The paper describes a longitudinal research conducted in a Health Service Pro-vider Institution in a rural area of Cundinamarca, between 2017 and 2022. The methodology used was VEDECO or Connected Planning. Demographic trends and access to health services were examined, using descriptive and diagnostic analyses to understand correlations between variables. The population served showed an expansive population pyramid with a high pro-portion of children and young people, although with a decrease in young adults, possibly due to migration to urban areas. Changes in the demographic structure were observed, such as an increase in the population over 50 years of age in 2020, related to the COVID-19 pandemic. The affiliation regime showed that the majority of users were from the subsidized regime, followed by the contributory regime. Outpatient consultation was the most used service, especially for chronic diseases such as hypertension and dia-betes. In the emergency department, consultations for trauma and poisoning pre-dominated, with a strong association with the female gender, suggesting possible implications of gender violence. Geographic analysis revealed that proximity to the health center influences the frequency of service use, with visits decreasing as the distance of residence from the center increases. This underscores the importance of geographic access in the utilization of health services. In summary, the study provided insights into the demographic structure, service use patterns, and geographic factors that affect health care in a rural community, informing recommendations for improving access and quality of health care.