Dr Mark Monahan B.Comm, MSc, PhD

Mr Mark Monahan

Institute of Applied Health Research
Lecturer in Health Economics

Contact details

Address
Health Economics Unit
Building Y16
Department of Applied Health Sciences
College of Medicine and Health
Birmingham
B15 2TT

Mark Monahan is a Lecturer in the Health Economics Unit. He primarily works on trial-based and model-based economic evaluations in different clinical areas. His research interests relate to decision modelling, health state valuation, and capacity constraints.

Qualifications

  • PhD in Health Economics , University of Birmingham, 2024
  • MSc in Health Economics, University of Galway, 2013
  • BComm International Experience, University of Galway, 2012

Biography

After completing an MSc in Health Economics at the University of Galway, he joined the Health Economics Unit at the University of Birmingham in November 2013 on a six month Research Associate post. Mark has been part of the department ever since and has also worked as a Research Fellow before being appointed Lecturer in Health Economics in 2022.

Mark was previously affiliated with the National Institute of Health Research (NIHR) Global Health Research Unit on Global Surgery where he provided health economic input to the global surgery programme. Mark undertook a PhD alongside his job which examined the economic rationale of investing in interventions to reduce wound infection after surgery using primary and secondary research sources within an iterative economic modelling framework. His PhD supervisors were Professor Tracy Roberts, Professor Sue Jowett and Professor Tom Pinkney.

Mark is the Health Economics Advisor at the NIHR Research Support Service (RSS) Hub delivered by the University of Birmingham and Partners. In this role, he provides advice on the design of health economic components of research projects submitted for funding to national competitions.

Mark is a module co-lead for the Undergraduate Health Economics module delivered in partnership with Birmingham Business School. He has previously co-led the Modelling in Health Economics MSc module, and the MPH Health Economics module. Mark has supervised 30 MSc dissertations and been a Personal Academic tutor to 21 MSc students so far. He is co-supervising an NIHR pre-doctoral fellowship with Professor Sue Jowett. Mark is the Academic Integrity Officer for the MSc Health Economics and Health Policy and the MSc Health Economics and Econometrics programmes. He was awarded a HEFi horizon award for teaching in 2022 and is currently working towards a Postgraduate Certificate in Higher Education.

In 2018, Mark was invited to speak to an All-Party Parliamentary Group on Micronutrients and Health in the Palace of Westminster. The subject of the meeting was on ‘Healthcare Cost Savings from Food Supplements.’ Mark presented previous research, published in the Lancet Diabetes and Endocrinology, on the potential cost savings of iodine supplementation to pregnant women.

Teaching

Postgraduate

  • Modelling for Health Economics (module code 22346);
  • Introduction to Health Economics (module code 02957);
  • Economic Evaluation in health care (module code 07860);
  • Health Economics (module code 08157);
  • Economic Models and Human Genomics (module code 27603);

Undergraduate

  • Health Economics (module code 33158);

Postgraduate supervision

Mark is interested in supervising doctoral research related to the following topics:

  • Model-based economic evaluations
  • Aspects of economic evaluation in surgical diseases
  • Health State Valuation for use in economic evaluations
  • The economics of Task-shifting

Research

Mark’s main research interests include economic evaluation in high blood pressure, surgery, and task-shifting, respectively. In terms of methodology, Mark is interested in decision models with capacity constraints and agent-based modelling.

Mark is currently supervising research fellows delivering the health economic components for the ROCkeTS study (NIHR HTA 13/13/01). In addition, he is supervising a research fellow on two projects in conjunction with the Birmingham Health Partners Rapid Evaluation Centre: (1) the cost-effectiveness of virtual surgical wards, and (2) the cost-effectiveness of an integrated health care and early years support clinic for children and young people living in deprivation. He will be providing health economic modelling oversight for the SEQUENCE DIGITAL (NIHR200856) and Epi-Safe studies (NIHR204156). He has previously supervised a Research Fellow undertaking a trial-based economic evaluation of the PRE-EMPT trial (NIHR HTA 11/114/01).

Mark is a co-applicant on the NIHR HTA funded project “Comparing the clinical and cost-effectiveness of COlesevelam for Bile Acid diarrhoea with colestyramine or Loperamide, including long Term follow-up (COBALT)” (NIHR160696). He has previously been a co-applicant on a NIHR Accelerator Award (NIHR156728) and a NIHR RfPB study (NIHR202011).

Mark’s first publication, assessing the costs and benefits of iodine supplementation tablets for UK pregnant women, garnered national and internal press coverage (e.g. The Times, New Scientist, BBC news). It is in the top 1% of all research output ever tracked by Altmetric (score of 143), an indicator of research impact.

Mark helped form the NIHR Health Economics Network for Global Health. The motivation for the Network is to share learning, discuss and explore common challenges with regard to methods required and strategies to address the challenges of conducting applied health economics evaluation in Global Health. Health Economists from thirteen NIHR global health groups and units are represented in the network. Mark was an organiser of the inaugural face to face meeting in Birmingham early 2020 and he coordinated a successful organisation of the second meeting (virtual) with academics in LSTHM in March 2021.

Other activities

Mark helped form the NIHR Health Economics Network for Global Health. The motivation for the Network is to share learning, discuss and explore common challenges with regard to methods required and strategies to address the challenges of conducting applied health economics evaluation in Global Health. Health Economists from thirteen NIHR global health groups and units are represented in the network. Mark was an organiser of the inaugural face to face meeting in Birmingham early 2020 and he coordinated a successful organisation of the second meeting (virtual) with academics in LSTHM in March 2021.

Publications

Recent publications

Article

Cooper, KG, Bhattacharya, S, Daniels, JP, Horne, AW, Clark, TJ, Saridogan, E, Cheed, V, Pirie, D, Melyda, M, Monahan, M, Roberts, TE, Cox, E, Stubbs, C, Middleton, LJ & PRE-EMPT Collaborative Group 2024, 'Long acting progestogens versus combined oral contraceptive pill for preventing recurrence of endometriosis related pain: the PRE-EMPT pragmatic, parallel group, open label, randomised controlled trial', BMJ open, vol. 385, e079006. https://doi.org/10.1136/bmj-2023-079006

Reinforcement of Closure of Stoma Site (ROCSS) Collaborative and West Midlands Research Collaborative & Benson, R 2024, 'Long-term cost-effectiveness of insertion of a biological mesh during stoma-site closure: 5–8-year follow-up of the ROCSS randomized controlled trial', British Journal of Surgery, vol. 111, no. 8, znae159. https://doi.org/10.1093/bjs/znae159

NIHR Global Health Research Unit on Global Surgery 2024, 'Mechanisms and causes of death after abdominal surgery in low-income and middle-income countries: a secondary analysis of the FALCON trial', The Lancet Global Health. https://doi.org/10.1016/S2214-109X(24)00318-8

NIHR Global Health Research Unit on Global Surgery 2024, 'Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): A model-based cost-effectiveness analysis of a pragmatic, cluster-randomised trial in seven low-income and middle-income countries', Lancet Global Health, vol. 12, no. 2, pp. e235-e242. https://doi.org/10.1016/S2214-109X(23)00538-7

Kachapila, M, Monahan, M, Ademuyiwa, AO, Adinoyi, YM, Biccard, BM, George, C, Ghosh, DN, Glasbey, J, Morton, D, Osayomwanbo, O, Pearse, R, Roberts, T, Suroy, A, Yakubu, SY & Oppong, R 2023, 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low-and middle-income countries', BJA Open, vol. 7, 100207. https://doi.org/10.1016/j.bjao.2023.100207

Kachapila, M, Sindhu, S, Dhiman, J, Ghosh, D, John, S, Monahan, M, Morton, D, Roberts, T, Suroy, A & Oppong, R 2023, 'The cost of paediatric abdominal tuberculosis treatment in India: evidence from a teaching hospital', Experimental Results, vol. 4, e18. https://doi.org/10.1017/exp.2023.16

Monahan, M, Glasbey, J, Roberts, T, Jowett, S, Pinkney, T, Bhangu, A, Morton, D, la Medina, ARD, Ghosh, D, Ademuyiwa, AO, Ntirenganya, F & Tabiri, S 2023, 'The costs of surgical site infection after abdominal surgery in middle income countries: Key resource use In Wound Infection (KIWI) study', The Journal of hospital infection, vol. 136, pp. 38-44. https://doi.org/10.1016/j.jhin.2023.03.023

NIHR Global Surgery collaboration 2022, 'Global economic burden of unmet surgical need for appendicitis', British Journal of Surgery, vol. 109, no. 10, pp. 995-1003. https://doi.org/10.1093/bjs/znac195

Guariglia, A, Monahan, M, Pickering, K & Roberts, T 2021, 'Financial health and obesity', Social Science and Medicine, vol. 276, 113665. https://doi.org/10.1016/j.socscimed.2020.113665

NIHR Global Health Research Unit on Global Surgery, ASOS Investigators, STARSurg Collaborative & Moore, RL 2021, 'Preliminary model assessing the cost-effectiveness of preoperative chlorhexidine mouthwash at reducing postoperative pneumonia among abdominal surgery patients in South Africa', PLOS One, vol. 16, no. 8, e0254698. https://doi.org/10.1371/journal.pone.0254698

Tahir, W, Monahan, M, Dorling, J, Hewer, O, Bowler, U, Linsell, L, Partlett, C, Berrington, J, Boyle, E, Embleton, ND, Johnson, S, Leaf, A, McCormick, K, McGuire, W, Stenson, B, Juszczak, E & Roberts, T 2020, 'Economic evaluation alongside the speed of increasing milk feeds trial (SIFT)', Archives of Disease in Childhood, vol. 105, no. 6, pp. F1-F6. https://doi.org/10.1136/archdischild-2019-318346

NIHR Global Health Research Unit on Global Surgery 2020, 'Pragmatic multicentre factorial randomized controlled trial testing measures to reduce surgical site infection in low- and middle-income countries: study protocol of the FALCON trial', Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. https://doi.org/10.1111/codi.15354

Monahan, M, Jowett, S, Pinkney, T, Brocklehurst, P, Morton, D, Abdali, Z & Roberts, T 2020, 'Surgical site infection and costs in low- and middle-income countries: a systematic review of the economic burden', PLoSONE, vol. 15, no. 6, e0232960. https://doi.org/10.1371/journal.pone.0232960

Monahan, M, Jowett, S, Nickless, A, Franssen, M, Grant, S, Greenfield, S, Hobbs, FDR, Hodgkinson, J, Mant, J & McManus, RJ 2019, 'Cost-effectiveness of telemonitoring and self-monitoring of blood pressure for antihypertensive titration in primary care (TASMINH4)', Hypertension, vol. 73, no. 6, pp. 1231-1239. https://doi.org/10.1161/HYPERTENSIONAHA.118.12415

Comment/debate

NIHR Global Health Research Unit on Global Surgery Collaborators, Kachapila, M, Monahan, M, Ademuyiwa, AO, Adinoyi, YM, Biccard, BM, George, C, Ghosh, DN, Glasbey, J, Morton, DG, Osayomwanbo, O, Pearse, R, Roberts, TE, Suroy, A, Yakubu, SY & Oppong, R 2024, 'Erratum to 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries' [BJA Open 7 (2023) 100207]', BJA Open, vol. 10, 100267. https://doi.org/10.1016/j.bjao.2024.100267

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