This is selection of some important studies published in 2018 dealing with several key organization and functioning features of family medicine. In 1978, the Declaration of Alma Ata emphasised the central role of primary care to guarantee health equity. Today, if some objectives of the Declaration seem to be on the way, others remain unrealistic. The article on the second study demonstrates how financial crises can lead to the strengthening of primary care services by describing the positive evolution of access between 2007 and 2012. The third paper uses medico-administrative data to characterize continuity of care and show its association with cost reduction. Finally, the choice to provide a care manager for certain patients should be based not only on medical criteria but also on personal criteria such as patient's social support and motivation.