the purpose of this topic review was to define themes for interpreting the health reform and guide a new model system. the method was a literature review on theories of public policy, relating to the analysis, quasi-markets in health and integrated networks of health services (inhs) and primary health care (phc). it contrasts the logic of public health (collective-citizen) and micro economic logic (individual-consumer). it analyzed the colombian reform (law 100/93 and 1438/2001), based on theories of policy choice, classical approaches cycle policies and neoclassical theory, the structural reform based on the right to health, equity and theories of public policy (critical and constructivist approach). it concludes a need to continue the ideological debate on structural reform of the health system. similarly, continue with technical developments, instrumental and implement strategies for integrated networks of health services and primary health care, to strengthen integrated health systems.