Health prevention refers to all actions aimed at preventing the onset of diseases or limiting their consequences, even before symptoms manifest. It relies on targeted medical actions, adapted lifestyle habits, and coordinated follow-up systems among healthcare professionals.
Personalized prevention plan: an underutilized clinical tool
Since the implementation of the Mon bilan prévention system, each consultation with a healthcare professional results in a personalized prevention plan. This document, integrated into the shared medical record via Mon Espace Santé, summarizes the areas of focus identified during the consultation: dietary habits, physical activity level, sleep quality, substance use, psychological state.
The value of this plan lies in its traceability. Each professional consulted afterward can access it and adapt their recommendations based on the objectives already set. Without this document, prevention advice remains fragmented, repeated from one practitioner to another without overall coherence.
Organizations like Apss Santé support this coordination logic by offering services focused on preventive follow-up and improving daily well-being.
My prevention assessment: what changes on October 1, 2026
A decree from July 28, 2026, published in the Official Journal on August 2, 2026, expands the list of professionals authorized to conduct Mon bilan prévention. From October 1, 2026, physiotherapists will be able to conduct these consultations, alongside doctors, nurses, pharmacists, and midwives.
This change has concrete implications. In areas where access to a primary care physician remains difficult, the physiotherapist becomes an additional entry point in the prevention pathway. The assessment remains covered 100% by Health Insurance, with no upfront costs.
Home assessment with travel costs covered
The same decree stipulates that the consultation can take place at the person’s home. The travel expenses of the professional are billable according to national agreements and covered by Health Insurance.
This provision targets individuals with reduced mobility or those geographically isolated, for whom traveling to an office poses a real barrier to prevention.
Physical activity and chronic disease prevention
Regular physical activity affects several biological mechanisms related to chronic diseases: blood sugar regulation, maintenance of bone density, improvement of cardiovascular function. Its role in the prevention of diabetes, hypertension, and certain cancers is documented by public health authorities.
The challenge does not stem from a lack of information but from adapting the practice. A sedentary person for several years does not derive the same benefit from an intensive program as from a gradual resumption. The prevention assessment allows for evaluating the actual activity level and setting achievable goals.
- Daily walking remains the most accessible activity and is most frequently recommended by healthcare professionals for individuals resuming activity after a long break.
- Even light muscle-strengthening exercises help prevent falls in individuals over 60 and maintain functional autonomy.
- Group activities (gentle gymnastics, aquagym) add a social dimension that promotes regular practice over the long term.
Sleep and nutrition: two prevention levers often dissociated
Sleep and nutrition are rarely addressed together in prevention pathways, even though they mutually influence each other. A chronic sleep deficit disrupts hunger hormones, increasing the appetite for high-calorie foods. Conversely, a diet too rich in quick sugars in the evening degrades sleep quality.
The personalized prevention plan resulting from the assessment allows for crossing these two dimensions. A professional who notices a sleep disorder can guide towards dietary adjustments, and vice versa. This cross-sectional approach avoids treating each parameter in isolation.
Food guidelines from the PNNS to know
The National Nutrition Health Program structures dietary recommendations in France. Its guidelines focus on the frequency of consumption by food group: fruits and vegetables, whole grains, legumes, dairy products, fish, meat, fats.
Following these guidelines does not require complex calculations. It is mainly about diversifying nutritional sources and limiting ultra-processed products, whose regular consumption is associated with an increased risk of cardiovascular and metabolic diseases.
Mental health and stress management: a prevention axis in its own right
Prevention is not limited to the body. Chronic stress, anxiety, and social isolation are risk factors for many pathologies, including cardiovascular diseases. The prevention assessment includes an evaluation of psychological state, making it an early screening moment for mental health difficulties.
Identifying distress early allows for directing towards appropriate support before the situation deteriorates. Professionals conducting the assessment have standardized evaluation tools to identify warning signs.
- Relaxation techniques (controlled breathing, heart coherence) have shown measurable effects on reducing cortisol, the stress hormone.
- Maintaining regular social connections protects against cognitive decline and reduces feelings of isolation, particularly after age 65.
- Physical activity, even moderate, affects the production of neurotransmitters involved in mood regulation.
The Mon bilan prévention system, now accessible through a greater number of professionals and realizable at home, facilitates access to this comprehensive evaluation. Health prevention becomes more effective when it articulates structured medical follow-up, adjusted lifestyle habits, and consideration of mental well-being, all documented in a shared plan among caregivers.
