disparities of coverage across social groups and health services suggest paying greater attention to coordination between statutory and complementary insurance provision ongoing reforms to improve prevention and coordination among care providers are steps in the right direction however progress in the development of capitationbased payment schemes which can reduce the incentives to increase the number of medical acts and encourage health professionals to spend more time with their patients and performancebased payment schemes in primary care need to be stepped up to respond to the increasing prevalence of chronic diseases and curb supplierinduced demand and social disparities in access to care