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Israel Journal of Health Policy Research

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https://www.readbyqxmd.com/read/28793928/a-new-marker-of-primary-care-utilization-annual-accumulated-duration-of-time-of-visits
#1
Talya A Nathan, Arnon D Cohen, Shlomo Vinker
BACKGROUND: Most of the research on primary care workload has focused on the number of visits or the average duration of visits to a primary care physician (PCP) and their effect on the quality of medical care. However, the accumulated annual visit duration has yet to be examined. This measure could also have implications for the allocation of resources among health plans and across regions. In this study we aimed to define and characterize the concept of "Accumulated Annual Duration of Time" (AADT) spent with a PCP...
August 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28760160/regional-variations-in-mortality-and-causes-of-death-in-israel-2009-2013
#2
Ethel-Sherry Gordon, Ziona Haklai, Jill Meron, Miriam Aburbeh, Inbal Weiss Salz, Yael Applbaum, Nehama F Goldberger
BACKGROUND: Regional variations in mortality can be used to study and assess differences in disease prevalence and factors leading to disease and mortality from different causes. To enable this comparison, it is important to standardize the mortality data to adjust for the effects of regional population differences in age, nationality and country of origin. METHODS: Standardized mortality ratios (SMR) were calculated for the districts and sub-districts in Israel, for total mortality by gender as well as for leading causes of death and selected specific causes...
August 1, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28760141/pharmacovigilance-in-israel-tools-processes-and-actions
#3
Eyal Schwartzberg, Matitiahu Berkovitch, Dorit Dil Nahlieli, Joseph Nathan, Einat Gorelik
BACKGROUND: Due to the limited safety data available at the time that a new medication is first marketed, it is essential to continue the collection and monitoring of safety data about adverse drug reactions (ADRs) during the medication's life cycle. This activity, known as pharmacovigilance (PV), is performed worldwide by the pharmaceutical industry as well as by regulatory agencies. In 2012, the Israeli Ministry of Health (MOH) established a Pharmacovigilance and Drug Information Department...
August 1, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28709440/the-effect-of-out-of-hours-surgery-service-in-israel-on-hip-fracture-fixation-outcomes-a-retrospective-analysis
#4
Yaniv Keren, Sybil Sailofsky, Doron Keshet, Michal Barak
BACKGROUND: 'Out of Hours Surgery Service' (OHSS) was implemented in Israel, amongst other reasons, in order to reduce the time interval between hospital admission and surgery and consequently improve outcomes. The OHSS is currently operated in the public hospitals in Israel. In this study we compared the data of patients before and after OHSS implementation to determine its efficacy in improving patient care. METHODS: This is a retrospective observational study of 792 adult patients who underwent hip fracture surgery between 2002 and 2007 in a single hospital...
July 15, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28705236/youth-drinking-and-acute-harm-a-perspective-from-the-uk-on-effective-engagement-opportunities
#5
John Larsen
ᅟ: Youth drinking is linked with acute harms and Emergency Departments (ED) are places where some of these harms become apparent. This commentary argues that there is a clear case for routinely monitoring alcohol harm at ED and delivering brief interventions to engage with people at a time when they may be more likely to consider lifestyle behaviour change. Based on insights from the UK, it is suggested that young people may not always easily be engaged through messages that focus directly on alcohol harm, and efforts to engage them through issues that matter to them (such as sexual harassment) might add to the effectiveness...
July 13, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28705191/knowledge-and-understanding-of-health-insurance-challenges-and-remedies
#6
Andrew J Barnes, Yaniv Hanoch
As coverage is expanded in health systems that rely on consumers to choose health insurance plans that best meet their needs, interest in whether consumers possess sufficient understanding of health insurance to make good coverage decisions is growing. The recent IJHPR article by Green and colleagues-examining understanding of supplementary health insurance (SHI) among Israeli consumers-provides an important and timely answer to the above question. Indeed, their study addresses similar problems to the ones identified in the US health care market, with two notable findings...
July 13, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28693549/equity-in-hta-what-doesn-t-get-measured-gets-marginalised
#7
Richard Cookson, Andrew J Mirelman
When making recommendations about the public funding of new health technologies, policy makers typically pay close attention to quantitative evidence about the comparative effectiveness, cost effectiveness and budget impact of those technologies - what we might call "efficiency" criteria. Less attention is paid, however, to quantitative evidence about who gains and who loses from these public expenditure decisions, and whether those who gain are better or worse off than the rest of the population in terms of their health - what we might call "equity" criteria...
July 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28666469/on-the-implications-of-desexualizing-vaccines-against-sexually-transmitted-diseases-health-policy-challenges-in-a-multicultural-society
#8
Baruch Velan, Yaacov Yadgar
Two vaccines against sexually transmitted infections are included in many national vaccination programs: Hepatitis B Virus (HBV) vaccine and Human Papilloma Virus (HPV) vaccine. The trajectories of the implementation of these two programs were marked by differences in the way the sexual context of risk was communicated to the public. These trajectories fluctuated between full accounts of the sexual nature of the infection and attempts to desexualize the vaccines. Vaccine desexualization can be achieved by withholding information of sexual context, blurring information, and distancing the age of vaccination from the age of sexual debut...
July 1, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28666468/binge-drinking-among-young-adults-in-an-urban-tertiary-care-emergency-department-in-israel
#9
Daphna Levinson, Paola Rosca, Doron Vilner, Idit Brimberg, Yael Stall, Ayelet Rimon
BACKGROUND: Alcohol use is a major preventable public health problem with serious health and social consequences especially among youth. In Israel, alcohol use has become an emerging problem during the last decade, and its use has increased among adolescents and young adults. Binge drinking is the common pattern of alcohol consumption among young adults who drink for recreational purposes. The present survey was conducted among 16-35 years old visitors to the ED. The aim was specifically to identify binge drinkers in order to assess the scope of the need for a brief counseling intervention among young people who arrive intoxicated to a large tertiary care urban ED in Israel...
July 1, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28666472/policy-entrepreneurship-in-the-reform-of-pediatric-dentistry
#10
Burton L Edelstein, William R Maas
In a recently published IJHPR article, Cohen and Horev ask whether an individual who holds rightful governmental power is able to effectively "challenge the equilibrium" in ways that might "clash with the goals" of an influential group". This question is raised within the context of a shift in governmental policy that imposed the potential for cost management by HMOs acting as financial intermediaries for pediatric dental care in an effort to provide Israeli children better access to affordable dental care...
June 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28659194/out-of-hospital-cardio-pulmonary-arrest-is-there-a-role-for-the-primary-healthcare-teams
#11
Shlomo Vinker
Out of hospital cardiac arrest (OHCA) remains a major cause of morbidity and mortality. The survival rates are poor and even more frustrating are the rates of neurologically favorable outcomes at hospital discharge. In a recent IJHPR article, Einav et al. concluded that many primary care clinics are underequipped and the physicians underprepared to initiate life-saving services. The chance of having an OHCA in a primary care clinic is very low. But although the impact is small, primary care teams as well as other out-of-hospital healthcare personal should be familiar with the telephone number for summoning emergency medical services (EMS), be aware of the location of the defibrillator in their clinic, and know how to use it...
June 28, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28655343/cardiopulmonary-arrest-in-primary-care-clinics-more-holes-than-cheese-a-survey-of-the-knowledge-and-attitudes-of-primary-care-physicians-regarding-resuscitation
#12
Sharon Einav, Oren Wacht, Nechama Kaufman, Eliezer Alkalay
BACKGROUND: Patients experiencing pre-arrest symptoms may first refer to their primary care physician. The study's aim was to determine the likelihood that a patient undergoing out-of-hospital cardiac arrest will receive appropriate resuscitation efforts in a primary care clinic in a country with a directive that clinics maintain resuscitation equipment and physicians undergo periodic resuscitation training. METHODS: An anonymous, 23-question online cross-sectional survey was created and administered to primary care physicians working in community clinics (10/1/2015-5/3/2015)...
June 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28662685/policy-entrepreneurship-and-policy-networks-in-healthcare-systems-the-case-of-israel-s-pediatric-dentistry-reform
#13
Nissim Cohen, Tuvia Horev
BACKGROUND: Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and how? Our goal is to examine two sides of the same coin: how does an in-depth analysis of Israel's dental care reform enrich our understanding of policy networks and policy entrepreneurship? Second, how does the literature on policy networks and policy entrepreneurship help us understand this reform? Based on a theoretical framework that appears in the literature of policy entrepreneurship and policy networks, we analyze the motivations, goals and strategies of the main actors involved in the process of reforming pediatric dental care in Israel...
April 21, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28653585/international-workshop-on-professionalism-in-the-practice-of-medicine-where-are-we-now
#14
Ora Paltiel, Lior Lowenstein, Jonathan Demma, Orly Manor
Medical professionalism refers to attributes, values, behaviors, responsibilities and commitments of physicians that are congruent with the public's expectations. An international workshop on medical professionalism took place at the Dead Sea, Israel, on December 11-12, 2016. The meeting brought together local medical professionals, physicians and others, as well as international experts, to discuss definitions of professionalism and wrestle with current challenges facing the profession including its perceived status and physician satisfaction, unprofessional behavior and its relation to health care quality and patient safety, and professionalism as a learned competence...
April 3, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28616160/cardiopulmonary-arrest-in-primary-care-clinics-more-holes-than-cheese-a-survey-of-the-knowledge-and-attitudes-of-primary-care-physicians-regarding-resuscitation
#15
Sharon Einav, Oren Wacht, Nechama Kaufman, Eliezer Alkalay
BACKGROUND: Patients experiencing pre-arrest symptoms may first refer to their primary care physician. The study's aim was to determine the likelihood that a patient undergoing out-of-hospital cardiac arrest will receive appropriate resuscitation efforts in a primary care clinic in a country with a directive that clinics maintain resuscitation equipment and physicians undergo periodic resuscitation training. METHODS: An anonymous, 23-question online cross-sectional survey was created and administered to primary care physicians working in community clinics (10/1/2015-5/3/2015)...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28593039/is-it-time-for-comprehensive-geriatric-assessment-to-move-beyond-primary-care-the-case-for-targeting-medical-sub-specialty-practice
#16
Laura K Byerly, G Michael Harper
Comprehensive geriatric assessment (CGA) as a consultative service for older adults with complex medical and psychosocial challenges has existed for decades. However, studies have often showed inconsistent acceptance and implementation of geriatric recommendations by primary care providers (PCPs) raising doubts about the overall benefits of CGA in this setting. Press and colleagues investigated the patient- and provider-related factors that affect recommendation implementation, and like previous studies, they too found similarly low rates of implementation...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28593038/comprehensive-healthcare-resource-use-among-newly-diagnosed-congestive-heart-failure
#17
Lori D Bash, Dahlia Weitzman, Robert O Blaustein, Ofer Sharon, Varda Shalev, Gabriel Chodick
BACKGROUND: Congestive heart failure (CHF) is among the most common causes of hospital admissions and readmissions in the Western world. However, the burden of ambulatory care has not been as well investigated. The objective of this study was to assess the relative burden and direct medical costs of CHF including inpatient and outpatient care. METHODS: We used longitudinal clinical data from a two-million member health organization in Israel (Maccabi Healthcare Services) to identify adults with newly diagnosed CHF between January 2006 and December 2012, either in the in- or outpatient setting...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28593037/targeted-approaches-to-improve-outcomes-for-highest-cost-patients
#18
EDITORIAL
Adam J Rose
Bash and colleagues, using data from Maccabi Healthcare Services, have documented increased cost and utilization attributable to patients with congestive heart failure (CHF). The CHF patients were older than the general population and had high rates of important comorbid conditions. While it is somewhat predictable that such a population would have higher healthcare utilization and costs, the extent of the difference was still surprising. Most CHF patients (78%) were hospitalized at least once, compared to only 21% of patients without CHF...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28572917/mobilizing-for-a-war-on-the-home-front-against-sugar-related-morbidity-and-mortality
#19
Dean Schillinger, James G Kahn
In Israel today, there are 420,200 Israelis diagnosed with diabetes, and every year, Israelis sustain thousands of diabetes-related deaths and tens of thousands of diabetes-related amputations. As such, in Israel, as in much of the world, there is a silent and deadly public health war against obesity and diabetes taking place on the home front -- one in which clinicians, patients, and families fight thousands of life- and limb-threatening battles daily, involving preventable heart disease, diabetes, strokes and amputations...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28560029/is-there-a-doctor-in-the-house-availability-of-israeli-physicians-to-the-workforce
#20
Pamela Kuflik Horowitz, Annarosa Anat Shemesh, Tuvia Horev
BACKGROUND: Israeli policymakers have expressed serious concerns about being able to meet the growing demand for physician services. For this reason, the Israel Ministry of Health (MoH) undertook studies based on 2008 and then 2012 data to obtain an accurate assessment of the size, specialty mix, demographic and geographic composition of the physician workforce. This paper highlights the findings from these studies about the number and percentage of licensed physicians in Israel who were not available, were only partially available, or were about to leave the Israeli healthcare workforce...
2017: Israel Journal of Health Policy Research
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