title: [Family medicine in Mexico: Present and future].
abstract: Analyzing the challenges and the future scenario of Family Medicine is a priority to address challenges such as the reduction of benefits granted by social security; to adapt their practice to the changing health profile; and to curb demand for specialized services and contain the high costs of care in the second and third level. The program is aimed at three professional roles: medical care, research, and education. It is imperative review these in the light of changing demographic conditions, the type of health needs arising from new social determinants, the public expectations for greater participation in their care, and the evolution of the health system itself with the advancement of technology and a variety of organizational options with frequently limited resources. For primary care, as the core of a health system that covers principles of equity, solidarity, universality, participation, decentralization, and intra- and inter-sectorial coordination, it is necessary to put at the center of the primary care team the family doctor and not an administrator, who plays an important role in supporting the care team, but can not take the lead.
authors.affiliation: Academia Nacional de Medicina de México, México.
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Varela-Rueda
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, México, D.F. México.
authors.forename: Hortensia
authors.initials: H
authors.lastname: Reyes-Morales
authors.affiliation: Hospital General Regional con Medicina Familiar No. 1, IMSS, Cuernavaca, Mor. México.
authors.forename: Cidronio
authors.initials: C
authors.lastname: Albavera-Hernández
authors.affiliation: Departamento de Salud, El Colegio de la Frontera Sur, San Cristóbal de Las Casas, Chis., México.
authors.forename: Héctor
authors.initials: H
authors.lastname: Ochoa-Díaz-López
authors.affiliation: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Mor., México.
authors.forename: Héctor
authors.initials: H
authors.lastname: Gómez-Dantés
authors.affiliation: Dirección de Investigación, Hospital Infantil de México Federico Gómez, México, D.F. México.
authors.forename: Carmen
authors.initials: C
authors.lastname: García-Peña
mesh_terms: D005194:Family Practice / Q000193:education / Q000639:trends*; D005544:Forecasting; D008800:Mexico