La relación entre los niveles de atención constituye un determinante clave de la salud

on the basis of concrete examples of health systems, several elements and arguments are added to the international debate about the importance of health care levels and their optimal interrelationship. the first level has three main functions: being the entry point to the system, facilitating and coordinating the itinerary of a patient within the system, and guarantee the integration and summary of health information on each patient. by describing the various obstacles and possible problems, mainly the commercial logics that is being introduced in many systems, the authors defined points of attention and suggested adjustments to assure universal access, equity, efficiency and efficacy, and sustainability of a health care system.