Tobacco, alcohol, diet, physical activity: in order to strengthen prevention on these health determinants, Igas will deploy an experiment in voluntary hospitals. More generally, the agency proposes to set up funding for primary prevention actions in health establishments.
The reform of the financing of health establishments, introduced by the social security financing law for 2024, creates a compartment of allocations relating to public health objectives. In this context, a report from the General Inspectorate of Social Affairs (Igas) proposes the establishment of funding for primary prevention actions.
Prevention has a major impact on reducing avoidable mortality and morbidity, considering the impact of behavioral factors on health. In this context, health establishments constitute an essential link alongside other actors, in particular independent health professionals, to develop prevention.
Routinely deployed in hospitals in the United Kingdom, the approach Making every contact count (which aims to “take advantage of every contact opportunity”) has shown its effectiveness. The information, dialogue and exchange between the healthcare professional and the patient allow the latter, during these brief interventions, to question their habits and behaviors related to health with a view to improving make lifestyle changes favorable to your health.
Given the convincing nature of the approach, the report proposes the financing of actions inspired by those deployed in Great Britain by focusing them on tobacco, alcohol, diet and physical activity.
Objective: a territorial network of prevention
The report recommends a gradual but irreversible deployment of this funding, subject to the results of the evaluations of this funding: with, from 2025, a call for applications by regional health agencies to select the hundred voluntary establishments to carry out pilot actions, before an increase in load in 2026 and a generalization in 2027.
Apart from this pilot phase with a call for applications, the aim is to move towards systemic financing of prevention, concerning, whatever their status, medical, surgical and obstetrics health establishments and home hospitalization.
The objective is that of a territorial network of prevention, in connection with all care providers, but also other actors who already play a major role in this area such as the departments.
• Financing primary prevention in health establishments, Report, Igas, October 2024. In pdf
