Experts suggest making prevention more efficient

Health 13 July, 2017


Published the 13.07.2017 at 17: 00


Keywords :

préventionAssurance maladiefinancement

Prevention is the Achilles heel of health in France. This sector is, by far, the most failed in the chain of health in the country. At the time of the non-communicable diseases occupy a growing place in the care of the population, a reform is therefore necessary. It is, in essence, what is proposed by the High council for the future of health Insurance (HCAAM), which publishes a report on the subject.

With a high rate of obesity, smoking, and alcohol consumption, France is among the “bad boys” of the prevention in the world. The existing shares, including lack of effectiveness. This is not the fault of investment. “Spending at the expense (health Insurance) account for a very large proportion of the sums spent on prevention,” the report says.

To improve this balance sheet, the HCAAM fixed as a priority the inclusion of the promotion of the health of the national health Plan. It is only at this price that the mass mobilization will be obtained.

More flexibility

But to convince the players health, it must also be hit to the portfolio. More precisely, show incentive. Rather than pay for professionals to act, why not adopt a strategy of support in the long term ? On the principle, the HCAAM argues in favour of such a development. And raises the question of the copayment, the part that must be paid by the patients.

In fact, the rest to load can be a major obstacle in the access to services of prevention. The HCAAM proposes, for example, to better reimburse the consultations, following a review in the context of a screening campaign organized. Another solution would be to take care of all expenses related to the vaccination. Two ways not to systematize the ticket moderator.

It is the spirit of the reforms proposed by the report are : more flexibility in the existing system, in order to integrate prevention more effective. But the HCAAM also wants to gain modernity. It suggests, for example, the use of e-health in the fight against tobacco use, with access to prevention online.


The collective initiatives are necessary, in the eyes of the HCAAM, to improve the social determinants or environmental. The wider use of big data and indicators such as morbidity and mortality and should therefore, prove to be very useful.

But this development must not be at the expense of local action. The High council cites the example of the health homes in the region Nord-Pas-de-Calais (now Hauts-de-France), who helped improve access to care.

Alternately, the individual initiatives may take simple forms : development of home automation, provision of pill dispensers smart or even access to telemedicine. And these actions involve a large pool of actors. Health professionals and, of course, as well as the health authorities. But also speakers less obvious.