Institute of Clinical Economics e.V.

Current Projects

Pandemic management project

The Pandemic Management Project (PMP) is an interdisciplinary project with the aim of presenting the attitude, skills and knowledge required to react appropriately to the suspicion of a pandemic. Ethical-moral, philosophical, cultural, legal, medical, epidemiological, sociological and economic aspects are taken into account.

The applicant is the Institute of Clinical Economics (ICE) e.V. This non-profit, scientific association offers three unique features as a qualification for the application:

  • The publication of the “Pragmatic Controlled Trial; PCT” to describe everyday health care. This method has been required for almost 100 years. It replaces randomization with an observing method (Bayesian principle).
  • Perceived security to differentiate the objective risks from their subjective perception (= perceived security). For this purpose, adapted psychometric methods are offered, which are classified as valid and feasible under the conditions of international studies.
  • Development of common intersections with interdisciplinary experts:

Pragmatic Controlled Trials

Our current discussion is examining the resilience of the hypothesis that there will be hardly any Randomised Controlled Trials (RCTs) in about 5 years, as these will not adequately reflect the reality of care. Instead, alternative study designs are now available, of which Pragmatic Controlled Trials are a central option. The members of the ICE are invited to participate in the discussion of this hypothesis (External Link).  

Perceived Safety

Our current discussion deals with the connection between objective risks and their subjective perception, which we call "perceived safety". Understanding the relationship between objective risk and subjectively perceived security explains the demand behaviour decisively. In an efficient health care system, it should be understood that diagnosis or therapy should only be carried out if it can reduce either risks or their consequences (i.e. illness or premature death). As a rule,"perceived safety" should not be the only thing that leads to an indication. Since professional communication is the most important modulator of this construct, the professionalization of risk understanding and risk communication in the health professions is central. The topic of "perceived safety" has a broad social significance with regard to over-, under- and wrong supply (External Link)