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 3, 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 3, 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 27, 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 13, 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 2, 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 30, 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 30, 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 24, 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 24, 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 17, 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 11, 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 10, 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 2, 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 2, 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 22, 2020 Category: International Medicine & Public Health Source Type: research

Community Vs. hospital HIV testing sites in Jerusalem, Israel - who ’s tested and who’s at risk?
ConclusionsMSM and HRSB-individuals were more likely to be tested in JOH, while migrants and health-care workers in HAC, possibly due to the geographic location, reputation and specific atmosphere. In order to encourage HIV-tests among HRSB and non-Jews, additional interventions should be employed, including outreach activities, extending opening hours and reducing testing costs should be employed. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - May 18, 2020 Category: International Medicine & Public Health Source Type: research

Trust in the referring physician reduces anxiety in an integrated community-to-hospital care system
ConclusionIn this study, trusting the referring physician was associated with lower anxiety among patients who underwent coronary angiography. This trust seemed to have more positive impact than did previous contact with the physician who performed the procedure. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - May 11, 2020 Category: International Medicine & Public Health Source Type: research

Historic tobacco legislation in Israel: a moment to celebrate
ConclusionsThis legislation represents an important and long-awaited change in Israeli tobacco control policy. Many deficiencies in existing tobacco control regulation were overcome, and some measures went beyond current international regulations. The cohesive partnership between legislators, public health organizations and professionals, advocacy groups, academia, and leading journalists was critical to this success. The progress was lauded by the World Health Organization with its highest award for tobacco control, which was presented to Smoke Free Israel. This case study provides important lessons for up-to-date tobacco...
Source: Israel Journal of Health Policy Research - May 4, 2020 Category: International Medicine & Public Health Source Type: research

Older adults and the disparity in oral health status; the problem and innovative ways to address it
AbstractThe impact of oral health inequalities on one ’s ability to maintain good oral health is cumulative throughout life and accentuated in older age groups. While studies on factors influencing the decisions made by elders to seek dental care have been conducted in Israel and worldwide, the issue of access to and provision of dental care is compl ex. However, the need to address oral health issues is being voiced in high-level international meetings and there was never a better momentum to rethink the current oral health care delivery model beyond issues related solely to accessibility. Here we outline unique opp...
Source: Israel Journal of Health Policy Research - May 4, 2020 Category: International Medicine & Public Health Source Type: research

Attitudes, knowledge, and preferences of the Israeli public regarding the allocation of donor organs for transplantation
ConclusionsThe findings of this survey indicate that Israel ’s citizens are willing to take part in decisions about organ allocation. Respondents did not seem to have a strict definition or concept of what they deem to be just; yet, in general, their preferences are compatible with current policy. Importantly, participants noted that they would be more wil ling to donate organs if their preferences were integrated into the allocation policy. Accordingly, we propose that allocation systems must strive to respect community values and perceptions while maintaining continued clinical effectiveness. (Source: Israel Journa...
Source: Israel Journal of Health Policy Research - May 4, 2020 Category: International Medicine & Public Health Source Type: research

Evaluation of performance-enhancing drugs seized by Israeli enforcement agencies 2012 –2017: implications for policy and regulatory change
ConclusionsWhile data analysis focused on the supply side of the performance-enhancing substances market, the high number of seizures of performance-enhancing substances in Israel represents evidence of the existence of a  high demand and a large consumer base for these products. Consequently, there is a need for developing further enforcement, treatment, and prevention policies that do not currently exist in Israel. Policymakers should consider prioritizing law enforcement action and incentivizing intelligence shar ing to monitor suspected shipment sources and specific points of entry. Additionally, the results demon...
Source: Israel Journal of Health Policy Research - May 4, 2020 Category: International Medicine & Public Health Source Type: research

Elderly bedridden patients with dementia use over one quarter of resources in internal medicine wards in an Israeli hospital
AbstractBackgroundElderly bedridden patients with dementia (EBRPD) are a growing segment of the population. We aimed to describe acute care hospitalization of EBRPD in internal medicine wards: the prevalence of EBRPD, their impact on hospital resources and hospital ecology, one-year survival, and one-year readmission-free survival.MethodsThe study setting was the internal medicine division of one tertiary care hospital in Israel. We conducted a point-prevalence survey to measure the prevalence of EBRPD and the prevalence of multidrug-resistant organism (MDRO) carriage. We also conducted a retrospective chart review of EBRP...
Source: Israel Journal of Health Policy Research - May 1, 2020 Category: International Medicine & Public Health Source Type: research

Iodine deficiency in Israeli pregnant women – a time for action
AbstractIodine is an essential micronutrient for thyroid gland function. Iodine deficiency disorders are a spectrum of conditions affecting the fetus, child, adolescent and adult. Iodine requirements are increased in pregnancy in order that the fetus receives enough maternal thyroxine via transplacental passage. Previous studies in Israel have shown widespread iodine deficiency by measurement of urinary iodine concentrations in school age children and adults. The present study clearly shows iodine deficiency in a group of 2nd trimester women as judged by measurement of serum thyroglobulin (a recently evaluated marker of io...
Source: Israel Journal of Health Policy Research - May 1, 2020 Category: International Medicine & Public Health Source Type: research

Evaluating the consequences of health policy decisions
AbstractUncertainty about intended and possible unintended side effects makes it important to evaluate changes following health policy decisions. A recent IJHPR article by Greenberg et al. evaluated changes in emergency department care following a directive of the Israeli Ministry of Health to limit occupancy in internal medicine wards. Over a six-year observation period, they found that one-month mortality and one-week readmissions after ED visits remained unchanged, while increases in average ED visit length, as well as increased delay time from ED admission to ward were observed. These findings help to assess the impact...
Source: Israel Journal of Health Policy Research - April 30, 2020 Category: International Medicine & Public Health Source Type: research

Lessons learned from an evaluation of referrals to the emergency department
This study aims to determine whether patterns of potentially unnecessary referrals from either primary care physicians (PCPs) or urgent care centers (UCCs) can be identified, thereby to reduce ED visits by patients who could be treated elsewhere. Literature from the United States reports up to 35% unnecessary referrals from UCCs.MethodsA retrospective cohort study was conducted of patients referred to an ED in Jerusalem by either their PCP or a group of UCCs with a full range of laboratory tests and basic imaging capabilities between January 2017 and December 2017. The data were analyzed to identify referrals involving dia...
Source: Israel Journal of Health Policy Research - April 27, 2020 Category: International Medicine & Public Health Source Type: research

Inequality in in-hospital mortality due to road traffic accident between ethnic populations in specified groups living in the same country
ConclusionsThis study suggests the need for developing appropriate interventions focusing on the Arab community in general, and according to the analysis of risk groups and areas of injury in particular, including rapid access to emergency medical services and definitive care. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - April 20, 2020 Category: International Medicine & Public Health Source Type: research

Toward risk adjustment in mental health in Israel: calculation of risk adjustment rates from large outpatient and inpatient databases
ConclusionsThe risk adjustment rates calculated for outpatient care are substantially different from the ones suggested by the inter-ministerial team. The inpatient rates are new, and indicate that for patients with schizophrenia, a separate risk-sharing arrangement might be desirable. Adopting the rates developed in this analysis would decrease the budget shares of Clalit and Leumit with their relatively older populations, and increase Maccabi and Meuhedet ’s shares. Future research should develop a risk-adjustment scheme which covers directly both mental and physical care provided by the Israeli Health Plans, using...
Source: Israel Journal of Health Policy Research - April 14, 2020 Category: International Medicine & Public Health Source Type: research

Low intake of iodized salt and iodine containing supplements among pregnant women with apparently insufficient iodine status - time to change policy?
ConclusionsWhile the Israeli Ministry of Health has recommended the intake of iodized salt and iodine containing supplements, this is apparently insufficient for achieving optimal iodine status among Israeli pregnant women. The evidence of highly prevalent probable iodine deficiency in a sample of pregnant women suggests an urgent need for a national policy of iodized salt regulation, as well as guidelines to promote iodine containing supplements and adherence to them by caregivers. In addition, studies similar to this one should be undertaken in additional countries reliant on desalinated iodine-diluted water to further a...
Source: Israel Journal of Health Policy Research - March 30, 2020 Category: International Medicine & Public Health Source Type: research

Patient satisfaction with primary care physician performance in a multicultural population
ConclusionsJews and Arabs were very satisfied with PCPs ’ performance. However, there are ethnic differences in the extent of satisfaction level related to the performance of PCP. Satisfaction from PCPs’ performance may be achieved by improving the communication skills of the PCP, encouraging interpersonal interaction between the PCP and the patient, and devoting more time to the patient during the visits. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - March 25, 2020 Category: International Medicine & Public Health Source Type: research

Enhancing primary care and preventive services through Interprofessional practice and education
AbstractInterprofessional (IP) practice and education are important when seeking to respond to the growing demand for primary and preventive care services. Multiple professions with synergistic expertise are needed to effectively provide health promotion, disease prevention, and patient education and to help patients with multiple comorbidities, chronic health conditions, and care coordination. A recent study by Schor et al. titled, “Multidisciplinary work promotes preventive medicine and health education in primary care: a cross-sectional survey,” compares the implementation of preventive services in three pri...
Source: Israel Journal of Health Policy Research - March 23, 2020 Category: International Medicine & Public Health Source Type: research

Sex for seniors: how physicians discuss older adult ’s sexuality
ConclusionsThe findings highlight a potential for differential treatment of older adults, based on age, rather than on other objective reasons. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - February 21, 2020 Category: International Medicine & Public Health Source Type: research

Temporal trends in healthcare resource utilization and costs following acute myocardial infarction
ConclusionsDespite a decline in utilization of most healthcare services throughout the investigated decade, healthcare expenditure has not changed. Further evaluation of the cost-effectiveness of long-term resource allocation following AMI is warranted. Nevertheless, we believe more intense ambulatory follow-up focusing on secondary prevention and early detection, as well as high-quality outpatient chest pain unit are warranted. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - February 12, 2020 Category: International Medicine & Public Health Source Type: research

Improved meals service and reduced food waste and costs in medical institutions resulting from employment of a food service dietitian – a case study
ConclusionsImplementation of the new role of Food Service Dietitian led to cost savings and significant improvements in adherence to the nutritional care plan. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - February 3, 2020 Category: International Medicine & Public Health Source Type: research

Socio-economic status, self-rated health and mental health: the mediation effect of social participation on early-late midlife and older adults
ConclusionThe links between SES and the two health constructs were enhanced by common and distinct social participation practices. Enhancement of social participation practices among low SES individuals is recommended. Social participation should be a prominent aspect of preventive medicine practice and health promotion interventions. Policy makers are called to support such programs as an important way to promote public health. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - January 28, 2020 Category: International Medicine & Public Health Source Type: research

Digital governance in tax-funded European healthcare systems: from the Back office to patient empowerment
This article aims to discuss the benefits offered by digital technologies in tax-based European healthcare systems against the backdrop of structural bureaucratic rigidities and a slow pace of implementation.Artificial intelligence (AI) will transform the existing delivery of healthcare services, inducing a redesign of public accountability systems and the traditional relationships between professionals and patients. Despite legitimate ethical and accountability concerns, which call for clearer guidance and regulation, digital governance of healthcare is a powerful means of empowering patients and improving their medical t...
Source: Israel Journal of Health Policy Research - January 17, 2020 Category: International Medicine & Public Health Source Type: research

Paramedics and Physician Assistants in Israel
AbstractIsraeli emergency medicine is undergoing change. The paramedic is experiencing high separation rates because the position is understaffed, overworked, and underpaid. Physician assistants (PAs) were introduced into the emergency department by training paramedics and to date they seem satisfied with this new role. Experience in other countries indicates that PAs can improve access to care, reduce errors, increase efficiency and have satisfying roles in health systems. The Israeli health system will need to determine if additional roles for PAs will be accepted by the public and physicians alike. (Source: Israel Journ...
Source: Israel Journal of Health Policy Research - January 6, 2020 Category: International Medicine & Public Health Source Type: research

From civilian service to military service: what led policy-makers to remove nursing care from field units of the Israeli defense force (IDF) and return it later?
ConclusionsThe removal of nursing care from the IDF field units was provided as a response to the needs of the health demands of the emerging state. Until 2018 there was no significant need for military nurses except in emergency time. This is in contrast to other military nursing units. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - December 31, 2019 Category: International Medicine & Public Health Source Type: research

A survey of primary-care pediatricians regarding the management of Helicobacter pylori infection and celiac disease
ConclusionsAdherence to the guidelines on management ofH. pylori infection was low, while adherence to the guidelines on celiac disease management was high among primary-care pediatricians. Educational interventions are needed to improveH. pylori infection management among primary-care pediatricians. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - December 27, 2019 Category: International Medicine & Public Health Source Type: research

Private expenditures on healthcare: determinants, patterns and progressivity aspects
ConclusionsOverall, the financing of national health expenditures in Israel is slightly regressive, but the progressivity of public financing is almost enough to offset the regressive effect of out-of-pocket payments and payments for voluntary complementary insurance. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - December 20, 2019 Category: International Medicine & Public Health Source Type: research

Integrating Israeli Defense Force (IDF) veterans with disabilities into the workforce: characteristics and predictors
ConclusionThe results may enable developing more accurate intervention plans, with more efficient use of resources, including consolidation of existing information systems and monitoring the processes and outcomes of rehabilitation. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - December 19, 2019 Category: International Medicine & Public Health Source Type: research

The Israeli national population program of genetic carrier screening for reproductive purposes. How should it be continued?
AbstractThe Israeli population genetic screening program for reproductive purposes, is a population-specific screening that includes all known, severe diseases and relatively frequent in a specific population (carrier frequency at or above 1:60 and/or disease frequency at or above 1 in 15,000 live births). The carrier screening program is free of charge and offers testing according to disease frequency in the different groups within the population.The extraordinary technical changes that occurred in the last decade as well as the changes in the type of marriages within the Israeli population necessitate a revision in the b...
Source: Israel Journal of Health Policy Research - December 16, 2019 Category: International Medicine & Public Health Source Type: research

International workshop on the future of community child healthcare
AbstractIncreasing numbers of children with developmental, emotional, and psychosocial issues require adaptation of the services provided by pediatricians in the community. An international workshop that took place in Israel on June 3 –4, 2019, addressed this need. Local policy makers and international experts discussed the following topics: (1) the future of training in community pediatrics; (2) enhancing the prestige of the community pediatrician; (3) development of management and research skills; (4) academic advancement wit hin community pediatrics; (5) the future content of community pediatric practice; (6) visi...
Source: Israel Journal of Health Policy Research - December 5, 2019 Category: International Medicine & Public Health Source Type: research

Preferences for mental health treatment for post-partum depression among new mothers
ConclusionsThe study findings support the formulation of mother-sensitive health policies based on understanding mothers ’ preferences, and thus, help prepare treatment alternatives that will suit different groups of mothers with PPD, for the benefit of mothers, newborns, and families. Disseminating the results of this study among professionals as part of professional training, can promote appropriate treatment faci lities and modes of care for mothers with PPD. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - December 5, 2019 Category: International Medicine & Public Health Source Type: research

Innovation and The Israel Journal of Health Policy Research
AbstractThe Israel Journal of Health Policy Research (IJHPR) is a peer-reviewed, on-line, open access journal, sponsored by Israel ’s National Institute for Health Policy Research. We believe that it is both an innovative platform and a platform for innovation. Within just 2 years of its launch in 2012, the IJHPR was accepted into the prestigious Web of Science – primarily because of its innovative positioning as a journal that is simultaneously national and international. This positioning has contributed to annual growth of over 20% in both submissions and publications and to the IJHPR being ranked among ...
Source: Israel Journal of Health Policy Research - December 3, 2019 Category: International Medicine & Public Health Source Type: research

Factors associated with childhood influenza vaccination in Israel: a cross-sectional evaluation
ConclusionsWe found that certain demographic factors were associated with childhood influenza vaccination in Israel. Several reasons described by the parent for not vaccinating their children indicate that outreach efforts are likely to increase childhood influenza vaccination. Addressing population group-specific needs is recommended to optimize the success of influenza vaccine outreach efforts. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 26, 2019 Category: International Medicine & Public Health Source Type: research

The prevalence of iron deficiency anemia among African asylum seeking children residing in Tel Aviv
ConclusionsLow hemoglobin levels are four-fold more prevalent among the African asylum seeking children. The dietary data suggest iron deficiency as a major cause, although other etiologies need to be ruled out. Because of the adverse long term impact of early anemia on child development, new policies need to be developed to ensure that refugee children develop in a healthy manner. These should include routine mandatory supplements of iron for all refugee children, in parallel to developing an educational program for parents how to achieve iron-sufficient diets for their children. Further research is needed to guide public...
Source: Israel Journal of Health Policy Research - November 25, 2019 Category: International Medicine & Public Health Source Type: research

Ensuring HIV care to undocumented migrants in Israel: a public-private partnership case study
ConclusionsTo our knowledge, this study documents the first example of a successful PPP with government partnership in a high-income country to address undocumented migrants ’ lack of access to health services in general and HIV care in particular. In light of the intensification of North-South migration, this Israeli case study could be useful for other countries facing similar challenges. It also has lessons within Israel, as the country grapples with other health p roblems among uninsured communities. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 13, 2019 Category: International Medicine & Public Health Source Type: research

“Death is inevitable – a bad death is not” report from an international workshop
AbstractPalliative care is an approach meant to improve the quality of life of patients facing life-threatening illness and to support their families. An international workshop on palliative care took place in Caesarea, Israel under the auspices of the National Institute for Health Policy Research on July 4-5th, 2018, with the goal of discussing challenges to the development and integration of palliative care services in Israel. At the workshop, both national and international figures in the field of palliative care and health policy addressed several issues, including truth telling, religious approaches to end of life car...
Source: Israel Journal of Health Policy Research - November 12, 2019 Category: International Medicine & Public Health Source Type: research

Disruptive behaviors among nurses in Israel – association with listening, wellbeing and feeling as a victim: a cross-sectional study
ConclusionsDisruptive behavior is a major challenge to the workplace well-being for nurses. The victim mentality has an adverse impact on nurses. Preventive efforts aimed at reducing disruptive behaviors among nurses and decreasing their sense of victimization are crucial for the well-being of nurses. (Source: Israel Journal of Health Policy Research)
Source: Israel Journal of Health Policy Research - November 4, 2019 Category: International Medicine & Public Health Source Type: research

Factors that affect Israeli paramedics ’ decision to quit the profession: a mixed methods study
ConclusionsIt seems that work conditions, including the lack of opportunities for promotion, lack of professional prospects, and inappropriate compensation for hard work are crucial factors in the decision to leave.RecommendationsA joint committee of the Ministries of Health, Justice, and Finance and MDA (Magen David Adom, the national EMS in Israel) should be established for the purpose of improving the conditions and modalities of employment of paramedics and providing appropriate emotional support for paramedics who are exposed daily to work under extreme conditions of stress and human suffering. A joint effort could gr...
Source: Israel Journal of Health Policy Research - November 1, 2019 Category: International Medicine & Public Health Source Type: research