In the 40 years since the Alma Ata Declaration the world has changed enormously. On the one hand, the world is much richer and healthier. On the other hand, those advances are unevenly spread, with growing numbers of people living precarious existences, many displaced from their homes. Health care has also changed. Advances in technology, including the advent of Big Data, coupled with adoption of evidence-based models of care have been transformational, especially for primary health care.
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