Abstract
Since 1978 and through the Alma Ata Declaration, describes the primary health care (PHC) should be understood as part of comprehensive health care system and the spirit of social justice development. It has been proven over time that this strategy can be adapted to a wide variety of political, social, cultural and economic. After 25 years, the Pan American Health Organization (PAHO) suggested the review and adoption of a renewed strategy for the APS, which would include epidemiological challenges, new tools and knowledge of best practices and their contribution to the effectiveness of primary care, and recognition that PHC is a strategy to strengthen the capacity of society and reduce health inequities. This analysis describes the reality of Chile, considering the values, principles and essential elements in a health system based on primary care and the reforms necessary to refocus health systems towards health.
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