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Instituto Nacional de Salud Pública

2024, Number 5

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salud publica mex 2024; 66 (5)

Primary care as the axis of the national health system

Reyes-Morales H, García-Peña MC, Lazcano-Ponce E

Language: Spanish
References: 23
Page: 631-636
PDF size: 202.92 Kb.


ABSTRACT

The Mexican health system is a frequent source of academic and political debate and discussion. In the context of inequality, social backwardness, growing health needs, and an accelerated aging process, it is essential to reconsider the structure of the health system in Mexico. This article aims to present the current concepts of primary care, some elements of the health system, and some considerations for its implementation. The United Kingdom first presented the concept of primary health care (PHC) in 1920. Since then, various international reports have prioritized the topic. The 2018 World Conference on PHC renews political commitment, emphasizes the central role of PHC around the world, and positions PHC as the level of the health system that coordinates the response of all levels of care. In that sense, at a population level, public health is linked in different dimensions with primary care in its individual focus and they should not be seen as contradictory but complementary strategies. The health system in Mexico is beginning a new reformulation of strategies to achieve the long-awaited universality; it is essential that the dilemmas faced in this endeavor are resolved to reach a reorientation towards primary health care as the essential perspective to achieve the most significant possible level of health of the entire population.


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