Abstract

The development and implementation of Primary Health Care (PHC) in Chile, is manifested discursively oriented to the space of health promotion and prevention of the disease, a contradictory issue with what is observed in practice, consolidating a space enclosed in the which health teams are delimeted and prone to treat the disease. This essay proposes a critical analysis regarding the articulation between the understanding of health as an expression of the unicausal and biological disease, in addition to Public Policies implemented from a central space, manifesting discursively the intersectoral action in health as a preponderant factor regarding the task in the field of health. Considering these aspects, it is concluded that the understanding of the processes of health, illness, attention and neglect are not part of the permanent task in the field of health, there is tension and conditioning associated with the implementation of central and homogeneous public policies, addition to an IAH not observable in a substantive way in the usual deployment of health teams in dialogue with other sectors, which consolidates a scenario of territorial claustrophobia that determines a deepening of socio-sanitary territorial inequities.