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The reform of health care facility funding, introduced by the 2024 Social Security Financing Act, creates a specific funding stream dedicated to public health objectives. Within this framework, the report proposes the implementation of funding for primary prevention initiatives.

It is well established that prevention has a major impact on reducing avoidable mortality and morbidity, given the influence of behavior-related factors on health. Health care facilities play a key role—alongside other stakeholders, including private practice health professionals—in developing prevention strategies.

The Making Every Contact Count approach, routinely implemented in hospitals across the United Kingdom, has proven effective. Through brief interventions, information, dialogue, and exchange between health professionals and patients allow the latter to reflect on their habits and health-related behaviors, ultimately encouraging health-promoting lifestyle changes.

Given the proven effectiveness of this approach, the report recommends funding initiatives inspired by those implemented in the UK, with a focus on tobacco use, alcohol consumption, nutrition, and physical activity.

Objective : a territorial prevention network

The report calls for a gradual yet irreversible rollout of this funding model, contingent on evaluation results. Beginning in 2025, regional health agencies will issue a call for applications to select one hundred volunteer facilities to conduct pilot programs, with a planned scale-up in 2026 and full implementation in 2027.

Beyond this pilot phase with a call for applications, the aim is to move toward systemic prevention funding, covering acute care hospitals—regardless of their status—and hospital-at-home services.

The overarching goal is to establish a territorial prevention network, involving not only all care providers, but also other key players already active in this area, such as local government departments.

Access to the entire report in French

• Le financement des actions de prévention primaire des établissements de santé