The world population is making older increasing the sanitary resources consum. It makes the elderly patients are the main occupant of hospitalary beds, who generate more mortality, longer stays and more number of readmissions. Also they are who visit more the primary health care doctor and they are the first and the most numerous drugs consumer. The result rise the medical assistance demand in the different primary health care services. The chronic diseases that older patients suffer multiply in keeping with the age, existing one significative association between many chronic diseases and the urgences admissions in the older patients. To offer the necessary service, we must improve the primary health care centers autosufficiency, the resolutive capacity and the human resources management in agreement with the needs of each moment.