsibilities

Course Coordinator- Master of Public Health (MPH)

Teaching interests

Economic evaluation in health care

Before taking a position at Flinders University in 2019, I was a senior lecturer at the University of Adelaide (2009-2018) where I was coordinator for a number of undergraduate and postgraduate health economics courses including: ‘Health Economics’ (a core course for Master of Health Economics and Policy mainly focusing on economic evaluation of new pharmaceuticals), ‘Evaluation in Public Health’ (a core course for MPH), ‘Hacking Health’ (a core course for Advanced Bachelor of Health Sciences), and ‘MPPD3-Health Economics (a core course for 3rd year medical students).

Topic coordinator
PHCA9519 Economic Evidence for Health Care Decision Making
Higher degree by research supervision
Completion
Principal supervisor: Health economics (2)
Associate supervisor: Health economics (2)
Interests
  • Economic evaluation of health care interventions

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