France Region
High HALE and Life Expectancy
High Gap between HALE and Life Expectancy
Final Longevity Progressiveness Ranking: #23
Final Longevity Progressiveness Score: 0.657
Practical Recommendation Summary: The main challenges are to promote prevention and healthy behaviour. Disparities of coverage across social groups suggest paying attention to coordination between universal healthcare provision and private insurance.
Practical Recommendations (Full):
● Reduce the discrepancies of medical equipment provision used in hospitals across regions. These disparities cause unequal access to medicine in different regions and negatively affect the gap between life expectancy and health-adjusted life expectancy (HALE). Despite this concern, investment in new equipment is probably essential to achieve the need level of access to healthcare services.
● Improve healthcare staff engagement. For many years the French Government has vigorously applied a system of numerus clausus as an effective tool to limit the growth in numbers of health staff. However, the debate has shifted in recent years and there is now a fear of shortages of doctors, nurses and other health care professionals.
● Tackle rising “slow-motion” disaster of non-communicable diseases (NCDs). Management of NCDs includes detecting, screening and treating these diseases, and providing access to palliative care for people in need. High impact essential NCD interventions can be delivered through a primary health care approach to strengthen early detection and timely treatment.
● Struggle the socioeconomic inequalities and increase access to professional medical treatment. As it was pointed out there is a great difference in behavioural patterns and health status among different socio-economic groups. Government should work out the policy to eliminate issues concerning inequalities, provide population with the equal access to the qualitative medicine.
● Movement from primary to preventive care. Health care leaders must shift the nation’s “sick care” approach to care that is preventive and comprehensive. “Precision health” denotes the continuous stabilization of health and the maximum-obtainable maintenance of a young biological age via the routine application of micro-interventions in response to ongoing fluctuations in biomarkers of aging and health.
SWOT Analysis
Strengths:
● France has one of the best healthcare systems in the world according to the World Health Organization data. ● 76.6% of total health expenditures are publicly financed.
● The healthcare system in France is comprehensive cosistenting of two levels that include public and private one.
● The life expectancy is very high in France and reached 82.4 that is higher than the EU average.
● The share of out-of-pocket spendings is lower than among the other countries.
● Healthcare Access and Quality index is 91.7.
Weaknesses:
● There is less than half years that elderly people can live disability free, so the LE and HALE gap is still high. ● The gender gap in life expectancy is higher than in most EU countries and is 6 years.
● Prevalence of health status inequality across different socio-economic groups.
● Only 60% of people with low income report to be healthy if to compare with 72% of people with high one and this indicators are among the lowest one in the EU. ● The distribution of doctor and specialists is uneven among the regions.
Opportunities:
● Patients can easily access the specialists compared to other countries where there are long waiting lists.
● The life expectancy is predicted to increase.
● There was a launch of modernization and streamlining of the hospitals in France.
● Great opportunities to use innovative medicine that can include progressive advanced technologies and development of P4 medicine.
● The effective well-performed governmental structure and infrastructure for the efficient regulation of the healthcare including planning and defining the strategic tasks.
Threats:
● Regular physical activity among the adolescents is much lower than in other EU countries, especially, for girls.
● There are some local disparities in the access to care that can be the threat for health of people in remote areas.
● The main reason for deaths in France is cancer that occupies the 28% of all death.
● The second important risk factor for French people is other type of NCDs - cardiovascular diseases.
● Ischemic heart diseases and others remain to be a great burden for the healthcare in France.
SWOT Conclusions
Strengths Analysis:
● Amenable mortality in France is among the lowest in the EU and most people can survive the life-threatening conditions such as heart attack and stroke.
● More than two thirds of population in France report to be in good health (68%).
● There was a sufficient decrease in smoking and drinking in recent years.
● The proportion of adolescents have been drunk more than twice in their life is reported to be lower than in the rest of the EU countries.
● 1 in 10 French people is covered by additional complementary insurance aimed to provide access for services that are not covered by the social one.
● The benefit package of coverage is very broad.
Weaknesses Analysis:
● Musculoskeletal, mental disorders and chronic conditions are the leading causes of the disability-adjusted years in France and are their main determinants.
● 1 in 7 people in France reported leaving with hypertension, 1 in 11 live with asthma and 1 in 10 live with diabetics.
● Smoking (9%) and dietary factors (8.2%) are the main burdens for health-adjusted years among the other factors.
● 24% of adults were still smoking in 2014 that is higher than the EU average. And nearly 1 in 5 adolescents reported to smoke daily.
● The alcohol consumption in France is relatively high if to compare EU average and is 12 litres per person in year.
● More than 1 in 7 adults is now obese and that is 15% of total population that is becoming to be a growing public issue.
High Gap between HALE and Life Expectancy
Final Longevity Progressiveness Ranking: #23
Final Longevity Progressiveness Score: 0.657
Practical Recommendation Summary: The main challenges are to promote prevention and healthy behaviour. Disparities of coverage across social groups suggest paying attention to coordination between universal healthcare provision and private insurance.
Practical Recommendations (Full):
● Reduce the discrepancies of medical equipment provision used in hospitals across regions. These disparities cause unequal access to medicine in different regions and negatively affect the gap between life expectancy and health-adjusted life expectancy (HALE). Despite this concern, investment in new equipment is probably essential to achieve the need level of access to healthcare services.
● Improve healthcare staff engagement. For many years the French Government has vigorously applied a system of numerus clausus as an effective tool to limit the growth in numbers of health staff. However, the debate has shifted in recent years and there is now a fear of shortages of doctors, nurses and other health care professionals.
● Tackle rising “slow-motion” disaster of non-communicable diseases (NCDs). Management of NCDs includes detecting, screening and treating these diseases, and providing access to palliative care for people in need. High impact essential NCD interventions can be delivered through a primary health care approach to strengthen early detection and timely treatment.
● Struggle the socioeconomic inequalities and increase access to professional medical treatment. As it was pointed out there is a great difference in behavioural patterns and health status among different socio-economic groups. Government should work out the policy to eliminate issues concerning inequalities, provide population with the equal access to the qualitative medicine.
● Movement from primary to preventive care. Health care leaders must shift the nation’s “sick care” approach to care that is preventive and comprehensive. “Precision health” denotes the continuous stabilization of health and the maximum-obtainable maintenance of a young biological age via the routine application of micro-interventions in response to ongoing fluctuations in biomarkers of aging and health.
SWOT Analysis
Strengths:
● France has one of the best healthcare systems in the world according to the World Health Organization data. ● 76.6% of total health expenditures are publicly financed.
● The healthcare system in France is comprehensive cosistenting of two levels that include public and private one.
● The life expectancy is very high in France and reached 82.4 that is higher than the EU average.
● The share of out-of-pocket spendings is lower than among the other countries.
● Healthcare Access and Quality index is 91.7.
Weaknesses:
● There is less than half years that elderly people can live disability free, so the LE and HALE gap is still high. ● The gender gap in life expectancy is higher than in most EU countries and is 6 years.
● Prevalence of health status inequality across different socio-economic groups.
● Only 60% of people with low income report to be healthy if to compare with 72% of people with high one and this indicators are among the lowest one in the EU. ● The distribution of doctor and specialists is uneven among the regions.
Opportunities:
● Patients can easily access the specialists compared to other countries where there are long waiting lists.
● The life expectancy is predicted to increase.
● There was a launch of modernization and streamlining of the hospitals in France.
● Great opportunities to use innovative medicine that can include progressive advanced technologies and development of P4 medicine.
● The effective well-performed governmental structure and infrastructure for the efficient regulation of the healthcare including planning and defining the strategic tasks.
Threats:
● Regular physical activity among the adolescents is much lower than in other EU countries, especially, for girls.
● There are some local disparities in the access to care that can be the threat for health of people in remote areas.
● The main reason for deaths in France is cancer that occupies the 28% of all death.
● The second important risk factor for French people is other type of NCDs - cardiovascular diseases.
● Ischemic heart diseases and others remain to be a great burden for the healthcare in France.
SWOT Conclusions
Strengths Analysis:
● Amenable mortality in France is among the lowest in the EU and most people can survive the life-threatening conditions such as heart attack and stroke.
● More than two thirds of population in France report to be in good health (68%).
● There was a sufficient decrease in smoking and drinking in recent years.
● The proportion of adolescents have been drunk more than twice in their life is reported to be lower than in the rest of the EU countries.
● 1 in 10 French people is covered by additional complementary insurance aimed to provide access for services that are not covered by the social one.
● The benefit package of coverage is very broad.
Weaknesses Analysis:
● Musculoskeletal, mental disorders and chronic conditions are the leading causes of the disability-adjusted years in France and are their main determinants.
● 1 in 7 people in France reported leaving with hypertension, 1 in 11 live with asthma and 1 in 10 live with diabetics.
● Smoking (9%) and dietary factors (8.2%) are the main burdens for health-adjusted years among the other factors.
● 24% of adults were still smoking in 2014 that is higher than the EU average. And nearly 1 in 5 adolescents reported to smoke daily.
● The alcohol consumption in France is relatively high if to compare EU average and is 12 litres per person in year.
● More than 1 in 7 adults is now obese and that is 15% of total population that is becoming to be a growing public issue.