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Israel Journal of Health Policy Research

Yael Keshet, Ariela Popper-Giveon
BACKGROUND: Segregation within the healthcare system is commonly associated with disparities in the utilization of health services and in the outcomes of medical care. In Israel, the Jewish majority and the Arab minority populations are treated in the same healthcare organizations. Nevertheless, demands for ethnic separation in inpatient rooms are raised at times by patients, despite the principle of prohibiting discrimination between patients on the grounds of religion, race, sex and nationality...
November 15, 2018: Israel Journal of Health Policy Research
Sabina Lissitsa, Galit Madar
BACKGROUND: The current research focuses on trends of Internet adoption and digital uses among people with disabilities over a thirteen-year period. METHODS: The study is based on data elicited from a repeated cross-sectional study collected by means of Annual Social Surveys conducted by Israel's Central Bureau of Statistics between 2003 and 2015. The sample included 95,145 respondents, among them 22,290 respondents with disabilities. RESULTS: The rate of Internet access and digital uses increased continuously among disabled people; however the gap between them and the population without disabilities was preserved...
October 26, 2018: Israel Journal of Health Policy Research
Harold A Pollack
Hagit Bonny-Noach notes the challenging history of illicit substance use among Israeli backpackers. Few Israeli practices are more normative than the backpacking-trip as a rite of passage. Unsurprisingly, backpacking in far-off locales provides occasion to experiment with the various intoxicating experiences young adult life has to offer.Some such experimentation is expected, and often developmentally appropriate. It also carries real risks and causes real harms. Israeli policymakers' efforts to address this issue underscore both the necessity and the difficulty of harm reduction...
October 24, 2018: Israel Journal of Health Policy Research
Aviad Tur-Sinai, Racheli Magnezi, Haya Grinvald-Fogel
BACKGROUND: The study documents a direct relationship between individuals' health and patterns of healthcare expenditure by isolating single-person households and creating a new reference group in which household healthcare expenditure is based on one person's expenditure patterns in accordance with his or her own state of health. METHOD: The study matched two surveys using Propensity Score Matching based on single-person household, age, and gender. Structural Equation Modeling (SEM) explores paths of relation between the population's income and socioeconomic level and its health self-assessment and expenditure...
October 15, 2018: Israel Journal of Health Policy Research
Claudia B Maier, Hannah Budde, James Buchan
Chronic conditions and health inequalities are increasing worldwide. Against this backdrop, several countries, including Israel, have expanded the roles of nurses as one measure to strengthen the primary care workforce. In Israel, community nurses work in expanded roles with increased responsibilities for patients with chronic conditions. They also work increasingly in the field of health promotion and disease prevention. Common barriers to role change in Israel are mirrored by other countries. Barriers include legal and financial restrictions, resistance by professional associations, inflexible labor markets and lack of resources...
October 12, 2018: Israel Journal of Health Policy Research
Joshua J Robinson, Nicholas Mays, Alec Fraser
There is keen interest in many jurisdictions in finding ways to improve the way that research evidence informs policy. One possible mechanism for this is to embed academics within government agencies either as advisers or full staff members. Our commentary argues that, in addition to considering the role of academics in government as proposed by Glied and colleagues, we need to understand better how research and policy interactions function across policy sectors. We believe more comparative research is needed to understand if and why academics from certain disciplines are more likely to be recruited to work in some policy sectors rather than others...
October 3, 2018: Israel Journal of Health Policy Research
Adalsteinn Brown, Greg Marchildon, Stephen Bornstein, Moriah Ellen
Interactions between government and academia can be an important support to effective policy and they can also ground researchers' methods and perspectives more strongly in the realities of policy-making and politics, leading to more relevant research. If properly developed, these interactions can lead to relationships between government and academia that re-enforce evidence-informed policy and useful research. However, strong relationships require repeated interactions and strong personal connections, something that can be supported through careers that cross academia and government...
October 2, 2018: Israel Journal of Health Policy Research
Moira Inkelas, Frank Oberklaid
The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems of care more responsive to the developmental and social needs of young children and their families. Some countries have physician-centric models, either general physicians or paediatricians, while others rely on nurses. There is increasing recognition that the goal of any model should be parent-professional partnership that puts families at the center, elicits and responds to family needs, anticipates and supports families with developmental transitions, and fits within a seamless system of services and supports...
October 1, 2018: Israel Journal of Health Policy Research
Sherry Glied, Raphael Wittenberg, Avi Israeli
No abstract text is available yet for this article.
October 1, 2018: Israel Journal of Health Policy Research
Gary L Kreps
Patient understanding of health care recommendations provided by health care professionals is essential to enabling active and informed patient participation in care. Unfortunately, evidence suggests that patients often seriously misunderstand relevant health information provided to them, leading to errant patient decisions about their care. This commentary examines key communication factors that influence patient understanding and argues for a comprehensive approach to assessing and promoting patient comprehension...
September 18, 2018: Israel Journal of Health Policy Research
Shachaf Shiber, Rona Zuker-Herman, Michael J Drescher, Marek Glezerman
BACKGROUND: Previous studies have shown that, in a variety of health care settings, patients often do not understand what health care professionals tell them about their diagnoses and care plans; this is particularly true among male patients. Emergency department (ED) settings present unique challenges to communication with patients due to the rapid pace of activity, substantial changes in personnel over the course of the day and the week, and the need for fast decision-making processes...
September 18, 2018: Israel Journal of Health Policy Research
Amanda Weidner, Ardis Davis
Primary care is a crucial part of a functional health care system, though in many parts of the world there are current or projected gaps in the primary care physician workforce. The academic family medicine organizations in the United States (US) developed the "Four Pillars for Primary Care Physician Workforce," a model built on decades of research, highlighting four main areas of emphasis for increasing primary care physician output: 1) pipeline; 2) process of medical education; 3) practice transformation; and 4) payment reform...
September 14, 2018: Israel Journal of Health Policy Research
Ephraim Shapiro, Avi Zigdon, Rachel Nissanholtz-Gannot
BACKGROUND: There are distinctive potential barriers to optimal health care in Judea and Samaria because of access and satisfaction levels, including obstacles such as its isolation and health care capacity. However, there is a lack of research focusing on health care for the Jewish communities in this region, often referred to as the West Bank. RESEARCH QUESTIONS: What is the level of health care access and satisfaction for Israelis living in the Jewish communities in Judea and Samaria? How do these results compare to parallel results for Israelis in general? How do these results vary by subgroups, in particular by location? METHODS: Two hundred fourty six residents of Judea and Samaria in six diverse, Jewish communities were surveyed, with a 76% response rate...
September 3, 2018: Israel Journal of Health Policy Research
M Endeweld, R Goldsmith, R Endevelt
BACKGROUND: Food supply to poor populations is a big challenge, particularly in periods of economic stress and in an era of chronic diseases epidemics. In Israel more than 4000 poor families are currently receiving food support. Many of the food support products given to the family have low nutrient values, therefore not appropriately ensuring food security of the population. The aim of the current study was to examine for the first time the demographic, nutritional and chronic diseases profiles of food support beneficiaries, so as to aid in planning future food support components in Israel...
August 30, 2018: Israel Journal of Health Policy Research
Maya Lavie-Ajayi, Galia S Moran, Itzhak Levav, Rotem Porat, Tal Reches, Margalit Goldfracht, Gilad Gal
BACKGROUND: Epidemiological studies show disparities in the provision of physical health-care for people with severe mental illness. This observation includes countries with universal health insurance. However, there is limited in-depth data regarding the barriers preventing equality of physical health-care provision for this population. This study applied the capabilities approach to examine the interface between general practitioners and patients with severe mental illness. The capabilities approach provides a framework for health status which conceptualizes the internal and external factors relating to the available options (capabilities) and subsequent health outcomes (functioning)...
August 27, 2018: Israel Journal of Health Policy Research
Amnon Lahad, Andrew Bazemore, Davorina Petek, William R Phillips, Dan Merenstein
Family Medicine (FM) is the care of unselected patients with undifferentiated problems in the settings where people need care in our communities. It is intellectually challenging, providing breadth and depth unparalleled in other areas of medical practice. In one survey only 19% of Israeli students reported being interested in FM. Students interested in FM had greater interest in bedside and direct long-term patient care. Students not planning FM residency training had preconceived notions that the discipline had lower academic opportunities and prestige...
August 25, 2018: Israel Journal of Health Policy Research
Felicity Plaat, Catherine Harris
Specialist antenatal clinics are increasingly being used to enable anaesthetists to evaluate pregnant women with co-morbidities and those at high risk of obstetric complications. In this journal a team from Israel describe the process of setting up and running such a clinic over a 14 year period. One of the challenges they identify was the limited referral of high risk women. Based on UK and US literature, the use of structured referral tools, clear criteria for referral and regular antenatal multidisciplinary meetings may help to address this...
August 21, 2018: Israel Journal of Health Policy Research
Miriam Ryvicker
The occupational health and safety of direct care workers in the home health setting has been the focal point of a somewhat scarce, though highly important, body of research. Although the demand for home care services continues to expand with the rapidly growing population of older adults worldwide, home care workers - such as home health aides and personal care attendants - do not have the same level of protections by workplace safety policies such as those implemented in hospitals and nursing homes. This commentary synthesizes international perspectives on the occupational health and safety of home care workers, including the problem of workers' rights violations and abuse by clients and their families...
August 20, 2018: Israel Journal of Health Policy Research
Anatole S Menon-Johansson
The ongoing rise of sexually transmitted infections (STIs) poses a global public health challenge and the risk of acquiring one of these infections depends upon sexual practices, the number of sexual encounters and the location of that individual within the sexual network. Commercial sex workers (CSWs) have potentially a pivotal role in the transmission of STIs; however, a new study presented in this journal describes markers of risk but no increase in infections amongst men who pay for sex (MPS). This commentary highlights some of the growing evidence regarding STI prevention and the value of using these tools to protect CSWs, their clients and by extension the sexual partners of MPS...
August 6, 2018: Israel Journal of Health Policy Research
Richard H Glazier
No abstract text is available yet for this article.
August 3, 2018: Israel Journal of Health Policy Research
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