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Effects of a Sports on Prescription Project on Patient Health and Wellbeing


Caroline Schuster ,

Groupement d’Intérêt Public - Maison Sport Santé de Strasbourg (GIP-MSS), France Eurométropole de Strasbourg, FR
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Colin Majean,

Caisse Primaire d’Assurance Maladie (CPAM) du Bas Rhin, FR
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Matthieu Jung,

Groupement d’Intérêt Public - Maison Sport Santé de Strasbourg (GIP-MSS), France, FR
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Pauline Blanc,

Groupement d’Intérêt Public - Maison Sport Santé de Strasbourg (GIP-MSS), France, FR
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Manfred Zahorka

OptiMedis AG, DE
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The effects of physical activity programs for primary prevention and avoiding disease aggravation is well described. The French national healthcare strategy “Ma Santé 2022” calls for a more integrated and mul-ti-sectoral health care delivery system at primary care level with a stronger focus on health promotion and primary and secondary prevention programs such as health education and physical activity programs. Through its Local Health Contracts (CLS), the city of Strasbourg has funded an opportunity for local phy-sicians to prescribe the participation in physical activity programs to their patients since 2012 (i.e. Sport Santé sur Ordonnance (SSSO)). Eligible patients may directly, or after a clinical rehabilitation period, join a three-year physical activity program which includes individual monitoring (motivational counselling, physical activity measurements) and regular sport sessions (adapted physical activity in groups). At this stage, around 4000 individuals were included in these programs (mean age = 52 years old). However, concrete outcomes on patient satisfaction and wellbeing as well as on potential changes in health service consumption remain unclear.

The present study looks at patient outcomes in terms of functional status, wellbeing, and effects on the consumption of healthcare services from patients, who were included in the SSSO program between 01/01/2020 and 12/31/2021 (N= 864 (mean age=53.5 years old, Female 72%, Male 28%, 88% have at least one and 28% at least 2 chronic conditions). Data were collected from the participant database from the SSSO program and matched with data from the public health insurer (CPAM du Bas Rhin). Patient functional status was assessed at the beginning, during and at the end of the program. For health care services consumption, health insurance data from program participants were compared with matched non-participants. Matching was done on age, gender, residence, and diagnosis.

The analysis showed a clear improvement of patients’ functional status based on patient perception as well as on the physical assessment. A significant improvement was shown on well-being. The analysis of health insurance data showed some effects on health care costs, mostly in terms of the number of doc-tors’ visits and drug utilisation compared to non-users of SSSO services. However due to the availability of health insurance data for two years only, the effects cannot be shown over the entire intervention pe-riod. 

Assessing concrete patient outcomes of interventions offers a new way of looking at the effectiveness and efficiency of health care interventions. The current study suggests that mobilising patients and peo-ple at risk beyond medical interventions to engage in their own health may improve patient’s functional status and wellbeing as well as having positive economic effects. However, the current data structure in France is not readily made for this type of analysis. Longitudinal patient data linked to concrete interven-tions is not readily available and requires inter-linking of several databases. The present study used quite simple methods of matching users and non-users of SSSO services so that the significance of drawn conclusions might be limited.

This study is supported by EU funding in the framework of the JADECARE program  

How to Cite: Schuster C, Majean C, Jung M, Blanc P, Zahorka M. Effects of a Sports on Prescription Project on Patient Health and Wellbeing. International Journal of Integrated Care. 2022;22(S3):474. DOI:
Published on 04 Nov 2022.


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