40 years on from the Declaration of Alma-Ata in 1978, primary health care (PHC) is at a defining moment. Progress in the uptake of PHC across the world has contributed to raising global standards of health care and improving health, including a revolution in child survival and dramatic improvements in life expectancy. However, we are still far from addressing the determinants of health and the growing health needs of the 21st century and from realising a vision for health supported by health systems oriented around PHC.

中文翻译：

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初级卫生保健如何使全民健康覆盖成为现实、确保健康的生活并促进所有人的福祉

自 1978 年《阿拉木图宣言》颁布 40 年后，初级卫生保健 (PHC) 正处于决定性时刻。世界范围内 PHC 采用的进展有助于提高全球医疗保健标准和改善健康，包括儿童生存方面的革命和预期寿命的显着改善。然而，我们距离解决健康的决定因素和 21 世纪日益增长的健康需求以及实现以 PHC 为导向的卫生系统支持的健康愿景还很遥远。