Aproximación de la universidad, a la situación de salud de la población y a los servicios de salud en Cuba

a brief historical recount on the primary health care and the family medicine, as an effector of services from the definitions made in the reports of millis comission in 1966, from the adjunct committee of the american medical association for the medical education, and the international conference of alma ata in 1978. subsequently, for decades it is approached the development of human resources in the national health system from the revolutionary triumph. it is characterized the development of the integral general medicine as a specialty, in changes generated from it in the training of professionals and in the teaching-educational process. in development are described the problematic features present in curriculum, teaching and training scenarios, as well as the possible strategies of change allowing to continue with the development of a quality management in study program of the medicine career, in training directed by the principles of a renovated primary health care; thus, authors take into account the following features: the rapprochement of school/faculty to reality of population health situation and the health services; the curricular changes strengthening the rapprochement with health reality and the organization of professional practices, the negotiation with the relevant actors in the process of change and the instances of concentration between university and the health services to develop the assistant teaching activities. the aim of present paper is to promote needed strategies of change allowing continuing with the development of the quality management of study program of the medicine career, in the training directed by principles of an renewed and strengthen primary health care.