This study is the product of a historical review, where is graphical mode operate various paradigms of public health at Venezuela. It addressed a revision to factors affecting both the administrative reality of health services, as in the common behavior of users. Thus establishing a confrontation of ideas to establish reasoning about the need to clarify the road to make a break of paradigms between the qualitative and the great diversity of models used by science, to measure the health. Ignoring, the true dimension of: disease prevention, care of the self, promotion of health, development and appreciation of life. In the meantime, these events, as other components, and legal aspects of the national public health system, would be intended to convert facetted weaknesses on factors to establish vital links with those binding lines between the Minister of the power people for health.