great emphasis is placed on primary care and people are required to register with a general practitioner gp or a paediatrician up to the age of primary care seivices in health centres are guaranteed hours a day days a week through the primary care outofhours service called the guardia medico moreover financial incentives have been provided in recent years for gps to move towaids various models of group practice with fellow gps andor other health professionals following a multidisciplinary and multiprofessional approach