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Israel Journal of Health Policy Research

Nigel Edwards, Richard B Saltman
Public hospitals are well known to be difficult to reform. This paper provides a comprehensive six-part analytic framework that can help policymakers and managers better shape their organizational and institutional behavior. The paper first describes three separate structural characteristics which, together, inhibit effective problem description and policy design for public hospitals. These three structural constraints are i) the dysfunctional characteristics found in most organizations, ii) the particular dysfunctions of professional health sector organizations, and iii) the additional dysfunctional dimensions of politically managed organizations...
2017: Israel Journal of Health Policy Research
Asa Kasher
In 2008 a group of former soldiers of the Israel Defense Force (IDF) sued the Ministry of Defense and others, claiming they had suffered from medical problems that resulted from an IDF medical experiment in which they had participated in the 1970s. There was no compelling medical evidence with respect to causal relationships between their participation in the experiment and their later medical problems. The President of the District Court, Justice Hila Gerstl, appointed me, with the consent of the parties, to write a deposition with respect to the ethical aspects of the case...
2017: Israel Journal of Health Policy Research
Manfred S Green, Samah Hayek, Jalal Tarabeia, Mohammad Yehia, Neta HaGani
BACKGROUND: Knowledge and understanding of what health insurance covers is an important public health issue. In Israel, whereas national health insurance covers all residents, optional supplemental health insurance (SHI) can be purchased from the healthcare providers, for additional, special services. The purpose of this study was to identify disparities between Jews and Arabs in their knowledge and understanding of SHI. METHODS: National, cross-sectional, telephone survey using a structured questionnaire, among random samples of 814 Jews and 800 Arabs...
2017: Israel Journal of Health Policy Research
Lewis Goodrum, Prathibha Varkey
Prospective hazard analysis methodologies, like failure modes and effects analysis (FMEA), have been tried and tested in the engineering industry and are more recently gaining momentum in healthcare. Considering FMEA's evidence based successes, this commentary makes the case that healthcare is underutilizing the methodology by relying on retrospective hazard analysis. Healthcare leaders should determine where prospective hazard analysis principles could be better built into care delivery planning and processes that will enhance patient safety...
2017: Israel Journal of Health Policy Research
David C Goodman, Andrew A Goodman
In an article in this Journal, Mendlovic and colleagues report on regional variation in medical care across Israeli regions. This study joins a growing literature demonstrating generally high variation in the provision of health care services within developed countries. This commentary summarizes the status of medical care epidemiology and its studies of unwarranted variation in health care, and provides a conceptual framework to guide future studies. Recommendations are offered for advancing studies in Israel that could guide policy development and clinical improvement...
2017: Israel Journal of Health Policy Research
David T Levy, David B Abrams, Jeffrey Levy, Laura Rosen
[This corrects the article DOI: 10.1186/s13584-016-0101-8.].
2017: Israel Journal of Health Policy Research
Rosa R Baier, Vincent Mor
Despite widespread agreement that nursing homes' use of antipsychotic medications for residents without specific psychiatric diagnoses is a marker of poor quality of care, prevalence remains high. Additionally, variation suggests continued opportunity to improve care even in countries, like the United States, that have long-standing policies designed to decrease antipsychotic medication use. In a recent Israel Journal of Health Policy Research article, Frankenthal et al. presented results linking increased antipsychotic medication use prevalence in Tel Aviv nursing homes with facility characteristics, including some that "undermine quality of care," and called for increased national focus on this area...
2017: Israel Journal of Health Policy Research
Joseph Mendlovic, Ethel-Sherry Gordon, Ziona Haklai, Jill Meron, Arnon Afek
BACKGROUND: Medical practice variation refers to differences in health service utilization among regions in the same country. It is used as a tool for studying health inequities. In 2011, the OECD launched a Medical Practice Variation Project which examines regional differences within countries and explores the sources of the inter-regional differences. The aim of this study is to examine the patterns and trends in geographic variation for selected health services in Israel. METHODS: The analysis is based on data from the National Hospital Discharges Database (NHDD) of the Israeli Ministry of Health...
2017: Israel Journal of Health Policy Research
Vardit Ravitsky
The use of donor sperm or egg for reproduction raises the issue of the right of donor-conceived individuals to know their genetic origins. This paper argues in favor of acknowledging such a right and explores the challenges that cross-border medically assisted reproduction would raise in relation to it. It first explores possible justifications for such a right by discerning its possible conceptual and empirical groundings. It describes some key ethical and policy implications of the removal of donor anonymity...
2017: Israel Journal of Health Policy Research
Baruch Levi
BACKGROUND: The perceived health status indicator included in the OECD Health Statistics suffers from severe methodological limitations related to data collection. Furthermore, this indicator is also included in the OECD's Better Life Index, thus distorting the total health score of some OECD countries, among them Israel. The purpose of this paper is to explore the erroneous use of OECD health data in Israel and to warn of its implications. METHODS: Analysis of data from the OECD Health Database, Better Life Index and the Israeli Central Bureau of Statistics, review of media reports and governmental documents concerning health measures, conversations and correspondence held with officials in the relevant organizations...
2017: Israel Journal of Health Policy Research
Gary M Ginsberg
BACKGROUND: Consumption of sugar causes tooth decay, overweight and obesity related morbidities. This paper in response to the Minister of Health's request, provides estimates of the mortality, morbidity and health care costs attributable to sugar consumption in Israel along with the effects of reducing sugar consumption. METHODS: Gender specific relative risks of many diseases from overweight (25 < =BMI < 30) and obesity (BMI > =30) were applied to the national gender specific prevalence rates of overweight and obesity in order to calculate the population attributable fraction (PAF) from overweight and obesity...
2017: Israel Journal of Health Policy Research
Bruce Rosen, Avi Israeli
The Israel Journal of Health Policy Research (IJHPR) will soon be completing its fifth year of publication. In the 5 years since the IJHPR's launch in January 2012, it has published over 250 articles, achieved an impact factor of 1.35, and secured a place in many of the leading journal databases including, most recently, Medline. The IJHPR's annual rate of submissions continues to increase, with more and more submissions focusing on major system-wide developments in Israeli health care. The journal's accomplishments reflect the hard work and significant contributions of its authors, reviewers, commentators, editorial board members and sponsor - the National Institute for Health Policy Research...
2016: Israel Journal of Health Policy Research
Sherry Glied
As Ellen et al. point out, there is room for improvement in knowledge transfer between academic research and policymaking. At the same time, retrospective analyses of health policy often identify research influences on policymaking. Part of this paradox can be explained by the difference between the nature of research and the nature of policymaking. Research necessarily focuses on the past, examining changes that have already taken place. Policymakers want to understand how policy will shape the future. A key element of successful knowledge transfer is the use of mechanisms that allow past research to be used to forecast future policy consequences...
2016: Israel Journal of Health Policy Research
Hagai Boas, Anat Rosenthal, Nadav Davidovitch
BACKGROUND: During the summer of 2013, after samples of poliomyelitis virus were found in sewage, Israel launched an intensive national oral polio vaccine (OPV) campaign. The clinical objective of the campaign was rather clear. With not a single case of infantile paralysis and with a population already highly protected with IPV (a dead version of the vaccine), the goal was to foster collective immunity so that risk populations could also be protected. This, however, entailed a rather unusual issue: how to persuade parents whose children already received an IPV to re-vaccinate their children, now with a live yet attenuated version of the virus that was excluded from the national vaccination program in 2004...
2016: Israel Journal of Health Policy Research
Jonathan M Samet
In an article recently published in the IJHPR, Ginsberg and colleagues from Israel's Public Health Services estimate the disease burden from airborne particulate matter in Israel. Using national data on the concentration of PM2.5 (particulate matter less than 2.5 μm in aerodynamic diameter) and risk estimates from meta-analyses, they calculate that about 2000 deaths (4.7% of total deaths) are attributable to air pollution. Although inherently subject to uncertainty, such estimates are useful for motivating public health protection and gauging the stringency of any needed regulations...
2016: Israel Journal of Health Policy Research
David R Katz
Medical education is a dynamic and continually evolving process, some of which is style, and some of which is linked to changing perspectives in medical practice. A paper by Reis et al., taken in conjunction with the recent paper from an ad hoc International Review Committee (Schoenbaum et al.), provides a reflective view of where Israeli medical education stood in 2014 and places it in an international perspective. Reis at al also take this further, showing that in Israel change is occurring as a result of this review and comment on a number of important issues where further reflection, discussion, and work is required...
2016: Israel Journal of Health Policy Research
David J Weber, Walter Orenstein, William A Rutala
Influenza causes substantial morbidity and mortality worldwide each year. Healthcare-associated influenza is a frequent event. Health care personnel (HCP) may be the source for infecting patients and may propagate nosocomial outbreaks. All HCP should receive a dose of influenza vaccine each year to protect themselves and others. This commentary will discuss the study recently published in the IJHPR by Nutman and Yoeli which assessed the beliefs and attitudes of HCP in an Israel hospital regarding influenza and the influenza vaccine...
2016: Israel Journal of Health Policy Research
Gary Michael Ginsberg, Eilat Shinar, Eran Kopel, Daniel Chemtob
BACKGROUND: The present permanent deferral policy in Israel for MSM was established in 1977 and was based on the previous (now outdated) USA Food and Drug Administration standards. This study analyses epidemiological data regarding blood donations among MSM, in order to estimate the risk for HIV transfusion transmitted infection (TTI) if the policy is changed to allow at-risk MSM to donate blood. METHODS: An Excel based spreadsheet model integrated demographic, epidemiological data from the HIV National Register, laboratory, blood donation and testing data in order to calculate TTI due to false-negatives in known HIV+ donors, windows period donations, asymptomatic carriers and laboratory misclassification errors...
2016: Israel Journal of Health Policy Research
Carmel Shalev, Adi Moreno, Hedva Eyal, Michal Leibel, Rhona Schuz, Talia Eldar-Geva
The proliferation of medically assisted reproduction (MAR) for the treatment of infertility has brought benefit to many individuals around the world. But infertility and its treatment continue to be a cause of suffering, and over the past decade, there has been a steady growth in a new global market of inter-country medically assisted reproduction (IMAR) involving 'third-party' individuals acting as surrogate mothers and gamete donors in reproductive collaborations for the benefit of other individuals and couples who wish to have children...
2016: Israel Journal of Health Policy Research
Ayal Hassidim, Raeed Kayouf, Nirit Yavnai, Naomi Panush, David Dagan, Tarif Bader, Michael Hartal
BACKGROUND: The Israel Defense Forces Medical Corps (IDF MC) institutional review board (IRB) is one of approximately 50 IRBs active in Israel. In addition to routine IRB considerations it must also address in its deliberations specific safeguards in place in the IDF to protect research volunteers in the military environment. In this report, we present the characteristics of the IDF IRB, including the unique circumstances that led to a 2008 change in the pre-IRB advisory and preparatory process (APP)...
2016: Israel Journal of Health Policy Research
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