Never before in history have health care systems had access to such an enormous armamentarium of diagnostic procedures, treatment options, and resources to improve the health care of individual patients and the health of populations. At the same time, health care providers find themselves faced with an ever-growing loss of autonomy. In parallel, throughout the world, the systems of health care delivery and financing are increasingly subject to resource constraints.
As a result of continuing medical innovation combined with demographic changes, in the foreseeable future these constraints are likely to become even more pressing issues. This observation is equally true for National Health Services (such as Beveridge type systems, e.g., United Kingdom), insurance-based systems (Bismarck model, e.g., Germany), as well as market- and managed care-driven health care systems (e.g., United States of America).
Thus a need has arisen to find a balance between the evolving opportunities for improved care and the current and future constraints – in particular, as there are strong reasons to believe that the explosive growth of health care opportunities has not been matched by a corresponding growth in rational resource allocation. From the scarcity of resources available in social health care systems follows an ethical imperative that decision-makers will choose wisely, consider the opportunity costs of these choices, and accept accountability for reasonableness of their actions.
At InnoValHC, we are committed to support good decisions by sound analyses. To this end, we apply proven instruments of evidence-based medicine as well as those of value-based medicine. The latter comprise in particular decision analytic and economic modeling and evaluation tools. A guiding principle throughout our work is that the problem at hand should dictate the approach to finding a solution, not the other way around. Sadly enough, as real-world decision-makers are acutely aware of, academic research – not excluding the field of health economics – does not always meet this requirement.
Thus, the Purpose of InnoValHC is to contribute to the transfer of good scientific practice into the real world of problem-solving.