Relationship between patient ethnicity and prevalence of anemia during pregnancy and the puerperium period and compliance with healthcare recommendations - implications for targeted health policy
This study was a secondary analysis of a prospective cohort study database including 1558 women who delivered vaginally at Emek Medical Center. Anemia was assessed before delivery by obtaining a complete blood count (CBC). After delivery, CBCs were taken in cases of postpartum hemorrhage, symptoms consistent with anemia, prenatal anemia or other clinical indications. The study population was divided according to their ethnicity (Jews and Arabs).The primary outcomes were anemia before delivery, anemia in the immediate postpartum and 6  weeks postpartum, and compliance with healthcare recommendations, which was define...
Source: Israel Journal of Health Policy Research - November 30, 2020 Category: International Medicine & Public Health Source Type: research

Promoting patients ’ rights through hospital accreditation
AbstractLegislation and accreditation standards both address patients ’ rights. The two approaches differ in important ways; they should not be seen as competing but as complementing efforts. Laws define minimum standards, whereas accreditation standards describe optimal performance; laws focus on the rights, whereas accreditation standards also point out ways in wh ich hospitals may act to deliver these rights, which both serves to help hospitals implementing the rights and to standardize the measures taken across hospitals. A recent Israeli study underpins this view, but also highlights that international accredita...
Source: Israel Journal of Health Policy Research - November 30, 2020 Category: International Medicine & Public Health Source Type: research

Correction to: Hair loss due to scalp ringworm irradiation in childhood: health and psychosocial risks for women
An amendment to this paper has been published and can be accessed via the original article. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 30, 2020 Category: International Medicine & Public Health Source Type: research

The vexing relationship between socioeconomic status and health
AbstractIn a recent issue of thisJournal, Politzer, Shmueli, and Avni estimate the economic costs of health disparities due to socioeconomic status (SES) in Israel (Politzer et al., Isr J Health Policy Res 8: 46, 2019). Using three measures of SES, the socioeconomic ranking of localities, individual income, and individual education, Politzer and colleagues estimate welfare loss due to higher mortality, productivity loss due to poorer health, excess health care treatment costs, and excess disability payments for individuals with below median SES relative to those with above median SES. They find the economic costs of health...
Source: Israel Journal of Health Policy Research - November 26, 2020 Category: International Medicine & Public Health Source Type: research

Are Israelis becoming healthier? Trends in self-rated health, 2002 –2018
ConclusionsSelf-rated health has improved. However, it has not improved to the same extent for all Israelis. The results of this study show that the health of women has improved more than that of men and that the health of non-academics has improved more than that of academics. The latter suggests that the progressive effect of public financing has offset the regressive effect of out-of-pocket payments on self-rated health. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 26, 2020 Category: International Medicine & Public Health Source Type: research

Fear of panoptic surveillance: using digital technology to control the COVID-19 epidemic
ConclusionsThe primary task of medical practice is to heal illness and alleviate suffering. The debate surrounding the employment of digital technologies during the COVID-19 pandemic highlights the complexity of the close connection between social control and care in times of pandemic. The context of this pandemic has highlighted the interrelatedness of advanced digital surveillance technologies, medical care, and social control exercised by authorities and medical regulators and experts, which raises issues of transparency, trust and mistrust among the public. These issues become all the more relevant when the number of p...
Source: Israel Journal of Health Policy Research - November 25, 2020 Category: International Medicine & Public Health Source Type: research

Strategic management as adaptation to changes in the ecosystems of public hospitals in Israel
ConclusionsThis study affords an important view over time and a better understanding of the behavior and adaptation of hospitals in Israel to their constantly changing surroundings. Adapting and inculcating appropriate managerial strategies in hospitals requires close collaboration between staff and management; its absence is an obstacle that contributes to partial, and possibly counter-productive, strategic behavior.The solution may lie in a combination of changes: providing hospital management with the necessary tools and broad professional support by the Ministry of Health; organizational changes in hospital management ...
Source: Israel Journal of Health Policy Research - November 24, 2020 Category: International Medicine & Public Health Source Type: research

Delayed discharges from a tertiary teaching hospital in Israel- incidence, implications, and solutions
ConclusionsHealth-care systems must adapt to the current patients ’ case-mix to achieve optimal utilization of hospital beds and maximal operational efficiency. The number of long-term care beds should be increased, the coordination between general hospitals, health maintenance organizations and long-term facilities improved, and patients that may require long t erm care after the acute phase of their illness should be early identified and addressed. Meanwhile, establishment of organic units for waiting patients and reorganization of the hospital structure should be considered. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 24, 2020 Category: International Medicine & Public Health Source Type: research

Age, ageing, ageism and “age-itation” in the Age of COVID-19: rights and obligations relating to older persons in Israel as observed through the lens of medical ethics
AbstractCOVID-19, the illness caused by the SARS-CoV-2 virus, has reached pandemic proportions. Although the virus can cause disease in anyone, it is particularly dangerous for those with various “co-morbidities” such as heart disease, hypertension, diabetes, obesity and others. Furthermore, advancing age (from about 60 on), even in those older persons without any accompanying illnesses, is a strong and independent risk factor for pneumonia, need for an ICU bed and death from the virus. It is therefore essential to find ways to protect all at-risk persons (old or young) from the virus but at the same time not h...
Source: Israel Journal of Health Policy Research - November 12, 2020 Category: International Medicine & Public Health Source Type: research

Ethnic disparities in receiving benefits for disability following postpartum mental illness during first two years after delivery: an Israeli nationwide study
ConclusionsDespite the exceptionally high prevalence of PMAD among ethnic minorities, Bedouins and Arabs had lowest likelihood of Benefit Entitlement. In addition to developing programs for early identification of postpartum emotional disorders among unprivileged ethnic groups, awareness regarding entitlement to a mental health disability allowance among ethnic minorities should be improved. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 9, 2020 Category: International Medicine & Public Health Source Type: research

National initiatives to promote quality of care and patient safety: achievements to date and challenges ahead
ConclusionSubstantial efforts are being made in Israel to improve quality of care, based on the use of good data to understand what is working and what needs particular attention. Government and health care providers have the tools to continue to improve. However, several mechanisms for improving the quality of care, such as minimizing healthcare disparities, training for quality, and widespread implementation of the “choosing wisely” initiative, should be implemented more intensively and effectively. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 5, 2020 Category: International Medicine & Public Health Source Type: research

Robotic vs. open surgery in obese women with low-grade endometrial cancer: comparison of costs and quality of life measures
AbstractBackgroundThis retrospective study compared perioperative measures, costs, quality of life and survival after open vs. robotic surgery, among obese women diagnosed with low-grade endometrial cancer.MethodsObese women (body mass index (BMI)  ≥ 30) who underwent open or robotic surgery for endometrial cancer, in one of two tertiary medical centers in the center of Israel, 2013–2016, postoperative grade 1–2, were included. Costs per patient, including 30-days post-surgery were calculated. Quality of life was evaluated by Physic al and Mental Components of the SF-36 and a recovery from surg...
Source: Israel Journal of Health Policy Research - November 2, 2020 Category: International Medicine & Public Health Source Type: research

A rapid assessment of migrant careworkers ’ psychosocial status during Israel’s COVID-19 lockdown
AbstractBackgroundIsrael hosts nearly 70,000 migrant careworkers. Migrant careworkers work and live with populations extremely vulnerable to the novel Coronavirus, including the elderly and people with pre-existing physical conditions. This rapid assessment aimed to explore psychosocial status and mental wellbeing of migrant careworkers in Israel during the ongoing Covid-19 pandemic and determine risk and protective factors associated with mental distress, anxiety, and depression.MethodsThis quantitative study was conducted via an online survey. The online survey collected social and demographic data, including country of ...
Source: Israel Journal of Health Policy Research - November 2, 2020 Category: International Medicine & Public Health Source Type: research

Practices and attitudes of bariatric surgeons in Israel during the first phase of the COVID-19 pandemic
ConclusionsWe showed in this nation-wide survey that the variance between surgeons, regarding present and future reactions to the COVID-19 pandemic, is high. There were substantial differences between the private and the public sectors. Although the instructions given by the MOH for the public sector were quite clear, the compliance by surgeons and administrators was far from complete. The administrators in the public sector, but more so in the private sector were ambiguous in instructing staff, leading surgeons to a more “personal non-structured” practice in the first phase of the pandemic. These facts must be...
Source: Israel Journal of Health Policy Research - October 30, 2020 Category: International Medicine & Public Health Source Type: research

Numbers, graphs and words – do we really understand the lab test results accessible via the patient portals?
AbstractBackgroundThe heavy reliance on remote patient care (RPC) during the COVID-19 health crisis may have expedited the emergence of digital health tools that can contribute to safely and effectively moving the locus of care from the hospital to the community. Understanding how laypersons interpret the personal health information accessible to them via electronic patient records (EPRs) is crucial to healthcare planning and the design of services. Yet we still know little about how the format in which personal medical information is presented in the EPR (numerically, verbally, or graphically) affects individuals ’ ...
Source: Israel Journal of Health Policy Research - October 28, 2020 Category: International Medicine & Public Health Source Type: research

Assisted life termination and truth telling to terminally ill patients – a cross-sectional study of public opinions in Israel
AbstractBackgroundEnd-of-life decisions are highly complex socio-normative and ethical phenomena. The goal of this study was to provide an assessment of public opinions in Israel concerning aspects of end-of-life decisions.MethodsAn online cross sectional study was performed in February 2020. The primary tool including items pertaining to death assistance and truth telling to patients. A sample of 515 participants representative of the adult Israeli population was obtained.ResultsThe majority of participants (71%) supports telling the entire truth to patients even in harsh conditions. Support for truth telling decreases wi...
Source: Israel Journal of Health Policy Research - October 26, 2020 Category: International Medicine & Public Health Source Type: research

ACTION-IO as a platform to understand differences in perceptions, attitudes, and behaviors of people with obesity and physicians across countries – the Israeli experience
ConclusionsIn line with the ACTION-IO international study, our Israeli dataset reveals a need to improve awareness, primarily among physicians, on the physiologic basis and clinical management of obesity, including how to approach weight and weight management discussions during patient consultations.Trial registrationRegistered atClinicalTrials.gov,NCT03584191. Data first posted onClinicalTrials.gov: 12 July 2018 - ‘Retrospectively registered’. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - October 21, 2020 Category: International Medicine & Public Health Source Type: research

Comparison of hospital worker anxiety in COVID-19 treating and non-treating hospitals in the same city during the COVID-19 pandemic
AbstractBackgroundThe Hadassah Medical Organization operates two hospitals in Jerusalem. During the COVID-19 pandemic it made an administrative decision to operate one hospital as a COVID-19 treatment hospital (CTH) and to have the second function as a non-COVID-19 treating hospital (NCTH) offering general medical services. The purpose of this study was to assess how this decision affected hospital worker anxiety.MethodsFrom April 27 to May 1, during the COVID-19 pandemic in Israel, while the country was under lock-down, an electronic questionnaire survey was carried out among hospital workers of the CTH and NCTH. The ques...
Source: Israel Journal of Health Policy Research - October 21, 2020 Category: International Medicine & Public Health Source Type: research

The future of telemedicine visits after COVID-19: perceptions of primary care pediatricians
AbstractBackgroundFacing the global health crisis of COVID-19, health systems are increasingly supporting the use of telemedicine in ambulatory care settings. It is not clear whether the increased use of telemedicine will persist after the pandemic has resolved. The aims of this study were to assess the use of telemedicine by Israeli pediatricians before and during the first lockdown phase of the pandemic, and to elucidate how they foresee telemedicine as a medium of medical practice in the post-pandemic era.MethodsA web-based survey was distributed among Israeli pediatricians in May 2020, soon after the end of first lockd...
Source: Israel Journal of Health Policy Research - October 20, 2020 Category: International Medicine & Public Health Source Type: research

Income assurances are a crucial factor in determining public compliance with self-isolation regulations during the COVID-19 outbreak – cohort study in Israel
ConclusionsDespite the effects of threat on people ’s obedience with regulations, this study demonstrates that providing people with assurances about their livelihood during absence from work remains an important component in compliance with public health regulations. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - October 20, 2020 Category: International Medicine & Public Health Source Type: research

Attracting Israeli nursing students to community nursing
ConclusionsThe lack of exposure to the various aspects of community nursing during undergraduate studies contributes to a lack of motivation for entering this field. Therefore, a profound change is needed in nursing training programs ’ curricula to prepare graduates to face future challenges in community nursing. Whilst both hospital and community nursing are equally important, nursing leaders and policy makers must be made aware of the various factors that contribute to new registered nurses’ preferences of hospital over co mmunity nursing and build strategies for directing nurses to work in the community in o...
Source: Israel Journal of Health Policy Research - October 16, 2020 Category: International Medicine & Public Health Source Type: research

Differences in substance use by sexual orientation and gender among Jewish young adults in Israel
ConclusionsClose friends and community norms can play an important role in shaping substance usage among young adults, especially among gay men and lesbians. The results of the current study highlight the need for developing prevention and harm reduction drug policies for Israeli young adults, especially for gay men and lesbians. Interventions should also focus on young adult peers and community norms related to substance use by professionals in educational, policy-making, and therapeutic contexts. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - October 6, 2020 Category: International Medicine & Public Health Source Type: research

Reflections on the IJHPR ’s article collection on dementia
AbstractAlzheimer ’s disease and Alzheimer’s disease-related dementias (AD/ADRD) constitute a worldwide public health crisis. In light of the AD/ADRD epidemic now existing within the global COVID-19 pandemic, the need for global action to improve dementia care is greater than ever. The article collection “Demen tia- an Interdisciplinary Approach,” in the Israeli Journal of Health Policy and Research (IJHPR) highlights the need for interprofessional approaches to improving outcomes for people living with dementia and their care partners, as well as the complexities of conducting dementia care researc...
Source: Israel Journal of Health Policy Research - October 5, 2020 Category: International Medicine & Public Health Source Type: research

“Will you hear my voice?”: to engage older patients online, listen to them about their lives offline
AbstractThe scope of health information and health care services available online is rapidly expanding. At the same time, COVID-19 is causing vulnerable elders to reconsider in-person provider visits. In that context, recently published research by Y. Mizrachi et al. examining obstacles to the use of online health services (OHS) among adults age 50 and up takes on new importance. An iconic Israeli song begins, “Will you hear my voice?” (Hebrew Songs. Zemer Nugeh (Hatishmah Koli), 2020). What makes Mizrachi et al.’s findings particularly intriguing, despite several caveats, is the manner in which they demo...
Source: Israel Journal of Health Policy Research - October 5, 2020 Category: International Medicine & Public Health Source Type: research

The role of public-private partnerships in extending public healthcare provision to irregular migrants: stopgap or foot in the door?
AbstractIn this commentary to the paper “Ensuring HIV care to undocumented migrants in Israel: a public-private partnership case study” by Chemtob et al. we discuss the role of public-private partnerships (PPPs) as a mechanism for integrating previously excluded groups in public healthcare provision. Drawing on PPP case-studies as well as on Israel’s pandemic preparedness policies during the Covid-19 outbreak, we examine potential implications for the populations in question and for health systems.In our view, Chemtob et al. describe an exceptional achievement, where a PPP served as a stepping...
Source: Israel Journal of Health Policy Research - September 23, 2020 Category: International Medicine & Public Health Source Type: research

The role of public-private partnerships in extending public healthcare provision to irregular migrants: stopgap or foot in the door?
AbstractIn this commentary to the paper “Ensuring HIV care to undocumented migrants in Israel: a public-private partnership case study” by Chemtob et al. we discuss the role of public-private partnerships (PPPs) as a mechanism for integrating previously excluded groups in public healthcare provision. Drawing on PPP case-studies as wel l as on Israel’s pandemic preparedness policies during the Covid-19 outbreak, we examine potential implications for the populations in question and for health systems.In our view, Chemtob et al. describe an exceptional achievement, where a PPP served as a stepping  ston...
Source: Israel Journal of Health Policy Research - September 23, 2020 Category: International Medicine & Public Health Source Type: research

Promoting patients ’ rights through hospital accreditation
ConclusionsDiscussion of the Israeli case not only demonstrates how regulatory frameworks are instrumental – for broader policy purposes, especially in the area of patients’ rights and the rights of patients’ families – but also calls for a more general examination of the concept of patients’ rights in health policies and its contribution to the quality of health services. Reference to patients ’ rights in accreditation of healthcare institutions may promote and enhance this concept and contribute to the delivery of care, thereby complementing a lacuna in the law. (Source: Israel Journal...
Source: Israel Journal of Health Policy Research - September 20, 2020 Category: International Medicine & Public Health Source Type: research

Neuropsychological assessment in the Israeli healthcare system: a practitioners ’ survey
ConclusionsTo increase referral rates and create effective neuropsychological services within the Israeli healthcare system, neuropsychologists should work more closely with physicians in integrated care teams. In addition, they should engage in greater advocacy activities that will emphasize the need for publicly funded NPA. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - September 13, 2020 Category: International Medicine & Public Health Source Type: research

Addressing overcrowding in an emergency department: an approach for identifying and treating influential factors and a real-life application
ConclusionsIt is expected that, by taking all the above factors into consideration, emergency departments efficiency can be improved. The algorithm constructed here allows the choice of the most cost-effective factors to be improved, subject to a given budget. We have been able to derive practical recommendations that emergency departments managers might use to limit crowding and patient length-of-stay. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - September 1, 2020 Category: International Medicine & Public Health Source Type: research

Caries prevalence among 18  years old, an epidemiological survey in Israel
ConclusionsThe current study presents encouraging low DMFT levels. Participants in this study were not included in the dental care services reform, and did enjoy the benefits of water fluoridation, enabling the results to play an important baseline data for future reference. Additionally, results should be considered when planning intervention programs for at risk groups.Trial registrationThis study was registered inClinicalTrials.gov (Identifier No.NCT02958891, November 8th, 2016) and was approved by the IDF Institutional Review Board (#1524 –2015). (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - August 30, 2020 Category: International Medicine & Public Health Source Type: research

At the crossroads of religion and palliative care in patients with dementia
AbstractThe timing of palliative care initiation may be more appropriately directed using a needs-based approach, instead of a prognostically driven one. Jewish Law or Halachah ( “the way”) upholds a strong commitment to the sanctity of life and teaches that the duty to prolong life supersedes the duty to end suffering prematurely, unless one is expected to imminently die. This intersection of palliative care and a reliance on prognostic triggers with an individual’s o bservance of religious traditions complicates matters nearing the end-of-life. A recent pilot study by Sternberg et al. of 20 patients wit...
Source: Israel Journal of Health Policy Research - August 23, 2020 Category: International Medicine & Public Health Source Type: research

Obstacles to using online health services among adults age 50 and up and the role of family support in overcoming them
ConclusionsThe results of the current study reveal important nuances regarding the importance of awareness, user interface and experience for OHS use among older adults, as well as the critical role of family members in OHS adoption. Based on these findings, we recommend the following: expanding advertising on media channels to emphasize the benefits of OHS use; improving HMO websites to make them more user-friendly for older people; developing HMO-run community OHS guidance programs geared to older people to reduce the gap between required skills and user competencies, thus enabling older people to benefit from OHS use. (...
Source: Israel Journal of Health Policy Research - August 20, 2020 Category: International Medicine & Public Health Source Type: research

Trends and socioeconomic disparities in diabetes prevalence and quality of care among Israeli children; 2011-2018
ConclusionsWhile poor glycemic control rates among children have improved, they remain high compared to rates in adults. Additionally, substantial socioeconomic gaps remain. It is eminent to study the causes of these disparities and develop policies to improve care provided to children in the lower SEP levels, to promote health equity. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - August 19, 2020 Category: International Medicine & Public Health Source Type: research

The rates of hospital admissions and return visits to a rapidly growing pediatric emergency department as measures of quality of care
ConclusionsInterventions aimed at decreasing unnecessary admissions do not lead to increased return visits and return visit admissions. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - August 11, 2020 Category: International Medicine & Public Health Source Type: research

Patient-centered care in Israeli IVF units: divergent perceptions of patients and providers
ConclusionsProviders appear to underestimate the needs of fertility treatment patients for information, respect, and emotional support. The observed differences between what patients feel about their care and what providers assume they provide, especially regarding emotional support, indicates a need for ongoing, specific feedback to providers as to the patient-centeredness of the care they provide. The particularly large patient – provider gap relative to the provision of emotional support highlights the importance of increasing the attention paid to the psychological impact of fertility treatment and of giving pati...
Source: Israel Journal of Health Policy Research - August 5, 2020 Category: International Medicine & Public Health Source Type: research

Tuberculosis treatment outcomes of non-citizen migrants: Israel compared to other high-income countries
ConclusionsThere is a need to standardize results based on international definitions of migrants, asylum seekers, and refugees in order to determine status-specific barriers and to facilitate international comparisons. Policies insuring free access to TB care for non-citizen migrants are an important element for TB elimination in low incidence countries. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - August 2, 2020 Category: International Medicine & Public Health Source Type: research

Characteristics and outcome of elderly patients admitted for acute Cholecystitis to medical or surgical wards
ConclusionElderly patients with acute cholecystitis who require conservative management, especially those with severe functional and mental impairment can be safely hospitalized in medical departments. Outcome was not inferior in terms of mortality and LOH. These results have practical policy implications for the placement of elderly patients with acute cholecystitis in medical rather than surgical departments. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - August 2, 2020 Category: International Medicine & Public Health Source Type: research

Association between trust in the public healthcare system and selecting a surgeon in public hospitals in Israel: a cross-sectional population study
ConclusionsPublic trust in the public health system is a fundamental condition for maintaining an efficient and equitable health system in Israel. The survey suggests that uncertainty regarding the identity of the surgeon who will perform a procedure in a public hospital may be linked to a sense of insecurity and distrust of the public in the public health system. This study did not examine the causal relationship between the various factors, but the study data suggests a possible link between lower trust in the system and a lower perception of its equitability, and a subsequent associated increase in the public ’s d...
Source: Israel Journal of Health Policy Research - July 26, 2020 Category: International Medicine & Public Health Source Type: research

Associations between ethnicity, place of residence, hearing status of family and habilitation of children with hearing impairment
ConclusionsThe findings of the present study underline the need for better monitoring of Israeli-Arab children with HL and children residing in peripheral areas in Israel and for improving access to habilitation services. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - July 12, 2020 Category: International Medicine & Public Health Source Type: research

Socio-economic disparities and returning to work following an injury
The objective of this study was to define the role of socio-economic position on post-injury occupational absenteeism.MethodsThis was a nationwide retrospective cohort study, based on linking The Israeli National Trauma Registry (INTR) and the National Insurance Institute (NII) databases.The study population included 44,740 injured workers (residents of Israel, aged 21 –67, hospitalized between 2008 and 2013 and employed prior to injury as salaried workers). Logistic-regression models tested the probability of not returning to work (RTW).ResultsThe majority of the study population (61%) RTW within 1 month following t...
Source: Israel Journal of Health Policy Research - July 1, 2020 Category: International Medicine & Public Health Source Type: research

Hair loss due to scalp ringworm irradiation in childhood: health and psychosocial risks for women
ConclusionsLife with hair loss from scalp ringworm irradiation in childhood has a negative impact on women ’s health status and psychosocial state. Health policy-makers must broaden their approach to women who underwent scalp ringworm irradiation by addressing the effects of their hair loss in addition to the effects of the radiation treatment per se. This may be achieved by guiding physicians who prov ide medical services to these women to take into account the psychosocial and health risks related to hair loss in their diagnosis and treatment as well as by creating a cadre of specially trained mental health profess...
Source: Israel Journal of Health Policy Research - June 29, 2020 Category: International Medicine & Public Health Source Type: research

The patient –physician relationship: an account of the physician’s perspective
ConclusionsIn contrast to patients who traditionally stress the importance of interpersonal skills, physicians stress the significance of the technical expertise and knowledge of health providers, emphasizing the role of competence and performance. Physicians evaluate the relationship on the basis of their ability to solve problems through devotion, serviceability, reliability, and trustworthiness and disregard the “softer” interpersonal aspects such as caring, appreciation, and empathy that have been found to be important to their patients. This illustrates a mismatch in the important components of relationshi...
Source: Israel Journal of Health Policy Research - June 29, 2020 Category: International Medicine & Public Health Source Type: research

A comprehensive descriptive assessment of obesity related chronic morbidity and estimated annual cost burden from a population-based electronic health record database
This study presents the frequency of multiple prevalent co-morbidities and estimated annual cost burden by body mass index (BMI) groups, age, and sex among the Israeli adult population to provide policy makers with further evidence to appropriately target interventions.MethodsThis cross-sectional study utilized population-based electronic medical records from the largest payer-provider health fund in Israel. The population included individuals ≥25 years as of 01/01/2014. A new approach assessing body system-related morbidity (BSRM) prevalence was assessed along with estimated annual cost burden for the year 2015 ...
Source: Israel Journal of Health Policy Research - June 23, 2020 Category: International Medicine & Public Health Source Type: research

From public vs. private to public/private mix in healthcare: lessons from the Israeli and the Spanish cases
ConclusionsComparison of the processes of privatization of healthcare in Spain and Israel shows their variegated characters. It reveals the active role played by national and regional state apparatuses as initiators and supporters of healthcare reforms that have adopted different forms of public/private mix. While in Israel, until recently, these processes have been perceived as mainly technical, in Spain they have created deep political rifts within both the medical community and the public. The present article contains lessons each country can learn from the other, to be adapted in each one ’s local context: The fa...
Source: Israel Journal of Health Policy Research - June 23, 2020 Category: International Medicine & Public Health Source Type: research

Factors associated with disparities in out-of-pocket expenditure on dental care: results from two cross-sectional national surveys
ConclusionsThe burden of dental OOPE on Israeli households remains heavy and some disparities still exist, even after the implementation of the dental health reform. Expanding the dental health reform and addressing barriers to preventive dental care, especially among Arabs and those of lower educational level, may help in reducing households ’ private expenses on dental care. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - June 16, 2020 Category: International Medicine & Public Health Source Type: research

Physicians ’ adherence to management guidelines for H. pylori infection and gastroesophageal reflux disease: a cross-sectional study
ConclusionsWe identified gaps between the practices of PCPs and the guidelines onH. pylori infection management, while guidelines on GERD management are well adopted. Simplification of the guidelines and exploring barriers towards their implementation by PCPs is warranted. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - June 10, 2020 Category: International Medicine & Public Health Source Type: research

Disordered eating among Arab and Jewish youth in Israel: the role of eating dinner with the family
AbstractBackgroundDisordered eating (DE), defined as unhealthy eating attitudes and behaviors, is considered a major public health problem among adolescents. Nevertheless, rates of DE among Arab and Jewish adolescents in Israel are still unknown. Furthermore, while previous studies have highlighted the role of frequent family meals as a protective factor against DE, studies examining home family dinners relative to other common dinner options (e.g., eating at home alone, eating out of the home, not eating dinner at all) are largely unavailable. We sought to use representative data of middle and high-school children in Isra...
Source: Israel Journal of Health Policy Research - June 9, 2020 Category: International Medicine & Public Health Source Type: research

Depressive symptoms and use of health services among older adults in Israel
ConclusionWe found a high prevalence of depression. Its negative effects on the individual and increased costs to the health system, supports the screening and treatment of the disease in the older population. This problem should be a national priority, with screening and treatment becoming part of the national quality of care indicators which would then be implemented by the HMOs as part of an integrated disease management program for the elderly. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Motivation of emergency medical services volunteers: a study of organized Good Samaritans
ConclusionA clearly identifiable and differently motivated class of emergency services volunteers has emerged. An appropriate information technology infrastructure enables Emergency Medical Services organizations to integrate Organized Good Samaritans into core business processes to shorten response times to emergencies. Organized Good Samaritans provide a volunteering opportunity for highly skilled people unable to be Time-Donation Volunteers. Our findings provide an empirical basis for further research on Organized Good Samaritans integration into Emergency Medical Services operations. Emergency Medical Services administ...
Source: Israel Journal of Health Policy Research - June 1, 2020 Category: International Medicine & Public Health Source Type: research

Emergency department visits at Rambam health care campus, Israel: non-trauma related dental conditions
ConclusionsThe results of the study show that systemic and conceptual changes are needed to reduce the number of non-trauma related applications to ED.These changes can be by increasing the number of personnel or by introducing recent advances such as tele-medicine for prescreening of patients. This change calls for a greater involvement of the health policy leaders to provide alternative solutions for emergency dental care. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - May 21, 2020 Category: International Medicine & Public Health Source Type: research