Geneva Health Forum Archive

Browse and download abstracts, posters, documents and videos from past editions of the GHF

GHF2014 – PL01 – Integrated Care, Empowered People

Dr. Nick Goodwin
PhD, Chief Executive Officer, International Foundation for Integrated Care, United Kingdom
Mrs. Alice Njoroge
Managing Director, Eastern Deanery AIDS & Relief Program, Kenya
Dr. Joachim Stumberg
Associate Professor of General Practice, Department of General Practice, The Newcastle University, Australia
Mr. Bertrand Levrat
Chief Executive Officer, Geneva University Hospitals, Switzerland
Prof. Nicolas Fernandez
Assistant Professor, Center for Pedagogy Applied to Health Sciences (CPASS), Faculty of Medicine, University of Montréal, Canada
This plenary debate seeks to define the meaning and logic of ‘integrated care’ from the service users’ perspective. In particular, the panel will examine what it means to deliver more ‘patient-centered and co-ordinated care’ to people and communities and why this should be seen as an important design principle for health care systems.
Integrated care is a term that has come into common usage, yet people struggle to agree with what integrated care means and particularly how it can be applied. At its most basic, integrated care is a simple idea – combining different parts of the care system in order to optimize care and treatment to people where fragmentations in care have led to a negative impact on their care experiences and outcomes. Integrated care, therefore, is by definition ‘people centered’ since its core principle is to better co-ordinate care around people’s needs.The principles of integrated care from the person’s perspective therefore should:

  • seek to combines a range of care strategies that involve users and communities in the design of care programmes ;
  • create partnerships between people and professionals so that there is ‘co-production’ of health ;
  • support people to have the autonomy to make their own choices over care and treatment option ;
  • ensure that care is well co-ordinated around people’s needs by a team of care providers who communicate with each other to achieve more integrated service provision ; and
  • enable people to feel self-empowered.

Some of the questions to be discussed by the panel in this plenary include:

  • What do we mean by integrated care?
  • Is there a difference between the goals of integrated care from the person’s perspective compared with a systems perspective?
  • Why should integrated care be regarded as an important design principle for the future of health care systems?
  • What do we mean by person-centered care?
  • What are the benefits to be gained from better involving and empowering people and communities?
  • How can people and communities be better involved and empowered in making decisions about how care should be provided to them?

How can the ability of people to self-manage their own health be encouraged?


Nick_Goodwin1Dr Nick Goodwin, PhD

CEO, International Foundation for Integrated Care

Nick is a social scientist, academic and policy analyst with a specialist interest in investigating the organisation and management of primary, community and integrated care. Nick is co-Founder and CEO of the International Foundation for Integrated Care (IFIC), a not-for-profit membership-based foundation dedicated to improving the science knowledge and application of integrate care across the World ( and is Editor-in-Chief of its scientific periodical the International Journal of Integrated Care ( Nick also works as a Senior Associate at The King’s Fund, London supporting its programme of research and analysis for improving and integrating care to older people and those with long-term conditions (LTCs).

In addition to his role in leading and developing the various work programmes at IFIC, Nick continues to be very active in research, development and support for integrated care at both a political and practical level. Nick’s current portfolio of work includes UK, US and European-based research and development studies examining the impact and deployment of integrated care to people with complex and long-term health problems.  Nick continues to work with the UK government to support its policies on integrated care, including the evaluation of its Health and Social Care Integration Pioneer Programme and the Commission on Whole-Person Care. Nick’s international commitments include the EU FP7 Project INTEGRATE ( and the European Innovation Partnership on Active and Healthy Ageing. Nick is working with the World Health Organisation to support the development of a Global Strategy to develop person-centred and integrated care, and is on the Expert Advisory Team to WHO Regional Office for Europe’s Framework for Action Towards Coordinated/Integrated Health Services Delivery (CIHSD).


Nicolas_FernandezProfessor Nicolas Fernandez

Nicolas Fernandez is Professor of the Faculty of Educational Sciences of the Université du Québec à Montréal (UQAM) and Associate Professor at the Center for Applied Pedagogy in the Health Sciences (CAPHS) of the Faculty of Medicine at the Université de Montréal. Recipient of a transplanted kidney in 2008, Nicolas learned to manage his dialysis treatments, both peritoneal and hemodialysis, over a period of eight years. This life transforming experience, combined with his academic career in educational research and teaching, allowed Nicolas to develop unique insights into self-management of chronic illness as well as into development of patient self-efficacy. His doctoral thesis was completed in large part during treatment sessions in the dialysis unit of his local hospital.

Nicolas has published in the field of higher education and cognitive science as well as in the field of group development and collaboration. Since 2010, Nicolas has been active in the Direction of Collaboration and Patient Partnership of the CAPHS and contributes regularly to initiatives aimed at integrating patient perspective into training of health professionals and organizational change in clinical settings.

A quote from Prof. Fernandez:

‘The transformative power of illness hinges on the answer to a simple question: can I live with it or not? If the answer is no, then you are nearer to death. If the answer is yes, you are not farther from death, but a lot closer to life.’ 


Joachim_SturmbergDr. Joachim Sturmberg is Conjoint A/Prof of General Practice in the Department of General Practice, The Newcastle University, Newcastle, Australia. He graduated from Lübeck Medical School, Germany, where I also completed his PhD. Since 1989 he works in an urban group practice on the NSW Central Coast, with a particular interest in the ongoing patient-centred care of patients with chronic disease and the elderly. In 1994 he started to pursue systems and complexity research with an inquiry into the effects of continuity of care on the care processes and outcomes. Since then, his research has expanded and includes the areas of understanding the complex notion of health, health care and healthcare reform, showing that health is an interconnected multi-dimensional construct encompassing somatic, psychological, social and semiotic or sense-making domains, that health care has to embrace the patient’s understanding of her health as the basis for effective and efficient care, and that an effective and efficient healthcare system ought to put the patient at the centre. He has published extensively on these topics. He is joint chief editor of the Handbook of Systems and Complexity in Health, and joint chief editor of the Forum on Systems and Complexity in Medicine and Healthcare which appears in the Journal of Evaluation in Clinical Practice. Together with Carmel Martin and Jim Price he chairs the Complexity Special Interest Group (SIG) in the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians WONCA.


23.07.2013_Bertrand Levrat, 23.07.2013_Bertrand LevratMr. Bertrand Levrat

Chief Executive Officer , Geneva University Hospitals, Switzerland

Bertrand Levrat is an « engaged humanist ». Lawer by training, he has successively worked for seven years at the International Committee of the Red Cross on field missions as delegate, chief of under-delegation, legal advisor for Asia and Latin America and representative of the ICRC at the United Nations in New York.

Since returning to Geneva in 2001, he has continued to be committed to helping vulnerable persons during three years as deputy director for social affairs.  He was in charge of policies for the disabled and substance dependence.

In 2004, he became Director General of the Hospice General, a Geneva institution with 1000 collaborators in charge of socially dependent persons and asylum seekers. During nine years he entirely reformed this institution.  Under his leadership, the Hospice Général recovered long term financial  balance and rigorous management, but what is essential to him is something else: “Most important to me was to make collaborators proud to work there”.

Appointed new Director General of the Geneva University Hospitals (HUG) in June 2013, he intends to respond to the challenges that face him as head of this major institution.


Alice_NjorogeMrs Alice Njoroge, Managing Director, Eastern Deanery AIDS & Relief Program, Kenya

Alice Njoroge is a Nurse Leader working in resource limited settings.  She is very passionate about high quality care for clients. To accomplish this she has learned over the years to be innovative and at the same time being very sensitive to proper utilization of resources allocated for various activities. She always strives to maintain high standards of care, as well as stretches available resources as far as possible.

Leave a Reply