The objective of ensuring the sustainability, cohesion and quality of the national health system. Inadequacy of existing legal instruments and reform proposals

Abstract

The challenge of creating innovative, efficient and sustainable health systems today requires better service design, interventions throughout the care chain, greater emphasis on patient self-management, and a greater link between health and social care. It is necessary to deepen the tools of coordination and territorial cohesion of health care at the various European, national and regional levels (multilevel health care), so that the positive aspects are strengthened and the deficiencies identified are addressed. Another major challenge in ensuring health protection is to reduce health inequalities, both socio-economic and geographical. The NHS continues to suffer from significant shortcomings and weaknesses, including: the lack of universality of the system, the paths of privatization and indirect management maintained in our model, the absence of effective territorial coordination, the ineffectiveness of preventive action and the need to integrate health into all policies, the lack of social and health coordination, the absence of rational pharmaceutical expenditure, the dismantling of primary care.