recent efforts to enhance primary care capacity through the development of multidisciplinary primary care units that complement the activities by traditional ambulatory care physicians working in solo practices can play a positive role in addressing these challenges public spending on health and longterm care is expected to increase considerably over the coming decades while at the same time ageing will reduce the share of the population of workingage needed to finance this public spending the reform set a limit on nominal public health spending growth of in and was gradually reduced to in aiming to bring it in line with projected annual average gdp growth