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Israel Journal of Health Policy Research

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https://www.readbyqxmd.com/read/29031281/double-disparities-in-the-health-care-for-people-with-schizophrenia-of-an-ethnic-national-minority
#1
Gilad Gal, Hanan Munitz, Itzhak Levav
BACKGROUND: Studies have shown health care disparities among persons of minority status, including in countries with universal health care. Yet, a dearth of studies have addressed disparities resulting from the combined effect of two minority status groups: severe mental illness and ethnic-national sector filiation. This study aimed to compare the differential health care of Jewish- and Arab-Israelis with schizophrenia in a country with a universal health insurance. METHOD: This study builds on a large case-control epidemiological sample (N = 50,499) of Jewish- (92...
October 15, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29029645/on-the-implications-of-desexualizing-vaccines-against-sexually-transmitted-diseases-reflections-from-a-practicing-pediatrician
#2
Amanda F Dempsey
Human papillomavirus (HPV) vaccination holds great promise for drastically reducing the incidence of HPV-associated cancers of the genital tract, and possibly also certain head and neck cancers. Unfortunately, rates of HPV vaccine utilization among adolescents are low in many countries. Many research studies have identified the fact that HPV is a sexually transmitted infection as a barrier to higher vaccination rates. This is related to providers' and parents' reluctance to discuss or consider the burgeoning sexuality of their child...
October 13, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29020975/workforce-planning-going-beyond-the-count
#3
Lewis G Sandy
Every country struggles with how best to meet the demand for health care services with the available resources. This commentary offers a perspective on the Israeli physician workforce and the analyses of Horowitz et al., which found age and gender differences in physician productivity and career longevity, differences across specialties, and a sizeable fraction of licensed Israeli physicians living abroad. Workforce planning can be subject to data collection and statistical uncertainties, but even more important are the assumptions and forecasts related to demand for services and organizational arrangements for care delivery...
October 11, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29017596/providers-and-patients-face-to-face-what-is-the-time
#4
Andrew D Racine
BACKGROUND: The frequency of visiting primary care providers and the duration of those visits varies substantially by patient demographics and across different developed countries. The significance of a cumulative measure of this time spent with providers in face-to-face visits is not well understood. COMMENTARY: In a recent IJHPR issue Nathan and co-authors have suggested a new metric for capturing the cumulative time spent annually in face-to-face encounters between providers and patients...
October 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28969717/the-role-of-the-physician-in-israel-s-maternal-child-health-clinics-surveys-of-professional-and-parental-perceptions
#5
Chen Stein-Zamir, Hannah Shoob, Deena R Zimmerman
BACKGROUND: Preventative health services are a pediatric health care cornerstone, which strives to promote health and prevent illness and injury. In Israel, Maternal Child Health Clinics (MCHC) provide these well child services for ages 0-6 years. MCHC care includes physician visits; however, the physician's role is not well defined. The study purpose was to provide a basis for setting policies that determine the role of physicians in the provision of MCHC services. To get broad input we included MCHC stakeholders - parents, MCHC physicians, non-MCHC physicians and MCHC nurses, specifically to obtain insights regarding the MCHC physician role and to characterize the stakeholder demographics, service utilization, and practice patterns...
October 2, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28969716/what-can-ecological-studies-tell-us-about-death
#6
Yehuda Neumark
Using an ecological study design, Gordon et al. (Isr J Health Policy Res 6:39, 2017) demonstrate variations in mortality patterns across districts and sub-districts of Israel during 2008-2013. Unlike other epidemiological study designs, the units of analysis in ecological studies are groups of people, often defined geographically, and the exposures and outcomes are aggregated, and often known only at the population-level. The ecologic study has several appealing characteristics (such as reliance on public-domain anonymous data) alongside a number of important potential limitations including the often mentioned 'ecological fallacy'...
October 2, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28969689/racial-and-ethnic-disparities-in-smoking-prevalence-in-israel-and-the-united-states-progress-to-date-and-prospects-for-the-future
#7
REVIEW
Daniel S Blumenthal
An article in this journal in 2016 demonstrated that smoking prevalence among Arab men in Israel is greater than among their Jewish counterparts born in Israel, while the reverse is true among Arab and Jewish Israeli women. This is reflected in lung cancer mortality rates. In the U.S., smoking prevalence in the mid-1960s was 20% higher in African American men than in white men, but has since decreased in both groups, and smoking prevalence in the two groups is now nearly identical. The black-white disparity in lung cancer mortality rates has been reduced by more than half as compared to its zenith in the early 1990s...
October 2, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28962636/strategies-for-patient-empowerment-through-the-promotion-of-medicines-in-israel-regulatory-framework-for-the-pharmaceutical-industry
#8
Eyal Schwartzberg, Zohar Barnett-Itzhaki, Itamar Grotto, Eli Marom
The correct and rational use of medications can have a positive direct impact on disease outcomes, as well on the utilization of the health system resources. Unfortunately, 50% of the patients do not take their medications as prescribed, largely due to lack of patients' understanding of their medical condition, as well as the lack of reliable medicine information.There are multiple strategies implemented in many countries to tackle this challenge including: disease awareness campaigns (DAC) to raise the public awareness to specific diseases, direct-to-consumer advertisement (DTCA) to raise the public awareness to prescription medicines, specific treatments and over-the-counter (OTC) products to improve the accessibility of patients to specific medicines...
September 29, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28954630/multi-disciplinary-patient-centered-model-for-the-expedited-provision-of-costly-therapies-in-community-settings-the-case-of-new-medication-for-hepatitis-c
#9
Nitzan Avisar, Yael Heller, Clara Weil, Aviva Ben-Baruch, Shani Potesman-Yona, Ran Oren, Gabriel Chodick, Varda Shalev, Nachman Ash
BACKGROUND: In January 2015, the first interferon-free direct-acting antiviral (DAA) therapy for chronic hepatitis C virus (HCV) infection was approved for inclusion in Israel's national basket of health services. During 2015, HCV genotype 1 patients with advanced liver fibrosis (stage F3-F4) were eligible for treatment with ombitasvir/paritaprevir/ritonavir and dasabuvir (OMB/PTV/r + DSV) provided through the four national health plans. As all health plans committed to identifying eligible patients nationwide, risk-sharing agreements created an additional incentive to develop an innovative model for rapid treatment delivery...
September 28, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28946915/regulating-the-relationship-between-physicians-and-pharmaceutical-companies-a-qualitative-and-descriptive-analysis-of-the-impact-of-israeli-legislation
#10
Rachel Nissanholtz-Gannot, Ariel Yankellevich
BACKGROUND: The Israeli National Health Insurance Law was amended in 2010 to require the disclosure of payments above 2500 NIS from pharmaceutical companies (PCs) to medical personnel and organizations. We examined if the law had an impact on the relationship between physicians in the Israeli health system and the pharmaceutical industry. METHODS: We conducted 42 in-depth semi-structured interviews with representatives of relevant stakeholders regarding the effects and extent of the law and the interviewees' attitudes about regulating the relationship between physicians and PCs...
September 26, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28836998/towards-comprehensive-and-effective-strategies-to-address-sexual-health
#11
Charmaine Gauci, Natasha Azzopardi-Muscat
Sexual health is an important global public health concern. Planning effective strategies to improve sexual health requires a high degree of attention to the local epidemiological trends and cultural context where the strategy is to be implemented. The paper by Chemtob et al. describes the process to develop a plan that aims to reduce the burden of Sexually Transmitted Infections in Israel by 2025. This commentary argues that increased attention to planning and implementation of sexual health policy is required in order to address the real burden of disease...
August 24, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28835267/workplace-violence-in-a-tertiary-care-israeli-hospital-a-systematic-analysis-of-the-types-of-violence-the-perpetrators-and-hospital-departments
#12
Sigal Shafran-Tikva, Revital Zelker, Zvi Stern, David Chinitz
BACKGROUND: Worldwide, there is a widespread and disturbing pattern of violence towards healthcare workers. However, violent occurrences in Israeli hospitals have often been unrecognized and underreported. Moreover, most studies have not sufficiently differentiated among the different types of violence. To examine the different types of violence experienced by nurses and physicians, the types of perpetrators and the specialty fields involved. METHODS: A quantitative questionnaire was used to assess the incidence of a "basket" of violent behaviors, divided into eight types of violent manifestations...
August 23, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28793928/a-new-marker-of-primary-care-utilization-annual-accumulated-duration-of-time-of-visits
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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