Trustworthy Health Systems
Building systems that are understandable, auditable, contestable, and worthy of trust.
Systemic Problem
Trust is not a sentiment. It is an institutional property. Health systems lose trust when they become opaque, unaccountable, and unresponsive to those they serve. Distrust emerges from asymmetries of information, power imbalances, lack of recourse mechanisms, and systemic discrimination.
Our Approach
We design systems that can be understood, audited, contested, and improved by those affected by them. We treat trust as something that must be earned through institutional design.
What We Build
Patient-led reporting infrastructures, accountability mechanisms, transparency-by-design systems, and governance dashboards.
Related Initiatives
SwissNeuroRehab
Neurorehabilitation pathways are fragmented across institutions, cantons, and disciplines.
CareWatch
Harm, discrimination, and systemic failures are often invisible in health systems.
TREVOR
Patients with chronic or complex conditions face fragmented information, inconsistent guidance, and poorly coordinated services.
ESCF Collaborations
Patient organizations are often structurally under-resourced and weakly integrated into research and policy infrastructures.
Lancet Haematology Commission on SCD
Global policy on sickle cell disease suffers from fragmented evidence and weak patient inclusion in priority-setting.
WAI Think Tank
AI governance is dominated by technical and corporate framings that often exclude critical perspectives and participatory approaches.
Convivial Infrastructures
Most digital infrastructures increase dependency rather than autonomy.
Stakeholders
Patients, healthcare professionals, regulators, ombuds institutions.
How We Evaluate
We evaluate trust not as a feeling, but as a measurable property of institutions: response times, transparency indices, recourse effectiveness.
Collaboration
We work with institutions willing to redesign their accountability structures.