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Israel Journal of Health Policy Research

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https://www.readbyqxmd.com/read/29221461/seeking-a-second-medical-opinion-composition-reasons-and-perceived-outcomes-in-israel
#1
Liora Shmueli, Nadav Davidovitch, Joseph S Pliskin, Ran D Balicer, Igal Hekselman, Geva Greenfield
BACKGROUND: Seeking a second-opinion (SO) is a common clinical practice that can optimize treatment and reduce unnecessary procedures and risks. We aim to characterize the composition of the population of SO seekers, their reasons for seeking a SO and choosing a specific physician, and their perceived outcomes following the SO. METHODS: A cross-sectional national telephone survey, using a representative sample of the general Israeli population (n = 848, response rate = 62%)...
December 8, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29191229/medical-students-as-health-coaches-and-more-adding-value-to-both-education-and-patient-care
#2
Raymond H Curry
New ways of thinking about medicine and health care demand new methods in medical education. Over the past two decades, as both the practice and the study of medicine have become increasingly concerned with demonstrable outcomes, medical schools have developed new curricula in health systems science and are increasingly emphasizing students' development and demonstration of skills essential to a systems-based, outcomes-oriented practice environment.Polak and colleagues recently reported the development in Israel of one such curriculum, in lifestyle medicine, that includes opportunities for students to adopt the role of health coach...
November 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29191228/the-oncology-nurse-coordinator-role-perceptions-of-staff-members-and-nurse-coordinators
#3
Liza Monas, Orly Toren, Beatrice Uziely, David Chinitz
BACKGROUND: There is extensive evidence that the role of nurse coordinators is beneficial for patients. Nurse coordinators are more available to patients compared to general registered nurses, know better to control symptoms and work as team players with multiple care providers. Despite its significance, there is a dearth of literature on the subject in Israel and a lack of clarity regarding the definitions of the role in terms of responsibilities and authorities. The aim of the study is to: To examine how the role of nurse oncology coordinator is implemented in various fields of oncology and to describe the actual performance of different kinds of oncology nurse coordinators and staff perceptions regarding this role in one tertiary hospital in Jerusalem...
November 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29183376/the-danger-of-non-exhaustive-quality-measures-requiring-hip-fracture-repair-surgery-within-48-hours-a-case-study
#4
Kobi Peleg, Michael Rozenfeld, Avi Israeli
Quality measures are widely used globally in order to measure clinical performance and organizational efficiency of the healthcare systems. However, in a race to achieve certain numerically defined goal, the more important purpose of any organizational step being aimed at improving clinical outcomes could be overshadowed.The introduction of the requirement to perform most hip fracture surgeries in the first 48 h of hospitalization by the Israeli Ministry of Health (IMOH) provides an interesting example of the complexity of this phenomenon...
November 28, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29157303/promoting-adherence-to-medicines-possible-lessons-for-canada
#5
Nigel S B Rawson
Non-adherence to medication regimens is a major issue that can negatively impact patient health and wastes health care system resources. This commentary considers whether approaches to strategies undertaken in Israel to promote adherence could be viable in Canada. The structure of the Canadian health care system and budgetary constraints make new initiatives similar to those in Israel seem unlikely in Canada without some compelling stimulus.
November 20, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29157290/commentary-on-a-participatory-inquiry-paradigm-used-to-assess-eol-simulation-participant-outcomes-and-design
#6
Jane M Gannon
Care at the end-of-life has attracted global attention, as health care workers struggle with balancing cure based care with end-of-life care, and knowing when to transition from the former to the latter. Simulation is gaining in popularity as an education strategy to facilitate health care provider decision-making by improving communication skills with patients and family members. This commentary focuses on the authors' simulation evaluation process. When data were assessed using a participatory inquiry paradigm, the evaluation revealed far more than a formative or summative evaluation of participant knowledge and skills in this area of care...
November 20, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29141680/applying-a-community-based-participatory-research-approach-to-improve-access-to-healthcare-for-eritrean-asylum-seekers-in-israel-a-pilot-study
#7
Nora Gottlieb, Tomer Weinstein, Jonah Mink, Habtom M Ghebrezghiabher, Zebib Sultan, Rachel Reichlin
BACKGROUND: Israel hosts approximately 50,000 asylum seekers, most of them from Eritrea. Exclusive policies restrict their access to healthcare. In 2013, local activists partnered with Eritrean asylum seekers to assess health needs as well as willingness to pay for health insurance among the Eritrean communities. This initiative was meant as a step towards jointly advocating access to Israel's public healthcare system and towards strengthening collective efficacy among the asylum-seeking communities, as well as a first attempt to apply a community-based participatory research (CBPR) approach to migrant health research in Israel...
November 15, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29126459/emergency-department-waiting-times-in-a-tertiary-children-s-hospital-in-israel-a-retrospective-cohort-study
#8
Oren Feldman, Raviv Allon, Ronit Leiba, Itai Shavit
BACKGROUND: The purpose of this study was to assess ethnic differences in Emergency Department (ED) waiting times between Jewish and Arab children in a tertiary childrens' hospital in Israel. METHODS: This was a retrospective cohort study of all children who were admitted to the pediatric ED of the largest hospital in northern Israel, between January 2011 and December 2015. Univariate and multivariate analyses were used to assess the strength of association between ethnicity category and waiting time...
November 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29121991/medical-students-as-health-coaches-implementation-of-a-student-initiated-lifestyle-medicine-curriculum
#9
Rani Polak, Adi Finkelstein, Tom Axelrod, Marie Dacey, Matan Cohen, Dennis Muscato, Avi Shariv, Naama W Constantini, Mayer Brezis
BACKGROUND: By 2020, the World Health Organization predicts that two-thirds of all diseases worldwide will be the result of lifestyle choices. Physicians often do not counsel patients about healthy behaviors, and lack of training has been identified as one of the barriers. Between 2010 and 2014, Hebrew University developed and implemented a 58-h Lifestyle Medicine curriculum spanning five of the 6 years of medical school. Content includes nutrition, exercise, smoking cessation, and behavior change, as well as health coaching practice with friends/relatives (preclinical years) and patients (clinical years)...
November 10, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29110738/what-can-we-learn-from-simulation-based-training-to-improve-skills-for-end-of-life-care-insights-from-a-national-project-in-israel
#10
Mayer Brezis, Yael Lahat, Meir Frankel, Alan Rubinov, Davina Bohm, Matan J Cohen, Meni Koslowsky, Orit Shalomson, Charles L Sprung, Henia Perry-Mezare, Rina Yahalom, Amitai Ziv
BACKGROUND: Simulation-based training improves residents' skills for end-of-life (EOL) care. In the field, staff providers play a significant role in handling those situations and in shaping practice by role modeling. We initiated an educational intervention to train healthcare providers for improved communication skills at EOL using simulation of sensitive encounters with patients and families. METHODS: Hospital physicians and nurses (n = 1324) attended simulation-based workshops (n = 100) in a national project to improve EOL care...
November 6, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29089061/violence-against-physicians-and-nurses-in-a-hospital-how-does-it-happen-a-mixed-methods-study
#11
Sigal Shafran-Tikva, David Chinitz, Zvi Stern, Paula Feder-Bubis
BACKGROUND: Violence against medical personnel is unexpected in hospitals which are devoted to healing, and yet, it is frequent and of concern in the health system. Little is known about the factors that lead to hospital violence, and even less is known about the interactions among these factors. The aim of the study was to identify and describe the perceptions of staff and patients regarding the factors that lead to violence on the part of patients and those accompanying them. METHODS: A mixed-methods study in a large, general, university tertiary hospital...
October 31, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29084599/would-it-be-legally-justified-to-impose-vaccination-in-israel-examining-the-issue-in-light-of-the-2013-detection-of-polio-in-israeli-sewage
#12
Shelly Kamin-Friedman
BACKGROUND: The detection of wild poliovirus in Israeli sewage in May 2013 led the health authorities to decide that children who had been vaccinated with IPV would also be vaccinated with OPV. The decision sought to protect vulnerable Israeli individuals who were either not vaccinated with IPV or who suffered from an immune deficiency, to preserve Israel's status as a polio-free country, to prevent the virus' "exportation" into vulnerable polio-free countries, and to participate in the global efforts toward the eradication of polio...
October 30, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29073939/a-comparison-of-decisions-to-discharge-committed-psychiatric-patients-between-treating-physicians-and-district-psychiatric-committees-an-outcome-study
#13
Daniel Argo, Igor Barash, Gadi Lubin, Moshe Z Abramowitz
BACKGROUND: The Israel Mental Health Act of 1991 stipulates a process for involuntary psychiatric hospitalization (IPH). A patient thus hospitalized may be discharged by either the treating psychiatrist (TP) or the district psychiatric committee (DPC). The decision rendered by the DPC is often at odds with the recommendation of the TP. Although much has been written about the ethical issues of restricting patients' rights and limiting their freedom, far less attention has been devoted to the psychiatric, medical, and social outcome of legal patient discharge against the doctor's recommendation...
October 26, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29031281/double-disparities-in-the-health-care-for-people-with-schizophrenia-of-an-ethnic-national-minority
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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