Julian Perelman

Health Economics Associate Professor



Julian Perelman holds a Phd in economics from Université catholique de Louvain. He coordinated the Mission Structure for the Health Budget Program between 2018 and 2020, and is currently vice-president of the Health Technology Assessment Commission.

Author of more than 90 publications in indexed scientific journals, his main research interests are inequalities in health and healthcare, health financing and providers’ payment models, and economic evaluation in health.



Pedagogic Coordination

  • Applied Health Economics (Public Health Phd Program and optional course)
  • Health Economics for Health Administration (Advanced Course in Hospital Administration)


Teaching Participation

  • Seminar in Public Health II (Public Health Phd Program)
  • Health Policy, Economics, Organizational Theory and Management (PhD Global Public Health)
  • Health Economics (Master in Public Health)
  • Health Economics (Master in Health Management)
  • Introduction to Health Economics (Public Health Specialization)

Supervisor of 7 Phd theses and 41 Master theses.

Local coordinator of the Erasmus Mundus Phd Program “Dynamics of Health and Welfare”.

  • Ana Maria Arias Uriona | Multidimensional social exclusion and immigrants’ health in Europe | Doutoramento Erasmus Dynamics of Health and Welfare | ENSP-NOVA, 2020
  • Klara Dimitrovová | Efficiency and equity dimensions of primary care: the consequences of a changing context | PhD in Global Public Health. ENSP-NOVA, 2019
  • Teresa Leão | How do policies shape population’s health in Europe: from welfare regimes to school-based tobacco control programmes | PhD in Public Health, Area of Expertise: Health Economics | ENSP-NOVA, 2019
  • Vanessa Ribeiro | Tecnologias cardíacas em Portugal, 1997-2012: avaliação da eficiência e das desigualdades | PhD in Public Health, Area of Expertise: Health Economics | ENSP-NOVA, 2018
  • Joana Alves | Essays on smoking inequalities | PhD in Public Health, Area of Expertise: Health Economics. ENSP-NOVA, 2016

Principal Researcher

  • Avaliação da reforma dos CSP centrada nos ganhos de economia, eficiência e eficácia resultantes da transformação de UCSP em USF (projeto ACSS, 11364/2016/DAG/NAM/ACSS)
  • Reassessing the Portuguese mental health system: evaluating its performance, and designing a new financial and organizational model aimed at enhancing its equity, efficiency, and quality (project EEA Grants, Programa Iniciativas em Saúde Pública PT06, 000065SM1).
  • "Pay-for-performance" e equidade nos cuidados de saúde (financiado pelo Instituto Nacional de Saúde, 2011EXT484).



  • Enhancing the effectiveness of programs and strategies to prevent smoking by adolescents: a realist evaluation comparing seven European countries (SILNE-R, HORIZON 2020 635056)
  • Tackling socioeconomic inequalities in smoking: learning from natural experiments by time trend analyses and cross-national comparisons (SILNE, FP7-HEALTH-2011.3.3-1).

Selected Publications in the last five years


  • Alves R, Perelman J. European mature adults and elderly are moving closer to the Mediterranean diet—a longitudinal study, 2013–19. European Journal of Public Health 2022, 32(4):600-605
  • Romano S, Figueira D, Teixeira I, Perelman J. Deprescribing interventions among community-dwelling older adults: a systematic review of economic evaluations. Pharmacoeconomics 2022, 40:269-295
  • Perelman J. Value-based care: a good idea, many caveats. European Journal of Public Health 2021, 3(4):676-677
  • Dimitrovová K, Perelman J, Serrano-Alarcón M. Effect of a national primary care reform on avoidable hospitalizations (2000-2015): a difference-in-difference analysis. Social Science and Medicine 2020, 252:112908.
  • Serrano-Alarcón M, Kunst AE, Bodriesz JR, Perelman J. Tobacco control policies and smoking among older adults: a longitudinal analysis of 10 European countries. Addiction 2019, 114(6): 1076-1085.


Full details of publications can be found at: https://www.researchgate.net/profile/Julian_Perelman


  • Vice-President of the Health Assessment Technology Commission, since June 2016.
  • Coordinator of the Mission Structure of the Health Budget Programme (Ministries of Health and Budget), between April 2018 and July 2020.