CONTENTS PART 1. An Overview on Europeans' Health Care Systems The Aggravation of Health Inequalities in Europe Demands New Responses ... 3 Exclusion from Health in Different European Countries ... 11 The European Health Care Systems : a Focus on Germany, Belgium, France, Spain, Greece, Italy, Portugal, and Switzerland ... 28 PART 2. Europeans' Experiences Illegal Immigrants in Spain ... 65 Tuberculosis in an Indian Community in Lisbon ... 71 The Bremen Health Programme for Asylum Seekers and Refugees ... 73 Evaluation of the Impact of Trauma and Torture on Asylum Seekers : the Geneva Experience ... 77 Roma and Social Exclusion in Greece ... 82 The Rom Population in Spain ... 84 Homeless in the Paris Area : Health and Access to Care ... 90 Situation of the Homeless in Spain ... 95 The Medical Emergency Care Facility for Single Homeless in Bremen ... 98 Substance Abuse in Spain ... 104 The Advisory Service on Sexually Transmitted Diseases in Bremen ... 107 PART 3. Health Promotion Public Health and Health Promotion ... 113 Definition of Target Groups for Health Promotion or Preventive Programmes : The Example of Migrants ... 121 Prevention and Health Promotion among Populations in Precarious Conditions : A Critical Approach ... 125 Integrating Prevention and Health Promotion Practices into Primary Care for Deprived Populations ... 128 Framework for Describing the Process of Health Promotion Activities : The "Healthy School" Programme at Sant'Elia, Cagliari, Italy ... 142 SMILE : A Tooth Decay Prevention Project among Children of Asylum Seekers in Geneva ... 150 Influence of the Social Characteristics of Patients on the Behaviour of Physicians Regards Prevention within a Hospital Outpatients Consultation ... 154 Establishing Health Promotion Programmes among Migrant Rom Populations Living in Precarious Conditions in Europe ... 158 A Workshop for HIV+ African Women Living in Paris ... 161 Trends in European Health Care Systems : Implications for Destitute Populations ... 164 Prevention and Health Promotion for the Excluded and the Destitute in Europe : Recommendations for the Health Professionals and Health Institutions ... 171 Appendix : Presentation of the Institutions Participating in the Europromed Project ... 177