Naydú Acosta-RamírezLígia GiovanellaRomán Vega RomeroHerland Tejerina SilvaPatty Fidélis de AlmeidaGilberto Jiménez RíosHedwig GoedeSuelen Carlos de Oliveira2026-03-222026-03-22201610.1093/fampra/cmw013https://doi.org/10.1093/fampra/cmw013https://andeanlibrary.org/handle/123456789/45419Citaciones: 23The process of implementing a renewed PHC approach is affected by how health systems are funded and organized. Both models face many obstacles. In addition, care system organization, intersectoral coordination and social participation are weak in most of the countries.enMedicineHealth carePublic healthPrimary health carePublic relationsNursingPrivate sectorProcess (computing)Health policyHealth care reformarticle