The Model of Family and Community-based Integrated Health Care (MAIS-BFC, by its initials in Spanish) is a set of strategies, procedures and tools that, when complemented, organize the Health System in order to respond to the health needs of individuals, families and the community, allowing comprehensive care levels of health. Following the steps for the implementation of a MAIS-BFC, an experience is presented from the National Family Health Strategy corresponding to 2010- 2015. The intervention of 244 649 households is reported until October 2015, constituting 11.6% of vulnerable households. Likewise, 17 250 educational sessions were developed where priority was given to health promotion issues. As a result, 37 303 pathologies were identified through the family health visit, of which 58.2% were chronic pathologies and 49.8% were non-chronic pathologies detected but never treated. Regard...