How do they achieve this? Firstly, examining what prevents health promotion for local people. So they (PCS) started having to see the need to have specialized professionals like doctors, nurses, support staff and the like (different specialization) with respect to the various types of illnesses or diseases that arise in healthcare sectors. Distance has also become a subjective concept for primary care environments, where it is primarily concerned with measuring the cost of travel, time spent, and comfort when a patient has to travel to a healthcare facility for a check-up or check-up. And the insufficient services of general acute centers compared to the lack of an active role in health promotion and disease prevention (HPDP). Despite other factors coming into play through a survey conducted by the Leap Group, which revealed that six out of ten hospitals do not have procedures to prevent malnutrition in patients, five out of ten do not have procedures to prevent bed sores. On top of that, four in ten have no policies requiring workers to wash their hands with sanitizer before even seeing a patient. That said, the increase in obesity occurred when the rate went from 22.1% to 22.8% (Todd, 2004). And in addition to these, the federal Agency for Healthcare Research and Quality, the Harvard School of Public Health together with the Kaiser Family Foundation also added that 55% of Americans are dissatisfied with the quality of care against 48% of the population concerned for medical care. they receive. This is a clear indication that the majority of the local population has no trust in primary care, while the healthcare sector is also concerned about spending that is not proportional to decreasing inequality in public health status. Therefore, there is the