A numeric, multi-category and above all time-evolving reading of a person's health.
Family medicine has long measured health as isolated snapshots: a blood pressure, a cholesterol level, a weight, at each visit. Precise, but disconnected. Hard to see movement.
The Continuum Score changes that logic. It gives each person a global score out of 100, made of 5 major categories referenced by the WHO and INSPQ, and recalculates it every month for members of the Selinoa programme.
What matters is not the isolated score but its trajectory. A ten-point drop in the “Behaviour” category between January and April opens a conversation that would otherwise have taken six months to surface — because the patient would not have known how to put it into words, and the doctor would not have had the indicator to start it.
The Continuum Score is not a diagnosis. It is a shared signal of vigilance between you, your care manager and your doctor.
Each category groups several scientifically referenced health determinants. A dynamic weighting adapts to what can actually be measured for you. Here is how your score breaks down.
The material and professional determinants that shape health over the long term.
Sources : INSEE, DREES, OECD
The quality of the air, water, housing and area you live in.
Sources : OECD Environment, patient questionnaires
The quality and richness of the social support around you.
Sources : Cutrona & Russell, Caron 2013 (SPS-10)
The heaviest weight — the main modifiable lever of long-term health.
Sources : Ricci-Gagnon, Fagerström, AUDIT, Felitti (ACE)
The quality and accessibility of the care system in your region.
Sources : OECD Health Care Resources, FSO
Nothing magical, nothing hidden behind the word “proprietary”. Each determinant is measured on a scientifically validated scale, normalised between 0 and 100, then weighted.
Validated questionnaires (Ricci-Gagnon, AUDIT, Fagerström, SPS-10…), public country-level data (OECD, INSEE, FSO), and behavioural data from the companion app for Selinoa members.
Each determinant is brought onto a 0 to 100 scale, through a sigmoid or linear transformation depending on the nature of the data, calibrated on international references.
Each category carries an initial weight (15 / 10 / 15 / 45 / 15) based on mortality attribution studies (Dever, McGinnis/Foege). If a determinant is missing, the weighting redistributes automatically.
Camille, 42, a Selinoa Essential member since October. Her global score moved from 66 to 74 in three months — not by magic, but because the “Behaviour” category was worked on with her care manager, sleep and physical activity in particular.
The conversation that changed everything: at the third monthly consultation, her sleep score had dropped by 12 points. The doctor asked a question he would not otherwise have asked. The next day, Camille started a guided meditation cycle with the programme, and her evening alcohol intake fell without ever being addressed head-on.
The Continuum Score replaces neither your doctor nor your care manager. It gives them a shared, measurable language, and vigilance between appointments.
You complete the questionnaires (30–45 min). The initial score is calculated and presented with your strengths and your points of attention. A targeted action plan is built together with your care manager.
Each month you answer 3–4 short targeted questionnaires. Wearable data syncs automatically (Withings, Apple Health, Oura if you use them). The score updates category by category.
If a score drops significantly, your doctor receives an asynchronous notification through HIN (secure medical messaging). They can decide to reach out proactively or to wait for the next consultation with one more point of attention.
During the consultation, the doctor opens your trajectory. They see what changed, what improved, what worries them. The conversation starts already informed. The clinical judgement remains theirs.
Your data stays in Switzerland, on infrastructure meeting Swiss security standards (nFADP 2023). It never leaves the country.
Nothing is computed without your written agreement. You can request an export or a deletion of your data at any time, without having to justify it.
Only your doctor and the care manager you have accepted can see your score and its components. No third party, no insurer, no employer can access it — even at your request, the export belongs to you alone.
It is a tool supporting medical vigilance, never a substitute for clinical judgement. No medical decision is ever taken automatically from the score.
The Continuum Score builds on scientifically validated, published and internationally referenced methodologies and scales. No improvised innovation.
The Continuum Score comes fully to life inside the Selinoa programme, where your care manager and your doctor read it every month. See how it fits into your health journey.
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