Aim: The goal of this work is to investigate the effectiveness of state regulatory tools influencing the HCS reform process and the institutional support for the implementation of SGPMS at the primary level. Materials and Methods: To evaluate the effectiveness of SGPMS implementation at the primary level, methods of observation, analysis and synthesis, grouping, and generalization were applied Results: In the implementation of SGPMS, PMC is prioritized. It ensures the accessibility, timeliness, safety, and effectiveness of medical services. Achieving a balance between the quantity and quality of provided medical services, as well as equality and fairness in access to them, is crucial. Conclusions: The ways to improve the implementation of SGPMS at both the state and PMC facility levels may include: adjusting the global budget and contracts based on healthcare needs assessment at the regional level; enhancing comprehensive contract strategy and procurement tools; improving financial incentives for PMC; increasing the efficiency of healthcare expenditures; and improving the functioning of mental health services. The improvement of SGPMS implementation at the primary level is determined by the medical enterprise, specifically: activating preventive activities in primary care; enhancing strategic planning to achieve specific goals; investing in the development and renewal of infrastructure; accelerating the implementation of digital solutions and integrated data systems for remote consultations; seeking effective financial incentives for healthcare facility staff; and developing monitoring of effectiveness and management of primary healthcare activities.