[To better integrate prevention into general medicine in deprived milieus]

Generalists occupy a strategic position in the area of prevention within the general population, and among disadvantaged areas in particular. Yet, practice shows that this position is not a given, as the socio-cultural gap separating doctor and patient renders communication particularly difficult in this context. In order to analyse this situation, a review of the literature, surveys among generalists, and a European seminar were carried out. This article deals with the definition of "disadvantaged environments" by the practitioner, practices in prevention in disadvantaged environments and their related obstacles, and tracks for improving prevention in disadvantaged environments by visits with a generalist.