Overview
I am based partly in the School of Engineering and partly at Cedar Healthcare Technology Research Centre, at the University Hospital of Wales.
I am primarily interested in the evaluation and adoption of appropriate medical (non-pharmaceutical) technologies. By this I mean technologies that can be demonstrated to have measureable value in real-world healthcare and not just in the laboratory or trial environments. This encompasses health technology assessment (HTA), health economics, and pragmatic issues of implementing these technologies. This applies whether the technology is intended for the UK NHS or low resource environments.
My research interests include:
- Medical devices and diagnostic technologies
- Clinical trials and service evaluations
- Health economic analysis and modelling
- Evidence review and qualitative research
- Technology adoption in healthcare
- Physiological measurements and analysis
- Remote monitoring/telehealth
- Global health technologies
Biography
Dr Susan Peirce graduated with a BSc in Physics (Keele, 1992) and then completed a conversion MSc in Computing (Staffordshire) before deciding on medical physics as a career path. Training for this comprised an MSc in Clinical Engineering and Medical Physics (Sheffield) and professional training at the Royal Free NHS Trust. Her PhD used non-invasive physiological measurements in order to investigate the role of vascular resistance in the short term control of blood pressure and incorporated measures of stroke volume and baroreceptor sensitivity (Leicester, 2006). She has previously been a researcher in the Cardiff University School of Medicine where she was involved in projects looking at the design and use of remote monitoring in chronic conditions (telehealth, EPSRC/MRC-funded) and at the decision-making processes that happen in the NHS when considering the adoption of innovative medical devices (PATH project, NIHR-funded).
She has been part of Cedar healthcare technology research centre since 2012. This unit is a collaboration between Cardiff and Vale University Health Board and the School of Engineering. Cedar is partly funded by the National Institute of Health and Care Excellence (NICE) primarily to provide independent scientific review expertise to their Medical Technologies Evaluation Programme (MTEP). Amonst others, Cedar works with the Welsh Government, Health Technology Wales, the Welsh Health Specialised Services Committee, and with medical technology companies.
Publications
2022
- Ryczek, E., Peirce, S. C., Knight, L., Cleves, A., Champion, A., Doull, I. and Lewis, S. 2022. A case study on reviewing specialist services commissioning in Wales: TAVI for Severe Aortic Stenosis. Applied Health Economics and Health Policy 20(4), pp. 487-499. (10.1007/s40258-021-00692-y)
2021
- Knight, L., Peirce, S. and Morris, R. 2021. The PLASMA system for transurethral resection of the prostate: a NICE medical technologies guidance update. Applied Health Economics and Health Policy 19, pp. 665-672. (10.1007/s40258-021-00651-7)
2019
- Peirce, S. C. and Carolan-Rees, G. 2019. ReCell® spray-on skin system for treating skin loss, scarring and depigmentation after burn injury: a NICE medical technology guidance. Applied Health Economics and Health Policy 17(2), pp. 131-141. (10.1007/s40258-018-00457-0)
2015
- Peirce, S. C., Faulkner, A., Ulucanlar, S. and Elwyn, G. 2015. Technology identities explain under- and non-adoption of community-based point-of-care tests in the UK NHS. Health Policy and Technology 4(1), pp. 68-77. (10.1016/j.hlpt.2014.10.014)
2014
- Dale, M., Cleves, A., Peirce, S. C. and Carolan-Rees, G. 2014. The PressureWire fractional flow reserve measurement system for coronary artery disease [Briefing]. UK: National Institute of Health and Care Excellence. Available at: http://www.nice.org.uk/Advice/MIB2
- Dale, M., Morgan, H. E., Peirce, S., Cleves, A. and Carolan-Rees, G. 2014. NICE Medical Technologies Guidance [MTG24]: Sherlock 3CG Tip Confirmation System for placement of peripherally inserted central catheters, External Assessment Centre report. Project Report. [Online]. The National Institute for Health and Care Excellence. Available at: https://www.nice.org.uk/guidance/mtg24/resources/the-sherlock3cg-tip-confirmation-system-for-placement-of-peripherally-inserted-central-catheters-pdf-64371934845637
2013
- Ulucanlar, S., Faulkner, A., Peirce, S. C. and Elwyn, G. 2013. Technology identity: The role of sociotechnical representations in the adoption of medical devices. Social Science & Medicine 98, pp. 95-105. (10.1016/j.socscimed.2013.09.008)
- Peirce, S. C., Ray, A. and Carolan-Rees, G. 2013. Diagnostic reliability of sterile speculum exam for rupture of membranes [Letter]. Acta Obstetricia et Gynecologica Scandinavica 92(9), pp. 1116-1117. (10.1111/aogs.12177)
2012
- Elwyn, G. et al. 2012. Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'. Journal of Evaluation in Clinical Practice 18(4), pp. 896-903. (10.1111/j.1365-2753.2011.01701.x)
- Tomlin, Z., Peirce, S., Elwyn, G. and Faulkner, A. 2012. The adoption space of early-emerging technologies: evaluation, innovation, gatekeeping (PATH). Final report. NIHR Service Delivery and Organisation programme. Project Report. Southampton: National Institute of Health Research.
2011
- Bolton, C. E., Waters, C. S., Peirce, S. C. and Elwyn, G. 2011. Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD. Journal of Evaluation in Clinical Practice 17(6), pp. 1216-1222. (10.1111/j.1365-2753.2010.01536.x)
- Hardisty, A. et al. 2011. Bridging two translation gaps: a new informatics research agenda for telemonitoring of chronic disease. International Journal of Medical Informatics 80(10), pp. 734-744. (10.1016/j.ijmedinf.2011.07.002)
- Peirce, S. C., Hardisty, A., Preece, A. D. and Elwyn, G. 2011. Designing and implementing telemonitoring for early detection of deterioration in chronic disease: defining the requirements. Health informatics journal 17(3), pp. 173-190. (10.1177/1460458211409717)
2005
- Crawford, D. C., Peirce, S. C. and Champken-Woods, N. 2005. Establishing an infant warming and phototherapy procurement framework. Journal of Neonatal Nursing 11(3), pp. 96-101. (10.1016/j.jnn.2005.06.002)
2001
- Peirce, S. C., Panerai, R. B. and Potter, J. F. 2001. An investigation into the variability of stroke volume using non-invasive measurements. Computers in Cardiology 28, pp. 213-216. (10.1109/CIC.2001.977629)
1998
- Wright, A. L., Hart, G. C. and Peirce, S. C. 1998. Clothing protection factor of a replica England football shirt. The Lancet 351(9117), pp. 1706. (10.1016/S0140-6736(05)77745-X)
Teaching
I contribute to the Medical Engineering degree programme. I manage and teach on Anatomy and Physiology (1st year), and Medical Device Evaluation (3rd year), and also teach on Clinical Engineering 1 (3rd year).
Contracts
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Supervised Students
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