[Medical specific approach of persons in social deprivation]

Medical specific approach of persons in social deprivation. Many social situations interfere with medical care. This consideration is an integral part of the physician mission. The evaluation is based on housing and feeding conditions, financial and job situation, relationship environment, social integration and access to care. The identification of these insecurity areas enables to assess the impact on the health status, to adapt the medical care and to choose reasonable therapeutic targets. The first medical consultation is decisive and sufficient time should be taken. The physician must ensure to create a caring and non-binding environment and must know the suffering caused by the social deprivation. His support position makes the adherence and the continuation of care easier. He can direct the patient towards institutional or associative social assistance organisations, which requires knowledge of local network. These patients, who may be confusing for the practitioners, require patience, perseverance, collaborative work and humanity, essential keys for helping those most in need.