as regards specific sectors primary care is generally judged to be exemplary but hospital care although good is seen as requiring some attention with notable worries about overcrowding oecd in addition there are concerns about whether the current system of longterm care is capable of dealing with the expansion in demand from population aging training recruitment and retention of professionals are among the most immediate issues on other fronts pressures for savings in public spending on health care are unlikely to lessen in the coming years and neither will cost pressures from ageing and technological development data envelopment analysis dea was performed with one output life expectancy at birth for and and two inputs a composite indicator of the socioeconomic environment and lifestyle factors for or and healthcare spending