[Health care under pressure: what the primary health care system must provide]

Our health care system is under considerable pressure to change. With the planned introduction of a primary care system, the German government is exerting an influence on the central domains of outpatient care. The aims of the primary health care system are improved timely and needs-oriented coordinated care from a single provider, via which patients are systematically supported and accompanied in an increasingly complex health care system. Digital instruments will be important for rationally supporting health care and rendering processes more efficient. Suggestions are required from the fields of politics, self-government, and science regarding how high-quality nationwide care can be sustainably ensured against the background of limited personnel and financial recourses. A national public health strategy with clear structures for collaboration at the federal, state, and municipality levels as well as with other relevant stakeholders in the sense of "health in all policies" is needed.