[Quality and accessibility]

The accessibility and quality makes sense of the historical moment in which they discuss, so, before starting the actual analysis of these concepts, we present a historical overview of development and their application within the Mexican health system. Remarkable efforts have been made in Mexico to increase the accessibility and quality of health services. However, the challenges are growing: to break the paradigm of "curing the disease" where the disease process is countered by the medical staff has required increasing specialization in more areas, and which has resulted in fragmentation of care, and therefore services for the "prevention" which not only interfere the medical field, but everyone involved. The shift to this paradigm could lead to a better quality medical care.