Health. The “prevention assessment” is open to millions of French people: how does it work?

Health. The “prevention assessment” is open to millions of French people: how does it work?

Lifestyle habits, addictions, screenings… 21 million French people are invited to make an appointment with a caregiver – doctor, midwife, nurse, or pharmacist – to carry out a “prevention assessment” free. The health authorities launched a public communication campaign on Monday on this new device.

Four age groups targeted

To benefit from the “prevention assessment”, you must be part of one of the four targeted age groups: 18-25 years, 45-50 years, 60-65 years, or 70-75 years. These “key ages” correspond to times when it is appropriate to identify certain difficulties, such as mental health problems when entering working or student life, the onset of chronic diseases (cancer, diabetes, etc.), or the risk of dependency, loss of autonomy and isolation.

Announced in 2022 and initially expected for early 2024, this system tested in Hauts-de-France was finally generalized in June, but has yet to find its audience. It aims to “raise awareness, throughout life, about behaviors that are favorable to health”, in a context of an aging population and an explosion of chronic diseases that weigh on the finances of the health system.

A 30 to 45 minute assessment

In concrete terms, the insured person concerned makes an appointment with a doctor, midwife, nurse or pharmacist of their choice – who must be a “volunteer” – for a “prevention assessment” lasting 30 to 45 minutes. They fill out a self-questionnaire adapted to their age in advance, including questions about their history, habits (diet, physical activity, addictive behavior, etc.), possible symptoms, their mental state, and possible situations of violence experienced, particularly intra-family or professional.

During the appointment, the professional “ranks the risks”, suggests changes in behavior, possible analyses and, if necessary, directs the patient towards treatment. A “personalized prevention plan” is established and sent to the treating physician.

100% covered by health insurance

The caregiver is paid 30 euros (31.50 euros overseas), fully covered by health insurance. In certain specific situations, he may charge for an additional procedure, for example a smear test, a clinical examination or a vaccination procedure.

To raise awareness of the scheme, the health authorities are rolling out a multi-media communication campaign this week (posters, TV spots, radio, communication kits for professionals). Some 13.7 million French people will be directly invited by email by Health Insurance and the MSA. Specific actions must also be deployed for vulnerable populations who are far from care.



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