thinking about the future of health and care

careum

Thinking about the future of health and care2009 Annual Report

This year, Careum promotes artistsCareum promotes education in the health sector. In this year’s annual report, this promotional idea is taken up again in a different context. With an invitation for contributions on the subject “Thinking about the future of health and care”, Careum has provided young artists with a platform for their work. The picture gallery by Julia Bruderer fully convinced the jury, as it illustrates Careum’s future orientation in a symbolic and abstract way.

Julia Bruderer lives in Zurich, working as a freelance illustrator. In 2009, she completed her master’s in Communication Design at the Central Saint Martins College of Art and Design in London. Soon after completion of her studies, she received the 1st Prize in the Swatch Young Illustrators Awards. She is cur-rently working on various assignments from clients as well as personal projects including a work about the history of our forebears. Her greatest inspiration is nature, which provides an inexhaustible source of fascinating and often unexpected discoveries. To find out more about Julia Bruderer’s work, visit www.juliabruderer.com.

2 Careum, 2009 Annual Report

Table of Contents

Thinking about the future of health and care

Education and Training

Patient education: meeting the needs of competent patients

New study programmes thanks to the pioneering work of the WE’G Hochschule Gesundheit

Careum Training Centre for Health Professionals dedicated to supporting young talent

Research and Development

Careum Competence Centre changes to Careum Research and Development: ten dynamic years – and the development is far from complete

Careum Working Papers: future prospects

Promotion and Dissemination

Careum Publishing teaching materials stand the test of time

Support and Networking

Harkness/Careum Fellowship Program: research on the health policy of the USA and Switzerland

Careum Congress 2009: Moving boundaries: global healthcare – national challenges

Careum Forum 2010: No appreciation without a positive self-image

Careum – What’s behind it?

Board of Trustees and Committees

Organisational chart

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Having completed a long transformation process, Careum defined its strategy for the next five years in the course of the past business year.The foundation’s activities are now divided into four business segments.

127 years after its foundation, Careum is in a unique situation: its environment – the health and education sector – is going through a phase of profound change. At the same time, Careum itself has completed a long transformation process and is now able to benefit – in line with the foundation’s objectives – from the oppor-tunities offered by this great phase of change and to use them to the advantage of the health and education sector. Careum sees this reorganisation as an oppor-tunity and as part of its commitment to implementing the foundation’s objectives.

In April 2009, the Board of Trustees passed the “Stra-tegy of the Careum Foundation”, thereby defining the general direction of Careum’s development for the next five years. The aim of this year’s annual re-port is to show where the journey is going and what measures have already been initiated, and not only to look ahead to the healthcare world of the future but also to make an active contribution to shaping it. Over and above defining Careum’s future areas of activity, the adjustments in the composition of the Board of Trustees and the Management Committee also reflect the general strategic direction: the new members bring high-level expertise and a valuable network of professional contacts to the foundation.

As regards Careum’s core activities and overall mis-sion, the basic principle remains unchanged: Careum will continue to promote education in the health sector by providing support and inspiration for the systematic development and establishment of edu-cation and training in this area in the future.

This objective of the foundation has been broken down into four business segments which comprise both existing activities and new projects.This year’s annual report follows this structure as well. Careum’s activities are illustrated on the basis of pro-ject descriptions, field reports and conference sum-maries, as well as through statements by people who came into contact with Careum in one way or another during 2009. In addition, the last section of the report gives a concise overview of the structural entity which is “Careum” as well as its strategic orientation.

Hans Gut, ChairmanIlona KickbuschRené KühneBeat SottasManagement Committee





The four business segments



Careum provides education, training and advice for teachers and students as well as partners in the education system


Patient education: meeting the needs of competent patients

Over the last few decades, patients have become more active and more competent. For this reason, patient education is becoming increasingly important in the health sector. With its project “Patient Education” Careum is promoting this subject.

The role of the patient as citizen and consumer is becoming increasingly important in relation to health issues. A health-oriented society demands that indi-viduals make an active and competent contribution to maintaining their own health and to overcoming chronic physical and mental illnesses. Patient involve-ment is now recognised and demanded all over the world as one of the central innovations required in the health sector. In response to these developments, Careum’s Board of Trustees approved the project “Patient Education 2010–2015” in November 2009. With this project, Careum aims, in cooperation with national and international partners, to strengthen patient education for the chronically ill and their rela-tives and to make it part of healthcare and training in the long term. Careum thereby positions itself at the cutting edge of a momentous international develop-ment in the health sector and makes a contribution to the health policy debate on the role of the patient in the health system and on future healthcare strategies. With its professional and innovative project manage-ment, Careum will do its share to ensure that a new area is developed in the health sector of the future. A project advisory board will be responsible for involv-ing important stakeholders. The approved project was preceded by a preliminary study, in which the current situation in Europe, local needs, and the feasibility of the intended project were analysed. In addition, an expert meeting of interna-tional pioneers in this field took place in Zurich.

Structure of the CDSMP programmeBased on previously conducted analyses, Careum will support the comprehensive implementation of the Chronic Disease Self-Management Program (CDSMP) in Switzerland and create the basis for an independent CDSMP competence centre. Several experts in Switzer-land are currently in the process of setting up the first regional CDSMP products, and experience has been

gained through individual local projects and hospi-tals. The time is especially opportune for Careum to move ahead together with these partners, for there is generally a great need for cooperation, networking and mutual support. The basic principle of the project implementation is that Careum will primarily take care of coordinative activities and that its function is to facilitate promotion, provide support and optimise networking.

National and international networkIn addition, Careum is committed to setting up an independent platform, the “Careum Patient Campus”, for networking, innovation and knowledge mana ge-ment in patient education with a national and inter-national reach. Apart from the Careum premises, virtual space will be used for this purpose. This platform will enable players in Switzerland and abroad to net-work and exchange ideas, at the same time helping to publicise innovative projects.

Chronic Disease Self Management Program, Stanford (USA)

The CDSMP was developed at the Stanford University Patient Education Center in the mid-1980s. It is an effective group intervention tool for patients with a chronic illness who are taught various skills which will be useful in their daily lives. The programme is standardised with its details laid down in a handbook. It is implemented by two trained lay course instruc-tors (persons who are chronically ill themselves) or by tandem leadership (i.e. one lay course instructor and one health profes-sional). The course instructors can become qualified trainingsupervisors. Recruitment and training form an important partof the programme. The CDSMP has been evaluated by the founders as well as independent research groups on an ongo-ing basis for about 25 years and has shown impressive results with regard to effectiveness and acceptance. In Europe, theCDSMP is now offered countrywide in Great Britain and Denmark.


Lastly, Careum will be involved in setting up a “Euro-pean Network for Patient Education”. Participants in the expert meeting in Zurich in September 2009 ex-pressed an interest in a European network in which institutions involved in patient education can exchange information on their existing and new projects as well as their project ideas and instruments. This issue is also seen as relevant in the European Union and in European Patient Organisations.

With the above-mentioned projects, Careum is able, thanks to its independence, to promote trend-setting topics in patient education – for example with regard to healthcare and inter-professionalism – and to create awareness among decision-makers of the increasing significance of patients and their competencies. In the large number of training courses in which Careum is involved, patient education must – where this is not already the case – be included as a subject of study and discussion.

Ilona KickbuschHead of the Patient Education ProjectMember of the Board of Trustees and of the Management Committee

International network: Expert meeting “Patient Education” held on 10 September 2009 in Zurich

The expert meeting organised by Careum united – for the first time – representatives of different approaches to patient education in an intensive workshop. Representatives of a number of different projects attended, including Mindfulness-Based Stress Reduction (MBSR); Mini Med School, Austria; Patient University, Hanover; Expert Patients Programme EPP, England; CDSMP, Denmark; Planetree, USA and the Nether-lands. The mee ting provided valuable inspiration for the pa-tient education project and for the Careum Congress 2010, which is dedicated to the topic “The power of patients – patients’ role in shaping the healthcare system of the future”. The con-gress will feature systematic and in-depth presentations on in-novative international experience with patient education. The outcomes arising from this conference will be discussed in the context of the reorientation that is needed in the area of health policies.

Upcoming event:Careum Congress “The power of patients” to be held on 11/12 November 2010 in Ruschlikon, Switzerlandwww.careum-congress.ch


New study programmes thanks to the pioneering work of the WE’G Hochschule Gesundheit

The WE’G Hochschule Gesundheit, in which Ca reum holds a stake, is developing fast. The qualifi cation Bachelor of Science in Nursing has been recognised by the federal government since since 2009. The master’s programme has already been launched and gained government recognition in spring 2010. With this Careum plays a pioneering role in the Swiss education landscape.

The only private health college in Switzerland, (WE’G FH) was founded in 2005. In addition to Careum, it is owned by two other partners, Kalaidos Bildungsgrup-pe and “Stiftung Bildung – Gesundheit”. This means that it is financed solely via private contributions in the form of tuition fees and investments by the own-ers and no public funding is received.

Bachelor’s and master’s degreesFor the WE’G FH, gaining recognition for its Bachelor of Science in Nursing (BScN) programme from the Federal Office for Professional Education and Tech-nology (OPET) in 2009 was a key event. So far, 53 stu-dents have successfully completed their BScN. Further-

more, the WE’G FH launched the Master of Science in Nursing by Applied Research (MScN by Applied Re-search) and various Master of Advanced Studies (MAS) programmes at the beginning of 2009 and govern-ment recognition was granted in spring 2010. As the first health college in Switzerland to offer a master’s programme in nursing in the German-speaking part of Switzerland, Careum plays a pioneering role in the Swiss education landscape.

European Network Nursing AcademiesCooperation across national borders is especially important to Careum. In line with this outlook, the WE’G FH has become part of an international net-work, the “European Network – Nursing Academies” (http://en-na.eu). So far, this network comprises eight colleges based in German-speaking Europe, i.e. schools based in Germany, Austria and Switzerland. It is expected that similar institutions from the Nether-lands and Sweden will join the network in the near future. The objective of the network is to promote in-ternational cooperation in care-related research and teaching.

MAS in Oncology Care: student testimonial“Having read and analysed a number of studies, I am now capable of conducting a database search to systematically identify relevant literature, recognise research designs and assign relevant research questions. I can understand research reports and compare results and make inferences for practical patient care. My experiences were very positive, and my inter-professional work with doctors was marked by mutual respect throughout.”Astrid Biedermann, oncology nurse


The comprehensive services offered by the WE’G Hochschule Gesundheit– Bachelor of Science in Nursing

– Master of Science in Nursing by Applied Research

– Master of Advanced Studies

– Management issues in healthcare institutions

– Geriatric care

– Oncology care

– Palliative Care

– Care Management

– Wound Care

– ICT in healthcare institutions

More information: www.weg-fh.ch.

Careum awards scholarships

Careum wants to support students who have achievedabove-average results in their bachelor’s degree and who intend to complete the “Master of Science in Nursing by Applied Research” offered by the WE’G FH in Aarau. Careum awards a limited number of scholarships every year. More information: www.careum.ch.

Programmes offered by the Careum Institute

Under the name “Careum Institute”, the WE’G FH offers study programmes in palliative care and oncology nursing at theCareum Campus in Zurich. More information: www.careum.ch and www.weg-fh.ch.


Careum Training Centre for Health Professionals dedicated to supporting young talent

Due to the growing number of students, the Careum Training Centre has been steadily growing. In respon se to its new size, the Training Cen tre has adjusted its organisational structure. 2009 also saw the introduction of the EFQM quality standard.

Careum’s strategic plan states that: “ ‘Providing edu-cation and training’ has been a central issue in the activities of the foundation since its inception. Accor-dingly, this has become one of Careum’s most im-portant fields of activity.” With 1300 trainees and stu-dents enrolled in 2009, the Careum Training Centre now represents a central business field for Careum.

Together with its three partners (Stiftung Diakoniewerk Neumünster – Swiss School of Nursing, Eleonoren-stiftung – Children’s Hospital Zurich, Kalaidos Bildungs-gruppe Schweiz), Careum, acting as the majority share-holder, called into life Careum AG, Training Centre for Health Professionals (Careum AG, Bildungs zentrum für Gesundheitsberufe) on 9 March 2005. Following the cantonal mandate to the Careum Training Centre on 15 February 2005, its development took an unprece-dented and rapid turn when 25 healthcare colleges were closed down in the Canton of Zurich.

In its 5th year of operation, the Careum Training Cen-tre now offers two courses of study at the upper secondary school level (patient care assistant, health-care specialist). In the area of higher-level vocational colleges, five courses of study are offered (nursing, medical laboratory, medical radiology, surgical tech-niques and dental hygiene). With this range of study courses, the Careum Training Centre, which is consti-tuted under civil law, is the largest health training centre in Switzerland.

In order to cope with this growth, those responsible for the Careum Training Centre made preparations as early as 2008 by creating the new management or-ganisation based on the corporate strategy and the future service portfolio. At present the Careum Train-ing Centre has four divisions (Vocational Colleges, Higher-Level Vocational Colleges, Marketing, Finance and Administration) which are integrated in its

management. Due to its rapid growth, 2009 was further more marked by the establishment of a new manage-ment level in all areas and by the integration of an additional study programme offered by the higher-level vocational college for dental hygiene. In addition, in response to the decision of the Office for Secondary Education and Vocational Training of the Canton of Zurich (Mittelschul- und Berufsbildungs-amtes des Kantons Zürich) to abolish the existing student admission procedure, hitherto organised by the canton, and instead to delegate this responsibility to the Careum Training Centre, the Marketing Division was built up in a very short time and completed one and a half years earlier than planned.

In total, 89 salaried employees and about 300 assistant lecturers ensure that the educational standards of the Careum Training Centre translate into high-quality courses for the benefit of trainees and students. For the upper secondary level, this means the consistent implementation of the CORE method (Competency and Resources) and for the Tertiary Level B with its higher-level vocational colleges it requires consistent implementation of problem-based learning (see text-box). In addition, it is a distinguishing feature of the Careum Training Centre that it develops inter-profes

The Competency Resource Model (CORE)

The curriculum of the vocational college for healthcare specia-lists is based on the competency resource model which de-fines educational goals in accordance with descriptions of typi-cal situations in everyday professional life. The aim is to enable students to deal competently with a range of professional situ-ations. For this reason, it is not sufficient to limit educational activities to imparting knowledge. Rather, students must be able to put this knowledge to good use in order to competent-ly handle concrete situations that they are faced with in their daily work. It follows that the aim of the training provided is to develop relevant professional competencies.


sional training modules and offers such courses for students of healthcare and medicine as well as for the various levels of training and study programmes within the centre. The introduction of the quality standard in accordance with EFQM (European Foun-dation for Quality Management) in the year 2009 testifies to the Careum Training Centre’s commitment to constantly improving the quality of its services.

The Careum Training Centre is aware that it will face great challenges in the near future. Ensuring the recruitment of young people in the healthcare sector will become extremely important. The staff of the Careum Training Centre are therefore highly commit-ted to the comprehensive promotion of young talent within the organisation, in their immediate work en-vironment and, of course, at cantonal and even natio-nal level – a commitment which manifests itself in their active participation in the relevant committees.

Christian SchärDirector of the Careum Training Centre

ProblemBased Learning (PBL)

Problem-based learning, a pedagogical and didactic concept and at the same time a learning method, was developed at McMaster University in Canada in the late 1960s and subse-quen tly quickly conquered the world. Knowledge often results from the process of wanting to understand and solve problems. The starting point of PBL is therefore work-relevant situations which are formulated as “problems” in the sense of “difficulty” or “challenge”. This triggers a cognitive conflict in students which motivates them for further thought processing: they now want to understand and solve the problem. Teaching inspired by PBL revolves around the student with the teachers acting as supporters of the learning process who do not pre sent know-ledge but instead systematically ask questions.


Careum conducts research and develops teaching and learning materials as well as pedagogical concepts for healthcare education



Careum Competence Centre changes to Careum Research and Development: ten dynamic years – and the development is far from complete

Goal and joboriented, and useful in everyday work situations: in the ten years of its existence, the Careum Competence Centre has, among other things, developed teaching and learning aids for eight different study programmes. And the next step is already being planned: development of Careum R+D.

The chief objective of Careum has always been to “promote education in the health sector through innovation and development”, and in the future this will continue to serve as a guiding principle for visions, strategies, projects, products and services of the Careum Competence Centre – which will become Careum R+D (Careum F+E) in 2010. The new name Research and Development also denotes a programme.

Many members of our society, especially patients and members of the health profession, deal with life and death, health and sickness and the experiences associated with them. They look for practicable and useful approaches and solutions which are suitable for their goals and intentions. People in our society – in this context primarily trainees and students – can only really relate to those (knowledge) contents that are significant for their life, fit into their world and are goal- and practice-oriented, as well as interdisci-plinary.

Ten years of research, development and implementa-tion. Ten years with the aim of making available the best standards in the various disciplines of the health sector for trainees, students and teachers. Many peo-ple have worked hard to realise this goal showing a great deal of commitment and dogged perseverance, and continuously search for improvements.

The activities of the Careum Competence Centre have been highly dynamic over the last ten years, all the while bearing in mind its motto “Thinking about the future of health and care”. In the process, a sound foundation for the consolidation of the “Research and Development” division has been created.

Pia RiedoHead of the Careum Competence Centre

From the basic principle into practice

In our postmodern society, learning revolves around construc-tion, reconstruction and deconstruction. We are the inventors of our reality (construction), we are the discoverers of our reality (reconstruction), and we are the debunkers of our reality (deconstruction). Careum made a commitment to these three principles of a systematic and constructivist pedagogic and didactic method in the year 2000 and delegated to the Careum Competence Centre the task of developing study programmes for future health professionals at upper secondary school level, as well as tertiary levels B and A, in accordance with this teaching theory. Today, ten years later, “problem-based” curri-

cula as well as teaching and learning materials are available for the study programmes of eight different health pro fessions, and they are successfully used by trainees, students and teach-ers in various educational institutions. The path from the vision to the actual application of the “problem-based” educational method would not be exhaustively cha racterised without men-tion of the related offers which are decisive for success: post-graduate courses for teachers and con sulting and support servi-ces for education providers to help them implement the “problem-based” curricula, quality management and public re-lations work.


The Careum Competence Centre has always been a pioneer in the development and introduction of “problem-based learning” (PBL) in Switzerland. Careum is determined to con-tinue to play this pioneering role in the future and to extend it further. For this reason, Careum has decided, against the background of new challenges in advanced training and patient education which demand new methodological ap-proaches and the critical analysis of pedagogic trends, to supplement the current Careum Competence Centre together with partners by adding a research division, and to streng-then it further by creating the business field “Research and Development”.

Starting 2010, the Careum Competence Centre and the R+D tasks of the WE’G Hochschule Gesundheit will be merged in order to enable optimal alignment of the resources and com-petencies in fulfilling the tasks and reaching the set goals. On the one hand, this means that the development work of the Careum Competence Centre is raised, in line with the international trend, to university level. On the other hand, the federal government standards for universities of applied sci-ences are met, because, apart from the basic and advanced training offered by the WE’G Hochschule Gesundheit, an R+D centre of national importance is being created which will clearly surpass the prescribed job volume in the areas of re-search, development and services.

Careum R+D creates synergies and significant added value:• More effective training concepts and teaching media

The changes in the health sector in the form of new health-care models, new roles for health professionals and more autonomous patients will have a lasting impact on educa-tion in the health sector. By establishing a connection be-tween the didactic know-how of Careum and the research expertise of the college, ideal conditions can be created for the development of effective training concepts and teaching media.

• Setting up a sound knowledge basis and optimal transferOncological healthcare and medical care research into the progression of acute and chronic diseases provide a solid knowledge basis. The combination of the two facilitates the transfer into teaching materials, teaching and advanced training.

• Addressing new and relevant research questions The interface between professional healthcare, nursing by relatives and the possibility of reconciling care-giving and work commitments is becoming increasingly important for those affected and for the economy as a whole and leads to new research questions, consulting services and advanced training courses.

• Dissemination of the generated knowledge through publications and conferencesThe range of activities of Careum R+D is completed with re-search projects on questions of patient education, inter-pro-fessionalism, paradigm shifts, demography and profitability as well as trail-blazing publications and conferences of national and international significance.

As of 2010, Careum R+D will be established on the Careum Campus in Zurich in order to make use of the proximity to the university hospital and other institutions for our forward-look-ing projects.

Integration of the Careum Competence Centre and vocational college research in “Careum R+D” as of 2010


Careum Working Papers: future prospects

The aim of the Careum Working Papers is to create a sound basis for overcoming future challenges in the health sector. In cooperation with experts, Careum critically questions current con cepts used in health education in order to make the right decisions for the future.

The first five Careum Working Papers were launched in the “Research and Development” business segment in 2009. The Working Papers serve the purpose of putting into practice the central idea of Careum of “thinking about the future of health and care”. The question underlying the Working Papers is whether the concepts currently used in health education are suitable for training health professionals to deal with the challenges of the future. On the basis of a clearly defined problem, theses, which are supported by analy-ses, syntheses, position statements and recommen-dations, are formulated in cooperation with experts.

The Working Papers should have an impact on both the internal and the external environment. Their primary function is to illustrate points of view and to provide inspiration and arguments for workshops and con-gresses. Another function is that of providing “work-shop reports” which document the latest research and development project results and make them available to interested groups and to the public at large.

This means that, thanks to its analyses, Careum can identify trends at an early stage and thus perform a pioneering function. At the same time, the Working Papers aim at demonstrating approaches and solu-tions for actual implementation. Overall, they help to sensitise decision-makers in the health and educa-tion sector to challenges and future developments.

All Careum Working Papers may be obtained free of charge: in electronic format online at www.careum.ch > Careum Foundation > Publications or as a hard-copy brochure from Careum Publishing at [email protected].

The first 5 Careum Working Papers

No. 1: “Ageing Workforce in an Ageing Society”How many health professionals will the Swiss health system need by 2030? Hélène Jaccard-Ruedin, France Weaver (Swiss Health Observatory, Neuchâtel)

No. 2: “Where do the best come from?” Global competition in education. Who trains the competent health professionals of the future?Eva-Maria Panfil (University of Applied Science St. Gallen), Beat Sottas (Careum)

No. 3: “Where do the best go?” Global competition for healthcare professionals – What role does migration play in their career future?Gaudenz Silberschmidt (Federal Office of Public Health, Berne), Clémence Merçay (University of Neuchâtel)

No. 4: “Global healthcare?” Perspectives and theses on international competition for patients and the future of medical and wellness tourism.Stephan Sigrist & Sophie Fenner (W.I.R.E. Think Tanks of Bank Sarasin and of Collegium Helveticum of ETH and the University of Zurich)

No. 5: “Who is the fastest?”Global competition for product and process innovation. What are the success factors?Bernhard Bührlen (Fraunhofer Institute, Munich)


“Shortage of nurses” and “primary care deficits” are among the main concerns, for many studies confirm that there will be a significant shortage of qualified health professionals in the medium and long term. However, in the health sector the work -force cannot be increased in the short term. The training of health professionals is a long-term undertaking – and when de-mand starts to rise, it takes the best part of ten years before a sufficient number of health professionals is available and the required skills have been consolidated to ensure that the health-care quality levels are maintained.

The imminent retirement of the baby boomers and the stag-nating number of graduates in educational institutions pro-vided the starting point for Working Paper 1. For this reason, Careum has, in cooperation with the Swiss Health Observatory (Obsan), focused its attention on the expected developments between 2020 and 2030.

The results can be summarised as follows:• Currently 190 000 persons work in the three most important

healthcare segments: hospitals (60%), retirement and nursing homes (30%), home-based nursing care (Spitex, 10%).

• (Over) ageing of the workforce is a reality: the retirement rate will quickly increase from the present rate of 1% per year to 2% after 2020.

• The number of employees over 55 is comparatively low, i.e. early retirements are more common than hitherto assumed.

• Nursing homes and home-based nursing care are much more strongly affected by the retirements than hospitals. This poses a special challenge, because in these segments, personnel demand will go up enormously due to the ageing population.

• The average time employees remain in their job is currently (too) short; large numbers leave their jobs, although this ten-dency is difficult to quantify.

• There are no significant productivity gains, because more productive hospitals provide more sophisticated and inten-sive healthcare; in addition, increased technology requires additional qualified personnel.

• According to Obsan, between 120 000 and 190 000 additional healthcare professionals will be needed by the year 2030.

• Almost 90 percent of these additional healthcare professionals will have to be recruited in the segment of long-term nursing care (homes, home-based nursing care).

In its interpretation of the results, Careum draws the conclu-sion that the Obsan model extrapolates its predictions prima-rily on the basis of today’s situation and that therefore its

estimates are probably too conservative. For the following reasons, real demand is likely to be at the top end of the prog-nosis, i.e. it will amount to 190 000 or more additional health-care professionals, because:• Early retirement is popular.• Part-time work to make allowance for family and leisure time

is becoming the dominant lifestyle.• In addition to a complete change to another field of work

(drop-out), health professionals frequently have multiple jobs, for example in the wellness segment, in alternative medicine and other industries.

• The medical profession is becoming more feminine in that there is a strong tendency towards more women doctors working part-time.

• In the health sector, demand is increasing at a higher rate than in other industries.

• Healthcare provided by relatives is decreasing. • Because the number of school leavers will decrease markedly

by 2030, there will be a general labour shortage leading to increased competition from other industries in the foresee-able future.

• The restrictive general conditions in the health sector – high pressure on budgets and inflexible salary structures – exacer-

bate the effects of the ageing workforce.

In conclusion, the ageing workforce, in combination with those dropping out of the health sector, poses a major challenge to the healthcare and education system:• Switzerland will have to train and recruit the same number

of healthcare professionals between now and 2030 as are currently working in the three most important segments (hospitals, retirement and nursing homes, home-based

nursing care). • Immigration is not a viable solution, because the shortage of healthcare professionals is a global phenomenon.• The demand by far exceeds current training capacities.• The potential within Switzerland by 2030 amounts to approximately 66 000 newly trained health professionals.• This means that Swiss educational institutions can only cover one third of the demand.

A great effort will have to be made in the area of basic and advanced health training. In addition, the boundaries between professions and institutions must be overcome or redrawn if Switzerland is to provide high-quality healthcare for all inhabi-tants in 15 to 20 years’ time.

Summary of Careum Working Paper 1 – “Ageing Workforce in an Ageing Society”


Careum promotes and disseminates teaching and learning contents and produces teaching materials



Careum Publishing teaching materials stand the test of time

Careum Publishing has established itself in the most important health professions with its new teaching materials. The response is extremely positive. Some users comment on their experiences.

With its teaching and learning aids for vocational colleges and higher-level vocational colleges, Careum Publishing, together with its partners, makes a key contribution to professional education in the health and social sector. Careum Publishing also publishes the Careum Books and in the year 2009 published the Careum Working Papers (more information on pages 18/19).

Experience with the textbook for healthcare specialists (FaGe) in the course for mature students“It is striking that students in the preparatory course understand and follow the texts very well. Even trainees for whom German is a second language find that this textbook is written in a way that is understandable and suitable for improving their German. The glossary is especially va luable for non-native speakers of German. In courses designated for mature students, participants are required to work through a substantial amount of material on their own. For this purpose, a clear formulation of the goals and tasks in the individual learning booklets is a great help. This means that, especially in courses for mature students, we are able to tell course participants that the contents of the booklets provide a guide-line for the final exam, both in terms of material covered and level required.”Lecturer teaching courses for mature students

Experience with the textbook for pharmaceutical assistants“It is a real pleasure to work with this textbook. The analytical idea, one of the central demands of the reform, pervades the entire book in my opinion.”Lecturer for pharmaceutical assistants, Dr. pharm.

This year’s annual report does not contain a list of established and new products. Instead, our partners and our customers, i.e. the actual users of the various publications, are given an opportunity to comment on them.Our success obliges us to constantly create added value through improvements.

Felix DettwilerHead of Careum Publishing


There’s been an accidentCaregivers support accident victims in overcoming the experience“This book offers extended knowledge for all caregivers wanting to provide better support to in jured and traumatised patients following an accident. Theory is explained through practical examples, and case histories illustrate the various steps of the care-giving process.”Registered Nurse Höfa II, MScN

“The textbook succeeds in presenting the complex psychological aspects which are crucial in coming to terms with an accident in such a way as to make the processes comprehensible to both nursing professionals and students. Using a number of examples, the book documents how nursing intervention can systematically support and guide accident victims in working through their experience.”Registered nurse MScN, qualified adult educator

Death and DyingAn inter-professional analysis“ ‘Death and Dying’ discusses the problems arising in the immediate surroundings of a person when they make the transition from life to death, as well as all the central issues in the process of letting go of a beloved person. Historical, medical, ethical and psychoanalytical dimensions, as well as issues relating to nursing, law, police and forensic medicine are taken into account and religious aspects are discussed.The inter-professional contributions compiled here are highly suitable as an introduction to the subject matter and as a basis for discussion for all health professionals who come into contact with the dying and their relatives, and even for those with a general interest in these issues.”Dr. med. FMH in Forensic Medicine


Careum supports, networks and cooperates with other partners



Harkness/Careum Fellowship Program: research on the health policy of the USA and Switzerland

Swiss healthcare professionals can now apply for a prestigious scholarship to fund their research in the USA. Thanks to the Harkness/Careum Fellowship Program, every year one experienced healthcare professional is able to conduct research in the USA.

In 2009, for the first time ever, Careum offered the “Harkness/Careum Fellowship Program” for an experi-enced professional working in the Swiss healthcare sector. In partnership with the American “Common-wealth Fund”, each year one fellow is given the unique opportunity of spending 12 months in the United States. Benefiting from top conditions, the successful applicant can conduct a research project which must have relevance to either Swiss or American health policies. In addition, he or she will participate, togeth-er with 12 to 15 scholarship holders from other in-dustrialised countries, in a series of exclusive seminars on health policies. Long-term experience in other countries shows that Harkness fellows later become decision-makers and hold key positions in which they have a direct influence on the health policies of their countries.

Applications must be received by September, with the assessment of the nominated candidates being made in the following January. For more information, go to:www.commonwealthfund.org/fellowshipswww.careum.ch

The testimonials below illustrate the experiences of two fellows during the one-year programme. The first is an interim report of the first-ever Swiss fellow, Sandrine Motamed, Chief Resident, Division of Primary Care Medicine at the University Hospital of Geneva, and Chief Scientific Resident, Faculty of Medicine at the University of Geneva. The second testimonial is an interview with Mr Jörg Haslbeck, who was the first German health service academic to live in the USA with his family as a Harkness/B.Braun Foundation fel-low in 2008/2009. He took up a position in Careum’s “Patient Education” project in January 2010.


“I feel honoured to be the first Harkness/Careum fellow in the field of Health Care Policy and Practice. For the first time, the Commonwealth Fund, a leading private foundation working towards building an eff ec-tive health system in the USA, has accepted a Swiss fellow. For one year, I will work in Washington D.C., at the George Washington University School of Public Health, Department of Health Policy. When it comes to promoting international relations, this is the ideal place to fol-low the debates on healthcare reform in the USA. In the field of research, I am exploring the potential impact of community participation in natio-

nal health policy reform, and I get to meet numerous leaders in health politics and practice.In the course of the year 2009, the Commonwealth Fund organised several important conferences. In September, an informative seminar took place in New York on the US health system and current health policy issues, and the International Symposium on Health Policies was held in Washington D.C. in November. The Commonwealth Fund brought together health ministers and leading healthcare experts from Australia, Canada, Germany, France, Holland, New Zealand, Norway, Great Britain, the USA and Switzerland. The occasion provided a unique opportunity to talk informally with decision-makers, including ministers in the health sector. I was especially pleased with the warm welcome given to the Swiss delegation. Thomas Zeltner, Director of the Swiss Federal Office of Public Health and State Secretary led the delegation. I was able to partici-pate in a debate with him in the Capitol on the Swiss health system, which had been organised by our ambassador Urs Ziswiler for ThinkSwiss, an initiative promoting the exchange of know-ledge between the USA and Switzerland. The USA is interested, in connection with its healthcare reform, in learning about other systems. It was very interesting to hear the views of Thomas Zeltner and the American experts on issues of public and private healthcare. Other inspiring conferences will follow. I look forward to sharing my experiences as a Harkness/Careum fellow in the next annual report.”

Sandrine Motamed, MD, [email protected]


Looking back on a year as a Harkness fellowJörg Haslbeck was the first German healthcare academic to live in the USA with his family as a Harkness/B.Braun Foundation fellow in 2008/2009. He took up a position in Careum’s “Patient Education” pro-ject in January 2010.

Mr. Haslbeck, what makes a Harkness Fellowship so interesting?From a European viewpoint, the Harkness programme is especially attractive because – not least from a family perspective – it offers excel-

lent conditions for investigating a relevant topic in the USA. In addition, you get to meet out-standing experts, since the Commonwealth Fund has an excellent professional network and thus makes possible great contacts. This broadens one’s views on certain issues.

Where in the USA did you spend your research year?I was a postdoctoral fellow at Yale University School of Nursing in New Haven, Connecticut, where I worked with Ruth McCorkle. My co-mentor was Penny Hollander Feldman from the Visiting Nurse Service of New York. This combination of nursing science and health policy expertise provided the perfect perspective from which to explore my own subject.

What was the subject of your research at Yale University?I looked into the issue of “Self-management support for chronic illness”, focusing on the situ ation of vulnerable groups, using elderly people living on their own as an example. Apart from a systematic study of the relevant literature, I interviewed experts working in the health and social sector in the USA on the subject.

What were the key experiences for you during your stay?We met extremely helpful and open-minded people, both in our private and professional everyday life. We were very impressed with the extent to which personal and professional commitment is appreciated. My wife and children were also privileged to experience this appre cia tion in their (school) careers, and they, too, greatly benefited from my Harkness Fellowship. And of course the election and inauguration of Barack Obama as President of the USA was a unique event.

To what extent did the Harkness Fellowship influence your professional career? What skills did you acquire in the course of your Fellowship?The year was definitely a career booster for me! It was through my research scholarship that I was able to establish contact with Careum and, shortly after my return from the US, I received an offer to work for the foundation in the area of “patient education”. In addition, my time at Yale University allowed me to further extend my skills in terms of conducting systematic research into scientific literature. Regular exchanges with US scientists further helped me to gain a better understanding of the North American scientific culture and offered me insights into the communication patterns there. Back in Europe, this may well be an advantage in net-working with international experts.

Dr. Jörg Haslbeck Careum Patient Education


Careum Congress 2009: Moving boundaries: global healthcare – national challenges

Concrete approaches to national health systems in the globalised health community: this topic was discussed by 120 opinion leaders and health experts from all over the world at the Careum Congress 2009. International quality comparisons clearly show deficits, and Switzerland is no exception here.

The globally connected health communityThe health community is increasingly characterised by its global connections. The opportunities and forces that this entails demand that the traditional boun d-aries between disciplines, professions, institutions and countries are transcended. The boundaries between the range of medical services and citizens, market and regulation, doctor and patient, and between service provider and consumer must be redefined as well. At the Careum Congress 2009, 120 opinion leaders and high-ranking experts from Switzerland and abroad discussed the significance of these developments for the various national health systems. Lectures, panels, discussions, model de scriptions and workshops ena-bled an intensive exchange of ideas. The congress took place in the Radisson Blu Hotel at Zurich Airport from 12 to 13 November. It was entitled “Moving boundaries: global healthcare – national challenges”.

Health politics panelWith his keynote lecture, Thomas Zeltner, Director of the Swiss Federal Office of Public Health, set the scene for the discussion on the opportunities and and challenges faced by national politics as a result of the global mar-ket. This lecture was followed by a top-notch panel discussion giving insights into the specific issues facing a region (Christoph Koellreuter, Director of Metrobasel, Switzerland), the European medical profession (Daniel Mart, former President of the Standing Committee of European Doctors, Luxembourg), the economy (Markus R. Neuhaus, CEO of PricewaterhouseCoopers Switzerland and a member of the Global Leadership Team of PWC, Switzerland) and science (Magda Rosenmöller, IESE Business School Barcelona, Spain). In particular, the discussion emphasised the imminent shortage and increasing mobility of healthcare pro-fessionals. European countries are not ready to deal with this challenge.

Comparative studiesOn the basis of international comparative studies – conducted by the Commonwealth Fund, PWC, McKinsey and Health Consumer Powerhouse – the congress also illustrated just how similar the chal-lenges facing healthcare systems in all countries actu-ally are and the extent to which international trends influence decisions at national level. The studies pre-sented all the suggested similar solutions: health systems need more transparency, access to the servi-ces provided by the public health service must be based on new patient-oriented medical care models and prevention must be promoted. Switzerland has a great deal of catching-up to do in all three areas!

Healthcare Reform in the USAUp-to-date presentations gave participants at the Careum Congress the opportunity to hear two different views on the healthcare reform in the USA: Robyn Osborn, Vice President and Director of the International Program in Health Policy and Practice, Commonwealth Fund, USA, and Rich Bagger, World-wide Public Affairs and Policy of Pfizer Inc., USA, shared their prognoses and assessments with their audience. Participants thus gained fascinating insights into one of the most important debates on health politics today.

Comparisons of qualityJohan Hjertqvist, Director of the Health Consumer Powerhouse, presented the evaluation of the Euro Health Consumer Index 2009. This index compares the quality of the health systems from the viewpoint of consumers. Switzerland was ranked fifth behind Holland, Denmark, Iceland and Austria. If, however, the costs are taken into account as well, Switzerland only comes out 13th. “Just because we pay more doesn’t necessarily mean we get a better service as a result”, Hjertqvist said.


Intensive workshopsThe four workshops of the congress probed the issue of global competition in the health sector. Competition in the training programmes for health professionals, professional migration in the health sector, the oppor-tunities provided by medical and wellness tourism, as well as global competition for product and process inno-vation, were among the issues explored. For each of these areas, Careum Working Papers were prepared. One guest provided an insight into concrete implemen-tations which prompted a stimulating discussion.

Patients as a power factorThe congress also looked into the new role of patients and policyholders. The presentation of concrete exam-ples and a panel discussion with international spea kers clearly showed that patients will play a decisive role in the health systems of the future. They will demand transparency, increasingly base their decisions on the quality of the services offered and become active participants in the healthcare process. This develop-ment not only necessitates new healthcare models which integrate patients but also novel approaches to imparting healthcare-related skills. Former German Health Minister Andrea Fischer made clear just how important a sound legal foundation is for patient in-put in the health sector. These issues will be further discussed and developed in the Careum Congress 2010 “The power of patients – patient’s role in shaping the healthcare system of the future”.

New healthcare models: retail clinicsThe Careum Congress even featured the presentation of solution approaches hitherto unheard of in Switzerland. For example, Marcus Thygeson from Consumer Health Solutions reported on so-called retail clinics in the USA: at as many as 1,200 locations in supermarkets, shopping malls and large pharmacies, patients can now get low-priced medical treat-ment without the need for an appointment. “Studies in the USA show that the quality of these medical care centres is as good as that of the average GP – but cheaper”, Thygeson said.

Careum Congress – Thinking about the future of health and care The Careum Congress offers an annual platform for the ex-change of knowledge and experience to all those who would like to consider and help shape the future of the health sys-tem. Worldwide, health systems are undergoing changes. The implications of international trends call for innovative solutions for national healthcare systems. The Careum Congress aims to provide decision-makers with an opportunity to discuss and develop such innovative solutions.For more information, go to www.careum-congress.ch.


Careum Forum 2010: No appreciation without a positive self-image

Do good things and talk about them: health professionals should become ambassadors for their own cause. This is one of the conclusions drawn by the Careum Forum 2010. For the profession’s often negative selfimage damages the reputation of the health sector in general and makes it even more difficult to recruit young people to the health profession.

The Careum Forum 2010 held on 4 February was en-titled “Health Professions = Future Professions – How are they positioned within society?” It took as a basis the negative press and alarming prognoses about the future shortage of qualified personnel in the health sector. The core subject was the conflicting portrayal and perception of health professionals. One of the goals was to avoid merely complaining about the ris-ing standards and pressures and instead to talk about the opportunities which arise from foreseeable develop-ments. In addition, the question was raised as to where the various health professions could improve the underlying conditions.

The speakers covered a wide spectrum of analyses from concrete promotional measures to societal per-ception and appreciation. In the introduction entitled “If only it weren’t for the underlying conditions…”, Dr. Beat Sottas, a member of the Board of Trustees and of the Management Committee of Careum, illustrated the contradictions as well as the great potential on the basis of the conclusions drawn in the Careum Working Paper “Ageing Workforce in an Ageing Society” (also see page 19). Using press comments and advertising campaigns to illustrate his points, Peter Marbet, Director of the Berne Education Centre for Nursing Care (Berner Bildungszentrums Pflege), showed in his lecture “Doing good things – saying bad things about them?” what effect the self-critical attitude of the nursing care profession has on the public. One striking aspect was the great extent to which the industry is strug-gling with innovative professional marketing, because health professionals see this as a violation of political correctness.

Under the title “Recognition is a plant that predomi-nantly grows on graves”, Beatrice Kutter, Head of Competence Assessment for the Professional Qualifi-cation of Mature Students in the Canton of Zurich (Kompetenzenbilanz für die berufliche Nachqualifika-tion) described the ambivalent feelings of (unskilled) persons who work at the bottom end of the quali-fication ladder: while talking about their work with enthusiasm, they have a negative image of their em-ployer, for example because employees get no sup-port or because routine procedures which have been carried out for years are suddenly banned. Beatrice Kutter showed how recognition can enhance employee self-esteem and commitment, and that it tends to extend the average duration of employment. Heidi Berger, Managing Director of OdA-Gesundheit Zurich, asked the difficult question whether “health professions can be communicated”. Taking the results of the international “Nurses’ Early Exit Study” (NEXT) as her starting point, she explained the measures that were taken in her organisation to direct messages specifically at young people. The discussion of the different motivation factors of healthcare specialists (FaGe) and experts from vocational colleges (Fach-personen HF) was especially revealing. With an inspiring keynote lecture entitled “We need all talents! What does it take?” Dr. Christian Schär, President of the Association of Educational Institu-tions in the Health and Social Sector (Verband Bildungszentren Gesundheit und Soziales, BGS), launched the panel discussion on the subject “Making the professions of the future fit for the future!”

The panel of speakers was – as in previous Careum forums – skilfully moderated by radio journalist Cornelia Kazis, who made sure that the various state-ments were placed in a context and in relation to each other. A special dimension was added to the discus-sion by students Sabina Schönbächler and Daniela Vollenwyder. They demonstrated in a refreshing way what it is they don’t like about a discussion that tends to emphasise negative aspects and how they deal with it. To wrap things up, Cornelia Kazis introduced the conclusion with an aphorism by writer and phil-osopher Lichtenberg “I don’t know if things become


better when they change, but they must change to become better.”

The results of the Careum Forum 2010 can be summed up in the following statements:• Repeatedly mentioning problems results in a catch-

22 situation which does not improve the conditions in the health sector but rather leads to self-disquali-fication.

• The underlying conditions are in fact being dealt with actively by means of an open educational

system, planning instruments, new incentives, part-time work and better remuneration systems.

Whether these measures are generally implemen-ted and whether they are sufficient to ensure that personnel levels are maintained is being critically assessed.

• The high prestige and high demands of health professionals contrast with their conservative self-image. It is also a management task to make this self-image more dynamic and to correct it where appropriate, so that the health sector appeals to young people and they don’t opt for other indust-ries which are perceived as more modern.

• Much more important than making a neat dis tinction between various profiles and health qualifications is the recognition and appreciation of the people working in the health sector by their superiors.

Recognition is “nourishment”!• In this context the debate, taken up again of late,

on the status of experts is extremely counterpro-ductive. For it is precisely when comparing the health sector with other industries that health pro-fessionals ruin their image themselves: well-trained and highly motivated young professionals are called “novices” and treated as such for years by their older colleagues. Modern concepts and competencies aim at counter-

acting such a condescending attitude. As part of these modern concepts, the knowledge acquired and the transfer from theory to practice are seen as accomplishments, and the young health professionals are respected for what they do. By the time they join the workforce, they have acquired expertise in nursing, physiotherapy, medical radiology and so

forth – after all, it is for this and because of this that they have received a qualification authorising them to work as health professionals!

• The public’s perception and esteem of the health profession will improve again only if health profes-sionals once more become advocates for their own cause: they must begin to believe in themselves again and make a point of communicating in a positive way their undisputedly important contribution to high-quality healthcare, illustrating it with success stories.



Careum was founded 127 years ago as the “Nursing School and Hospital Foundation of the Red Cross ZurichFluntern” (Stiftung Schwesternschule und Krankenhaus vom Roten Kreuz ZürichFluntern) and can look back on a rich and varied history. The current motto of “Thinking about the future of health and care” has been the guiding principle of the foundation since its inception.

Origins shaped by pioneersThe founders of this institution felt an affinity with the progress of the bourgeoisie of their times: the estab-lishment of the Swiss Confederation in 1848, freedom of thought and speech, modern science and a type of humanism reflecting the intellectual currents of the period. All these are values to which Careum has remained faithful to the present day. It was out of this mindset that the nursing school emerged allow-ing young women, for the first time in Swiss history, to become nurses independent of religious institu-tions.For many years, the foundation was predominantly seen, both in Zurich and its surrounding areas, as the successful operator of the private Red Cross Hospital at the Gates of the University Hospital of Zurich, in which entire generations of locals drew their first breath. In contrast, the modern school for training nursing staff led a rather shadowy existence.

Careum is called into lifeTherefore, the decision taken in 1997 to close the Red Cross Hospital and to reorganise the foundation had a fundamental impact on future developments. In the following 10-year transition phase, the Board of Trustees reverted to its original objective of “pro-moting education in the health sector through in-novation and development” and resolved to concen-trate on the pressing issues in basic and advanced training in the health industry. This decision was given concrete shape with the construction of a multi-use building complex on the foundation’s own land: the Careum Campus. The Careum Campus has since at-tracted a number of different health and education institutions, thereby boosting the exchange of infor-mation and ideas on the campus even more. As of

2004, the activities of the foundation were reflected in its new name “Careum” an amalgamation of the words “care” and “lyceum”. The first great success came at the beginning of 2005 following the education mandate from the Canton of Zurich to the Careum bidding consortium to set up and operate the Careum Training Centre for Health Professions (Careum Bildungszentrum für Gesundheits-berufe, CBZ). As is still the case today, the bidding consortium at the time consisted of Careum, Eleonoren-stiftung – Children’s Hospital Zurich, Stiftung Diakonie-werk Neumünster – Swiss School of Nursing, and Kalaidos Bildungsgruppe Schweiz. Today, only five years later, the education centre is the largest of its kind in Switzerland.Since then, Careum has developed a curriculum based on the methodological and didactic principles of “problem-based learning” to modernise the contents of training in the health professions, which has now become the standard for training programmes in the health sector. The foundation’s own textbook publish-ing house (Careum Publishing) succeeded straight away in its countrywide launch of standardised text-books for use in training programmes for healthcare specialists (FaGe) – an unprecedented move.

Partnerships define CareumThe construction of Careum Campus gave rise to close cooperation – both in terms of knowledge contents and physical proximity – with the Medical Faculty of the University of Zurich. Operated by the University of Zurich, the Careum Library of Medicine, which is the product of a merger between the libraries of the Faculty of Medicine, the University Hospital and the Careum Training Centre, is now the hub of the Careum Campus. Careum and the Dean’s Office of the Faculty of Medi-cine are absolutely convinced that inter-professional teaching and learning are a vital precondition for fruit-ful cooperation in the future. Inter-professionalism in the way it developed on the Careum Campus will determine the future of education in the health sector. In a number of projects, Careum enters into partner-ships with both national and international institutions, in order to reinforce the effects of its efforts.


Careum prepares for the future

In spring 2009, the Board of Trustees passed the “Strategy of the Careum Foundation”, thereby defin-ing the general direction of Careum’s development for the next five years. As part of this strategy, four business segments were defined, and the strategic goals that will guide Careum’s activities over the next few years were laid down. These include advanced vocational training, making stronger efforts to involve

Thinking about the future of health and care Today, the health sector is in a historically unprece-dented phase of change and is faced with enormous challenges. Increasingly, the health community is globally linked, meaning that the traditional bounda-ries between disciplines, professions, institutions and countries are being redrawn. Similarly, the relation-ship between the range of medical services and citizens, market and regulation, doctor and patient and between service provider and consumer is being redefined. New approaches and models for strategies in the health sector must take into account all the challenges arising in the areas of basic and advanced vocational train-

ing, market systems, socio-economic developments and new technologies and research, if they are to make a relevant contribution to the health systems of the future. In the future, Careum will continue to demonstrate how these trends can be converted into concrete education policy projects. The aim is to provide rele-vant inspiration and to develop solution approaches as to how the future healthcare world, and particu-larly education in the health sector, can be dealt with and how an active contribution can be made to help shape these areas.


Research and DevelopmentPromotion

and Dissemination

Careum supports, networks and cooperates with other partners

Careum provides education, training and advice for teachers and students as well as partners in the education system

Careum conducts research and develops teaching and learning materials as well as pedagogical concepts for health care education

patients in their recovery process, intensifi cation of research and development, and further networking.Thanks to its intellectual, organisational and financial independence, Careum is able to assess and support projects and ideas, irrespective of their origin. Careum sees this unique position as an opportunity and an obligation in the implementation of its objective.


Careum promotes and disseminates teaching and learning contents and produces teaching materials

Training in the health sector


Careum Congress 2009


Careum Forum 2010


Stand: April 2010

Stiftungsrat und Ausschüsse

Bliggenstorfer Andreas, SR Pfarrer, Präsident Stifter-VereinDietlikon ZH(SR seit 1993)

Burkolter Max, SRDr. theol.PfarrerWald ZH(SR seit 1999)

Birchler Urs, SR, EADr. oec. publ. Direktionspräsident Inselspital BernBolligen BE(SR seit 2003)

Gut Hans, Präsident, SR, LADipl. Ing. ETH, MSHerrliberg ZH(SR seit 1999)

Kühne René, SR, LADr. oec. publ.Hurden SZ(SR seit 2002)

Sottas Beat, SR, LADr. phil.Berater Bildungs- und Gesundheitspolitik, formative worksBourguillon FR(SR seit 2008)

Lauper Bernhard, SR, AAMitinhaber der Bau- und Immobilien-beratung Immopro AG, ZürichFeldmeilen ZH(SR seit 2008)

Kickbusch Ilona, SR, LAProf. Dr. Dr. h. c.Director Global Health Programme, The Graduate Institute, GenfBrienz BE(SR seit 2008)

Satrapa-Schill Almut, SRDr. phil.Bereichsleiterin Gesundheit und Humanitäre Hilfe der Robert Bosch Stiftung, D-StuttgartD-Grafenau(SR seit 2008)

Brühwiler Barbara, SR Direktorin Pflege und HRM USZ, ZürichZürich(SR seit 2001)

40 Careum Jahresbericht 2009

AC – Audit CommitteeBoT – Board of TrusteesCC – Compensation CommitteeMC – Management Committee

De Geest Sabina, BoTProf. Dr.Managing Director of Institute for Nursing Science, University of BaselBasel BS(Trustee since 2006)

Holenstein Hildegard, BoTDr. phil.Berne BE(Trustee since 2001)

Weibel Peter, BoT, ACDr. oec. publ.Member of Board of Directors of Credit Suisse Group, ZurichZurich ZH(Trustee since 2008)

Zünd Gregor B., BoTMD, Professor of SurgeryDirector Research and Education, Managing Director ZKF, University Hospital ZurichZurich ZH(Trustee since 2009)

Gutzwiller Felix, BoT, CCProf. Dr. med.Director of Institute for Social and Preventive Medicine, University of ZurichCouncillor of State for Canton of ZurichZurich ZH(Trustee since 2000)

Furler Lukas, BoTVice Director and Head of Nursing of Waid City Hospital, ZurichMünchenstein BL(Trustee since 2001)

Buschor Ernst, BoT, ACProf. Dr. oec.Former Government CouncillorDübendorf ZH(Trustee since 2003)


Hans Gut, ChairmanUrs BirchlerAndreas BliggenstorferBarbara BrühwilerMax BurkolterErnst BuschorSabina De GeestLukas Furler Felix Gutzwiller

Hildegard HolensteinIlona KickbuschRené KühneBernhard LauperAlmut Satrapa-SchillBeat SottasPeter WeibelGregor B. Zünd

Board of Trustees

Management Committee

Hans Gut, ChairmanIlona KickbuschRené Kühne Beat Sottas

Compensation Committee

Urs BirchlerFelix Gutzwiller

Audit Committee

Peter WeibelErnst BuschorBernhard Lauper

Annotations:*1: Majority participation*2: Minority participation

Organisational chartAs at April 2010

Careum, 2009 Annual Report

Careum Patient EducationJörg Haslbeck

Careum R+D

Monika Schäfer

Careum Publishing

Felix Dettwiler

Projects Administration

Daniel Achermann

Back Office

Paula Büeler

Marketing/PR

Evelyn Willemin

Careum AG Training Centre for Health Professions*1Representatives on the Board: Hans Gut, ChairmanBarbara BrühwilerRené Kühne

WE’G Hochschule Gesundheit*2Representatives on the Board: René KühneBeat Sottas

Education and Training Research and Developement Promotion and Dissemination Support and Networking Administration

42

Publishing detailsPublished by: Careum, Content/project management: Careum, Design: BieriDesign Zurich, Pictures: Julia Bruderer, English version: Apostroph AG Lucerne, Printed by: Zürichsee Druckereien AG, Stäfa

Careum Pestalozzistrasse 3 CH-8032 ZurichPhone + 41 43 222 50 00 Fax + 41 43 222 50 [email protected] www.careum.ch

Thinking about the future of health and care 43

Education is given a clearer structure and made more effi cient

Education must focus more on the increasingly complex relationships between patients and professionals

Working in a team and across professional boundaries is set to be-come even more important

Knowledge needs to be constantly updated

Looking ahead to the healthcare world of the future

thinking about the future of health and care

Documents

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