however heavy physician caseloads mean that consultation times are short averaging less than ten minutes and there is inadequate time to address mental health and health promotion issues in many respects therefore israel s primary care system is well placed to meet future health care challenges that are common to most developed countries including adverse changes to upstream health determinants such as obesity lifestyle habits that damage health such as smoking an ageing population and the mounting burden of chronic disease all the funds have comprehensive electronic medical records emrs in community care which support the sharing of information among physicians laboratories diagnostic centres and patients