[ETP and transcultural clinics in health centers in French Guiana].

French Guiana is a "transcultural world" in its own right, with its indigenous "inland" populations, highly isolated from the healthcare system, more affected by chronic cardiometabolic and infectious diseases than either the coast or mainland France. Transcultural clinics and therapeutic patient education (TPE) therefore play a key role. French Guiana is a pioneer in TPE, health mediation and the practice of "outreach" via local hospitals, delocalized specialty consultations and so on. The proposal is to bring together transcultural TPE workshops for chronic patients in local hospitals in the interior, with a health mediator trained in their pathology, and to combine them with off-site specialist consultations to promote therapeutic adherence.