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Israel Journal of Health Policy Research

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https://www.readbyqxmd.com/read/27933140/mitigating-pharmaceutical-waste-exposures-policy-and-program-considerations
#1
EDITORIAL
Eric D Amster
Pharmaceutical disposal and the environmental fate of medication metabolites directly impacts the public's health in two significant ways: accidental medication ingestion of pharmaceuticals that were not disposed of properly results in inadvertent toxicity; and environmental health consequences of pharmaceuticals that were inappropriately disposed and which contaminate municipal water supply. In reviewing the effectiveness of medication disposal policy globally, it is crucial to not only determine which policies are effective but also to assess why they are effective...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27895894/social-media-as-a-platform-for-science-and-health-engagement-challenges-and-opportunities
#2
EDITORIAL
Graham Dixon
Social media has become a major platform for debates on science and health. This commentary argues that while social media can present challenges to communicating important health matters, it can also provide health experts a unique opportunity to engage with and build trust among members of the public.
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27879970/mortality-hospital-days-and-expenditures-attributable-to-ambient-air-pollution-from-particulate-matter-in-israel
#3
Gary M Ginsberg, Ehud Kaliner, Itamar Grotto
BACKGROUND: Worldwide, ambient air pollution accounts for around 3.7 million deaths annually. Measuring the burden of disease is important not just for advocacy but also is a first step towards carrying out a full cost-utility analysis in order to prioritise technological interventions that are available to reduce air pollution (and subsequent morbidity and mortality) from industrial, power generating and vehicular sources. METHODS: We calculated the average national exposure to particulate matter particles less than 2...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27879969/factors-associated-with-choice-of-approach-for-group-b-streptococcus-screening
#4
H Sefty, A Klivitsky, M Bromberg, R Dichtiar, M Ben Ami, T Shohat, A Glatman-Freedman
BACKGROUND: The crude rate of early-onset Group B streptococcus disease (EOGBS) in Israel has been consistently under 0.5 for 1000 live births for the past 8 years. The Israeli Ministry of Health has adapted the risk factor based approach for preventing EOGBS and universal bacteriological screening for GBS is not recommended. In spite of this policy, there are indications that many pregnant women in Israel undergo bacteriological screening for GBS. The objective of this study is to assess the rate and characteristics of pregnant women who undergo screening for group B streptococcus (GBS) colonization in Israel...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27843544/social-media-as-a-platform-for-health-related-public-debates-and-discussions-the-polio-vaccine-on-facebook
#5
Daniela Orr, Ayelet Baram-Tsabari, Keren Landsman
BACKGROUND: Social media can act as an important platform for debating, discussing, and disseminating information about vaccines. Our objectives were to map and describe the roles played by web-based mainstream media and social media as platforms for vaccination-related public debates and discussions during the Polio crisis in Israel in 2013: where and how did the public debate and discuss the issue, and how can these debates and discussions be characterized? METHOD: Polio-related coverage was collected from May 28 to October 31, 2013, from seven online Hebrew media platforms and the Facebook groups discussing the Polio vaccination were mapped and described...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27833744/policies-to-mitigate-health-inequity-a-comparison-of-israel-and-24-developing-countries
#6
EDITORIAL
Daniel Cotlear
Efforts to mitigate health inequity are at the heart of health policy in Israel and in many developing countries seeking to advance toward universal health coverage. This commentary uses the conceptual framework and the description of health policy interventions presented in a recent IJHPR article to compare policies implemented by Israel's Ministry of Health during 2011-2014 with policies under implementation in 24 developing countries, and identifies key differences and similarities. It also identifies three areas of policy where Israel seems to have strong capacities that are in high demand in developing countries...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27826413/parental-regret-regarding-children-s-vaccines-the-correlation-between-anticipated-regret-altruism-coping-strategies-and-attitudes-toward-vaccines
#7
Yaira Hamama-Raz, Eyal Ginossar-David, Menachem Ben-Ezra
BACKGROUND: Parental hesitancy for recommended childhood vaccines is a growing public health concern influenced by various factors. This study aimed to explore regret regarding parental decisions to vaccinate their children via possible correlations between anticipated regret, altruism, coping strategies, and parents' attitudes toward the vaccination of their children. METHODS: The study was conducted during 2014 in Israel. Data were collected via snowballing methodology (i...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27826412/a-patient-centred-approach-to-embryo-donation-for-research
#8
EDITORIAL
Catarina Samorinha, Susana Silva
Most couples enrolled in Assisted Reproductive Technologies' (ART) treatments need to make decisions regarding embryo disposition, as they are asked to sign a consent form about embryo donation for research. Beyond the current assessment of patients' individual experiences and levels of satisfaction with care delivery, we argue that it is crucial to provide stakeholders in health systems with feedback on patients' views about legal and regulatory frameworks. Such knowledge will lend credence and robustness to the consent that the couples give, and will contribute to the implementation of informed relational ethics in clinical practice and to improved patient-centredness in the field of ART...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27822359/dental-reform-in-israel-s-national-health-insurance-law-has-helped-children-and-their-families-but-what-s-next
#9
EDITORIAL
Carlos Quiñonez
Through a nationally-representative survey of 6 year-old children, Natapov, Sasson and Zusman demonstrate that the 2010 dental reform to the National Health Insurance Law (NHIL) has helped to improve the oral health of children in Israel. While the prevalence of dental caries (tooth decay) in Israel's children has remained relatively stable over time, compared to previous surveys, children now have more treated than untreated disease, suggesting that the NHIL reform has increased utilization and access to dental care, and arguably improved the quality of life of children and their families...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27822358/introducing-a-change-in-hospital-policy-using-fmea-methodology-as-a-tool-to-reduce-patient-hazards
#10
Fanny Ofek, Racheli Magnezi, Yaffa Kurzweil, Inbal Gazit, Sofia Berkovitch, Orna Tal
BACKGROUND: Intravenous potassium chloride (IV KCl) solutions are widely used in hospitals for treatment of hypokalemia. As ampoules of concentrated KCL must be diluted before use, critical incidents have been associated with its preparation and administration. Currently, we have introduced ready-to-use diluted KCl infusion solutions to minimize the use of high-alert concentrated KCl. Since this process may be associated with considerable risks, we embraced a proactive hazard analysis as a tool to implement a change in high-alert drug usage in a hospital setting...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27822357/donation-of-surplus-frozen-pre-embryos-to-research-in-israel-underlying-motivations
#11
Aviad Raz, Jonia Amer-Alshiek, Mor Goren-Margalit, Gal Jacobi, Alyssa Hochberg, Ami Amit, Foad Azem, Hadar Amir
BACKGROUND: The high number of IVF procedures performed in Israel has had an unforeseen consequence: accumulation of large amounts of surplus frozen embryos. After five years that the frozen embryos are kept for free, patients need to make an embryo disposition decision. One option is donation for research. The donation rate in Israel is very low. Our aim was to understand the attitudes, values and perceptions of female IVF patients that decided to donate their surplus frozen embryos to research...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27800154/influenza-vaccination-motivators-among-healthcare-personnel-in-a-large-acute-care-hospital-in-israel
#12
Amir Nutman, Naomi Yoeli
BACKGROUND: Vaccinating healthcare personnel (HCP) against influenza is important to prevent transmission and morbidity among patients and staff. METHODS: We conducted an online survey assessing knowledge, perceptions and attitudes concerning influenza vaccination among HCP. Multivariate logistic regression was performed to identify independent predictors of vaccination. RESULTS: The survey was completed by 468 HCP representing all categories of staff...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27766144/household-medical-waste-disposal-policy-in-israel
#13
Zohar Barnett-Itzhaki, Tamar Berman, Itamar Grotto, Eyal Schwartzberg
BACKGROUND: Large amounts of expired and unused medications accumulate in households. This potentially exposes the public to hazards due to uncontrolled use of medications. Most of the expired or unused medications that accumulate in households (household medical waste) is thrown to the garbage or flushed down to the sewage, potentially contaminating waste-water, water resources and even drinking water. There is evidence that pharmaceutical active ingredients reach the environment, including food, however the risk to public health from low level exposure to pharmaceuticals in the environment is currently unknown...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27766143/what-health-care-services-does-the-public-want-and-who-should-decide-ask-them
#14
Adele Diederich
Most of the parties involved in healthcare decisions - governments, politicians, healthcare professionals, pharmaceutical companies, special interest groups - actively work to make their desires known. In Israel the public is part of the decision committee; in Germany health care decision are made more or less without the public being involved. In a recently published IJHPR article, Giora Kaplan and Orna Baron-Epel raise the question of how well acquainted senior decision makers in the Israeli health system are with the public's priorities regarding the services being considered for inclusion in the public funding list...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27766142/hyperemesis-gravidarum-is-associated-with-substantial-economic-burden-in-addition-to-severe-physical-and-psychological-suffering
#15
Jone Trovik, Åse Vikanes
Hyperemesis gravidarum (HG) affects 1 % of all pregnant women and in western societies it is the most common cause for hospital admission during first trimester. The economic burden of the disease has barely been studied. To estimate the Israeli national burden of HG, Konikoff and co-workers obtained data retrospectively on hospital costs as well as loss of workdays from 184 women hospitalized due to HG from December 2010 until December 2013. Their findings emphasise the need for better treatment to reduce the burden of this disease both for the individual as well as the society...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27733902/perception-of-primary-care-physicians-on-the-impact-of-comprehensive-geriatric-assessment-what-is-the-next-step
#16
Pei Chen, Michael A Steinman
Older adults are at high risk of developing multimorbidity, and the high levels of clinical and psychosocial complexity in this population pose special challenges for primary care physicians (PCPs). As a way to improve the care for the older adults, a number of health systems have developed programs to provide comprehensive geriatric assessment (CGA), which generally refers to an intensive interprofessional evaluation and management of geriatric syndromes with the goals of maximizing health in aging. Sternberg and Bentur examined the impact of CGA as perceived by PCPs, the PCPs attitude toward CGA, and their satisfaction with CGA...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27733901/hyperemesis-gravidarum-in-northern-israel-a-retrospective-epidemiological-study
#17
Tom Konikoff, Tehila Avraham, Ella Ophir, Jacob Bornstein
BACKGROUND: Hyperemesis gravidarum (HG) is characterized by severe intractable nausea and vomiting in pregnancy leading to electrolyte imbalance, ketonuria, and weight loss. The cause is unknown. This study sought to investigate the prevalence and characteristics of HG in the Western Galilee in two ethnic populations and to estimate its economic burden. METHODS: Data on ethnicity, age, gestational age, number of pregnancies, and length of hospitalization were collected from the medical files of all women with HG admitted to the Galilee Medical Center in 2010-2013...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27708769/does-dental-health-of-6-year-olds-reflect-the-reform-of-the-israeli-dental-care-system
#18
Lena Natapov, Avi Sasson, Shlomo P Zusman
BACKGROUND: The National health insurance law enacted in 1995 did not include dental care in its basket of services. Dental care for children was first included in 2010, initially up till 8 years of age. The eligibility age rose to 12 years in 2013. The dental survey of 6 year-olds in 2007 found that the average of decayed, missing and filled teeth index (dmft) was 3.31 and 35 % of children were caries free. The current cross sectional survey of dental health for 6 year-olds was conducted as a comparison to the pre-reform status...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27688874/medical-education-in-israel-2016-five-medical-schools-in-in-a-period-of-transition
#19
Shmuel Reis, Jacob Urkin, Rachel Nave, Rosalie Ber, Amitai Ziv, Orit Karnieli-Miller, Dafna Meitar, Peter Gilbey, Dror Mevorach
ABSTRACT: We reviewed the existing programs for basic medical education (BME) in Israel as well as their output, since they are in a phase of reassessment and transition. The transition has been informed, in part, by evaluation in 2014 by an International Review Committee (IRC). The review is followed by an analysis of its implications as well as the emergent roadmap for the future. The review documents a trend of modernizing, humanizing, and professionalizing Israeli medical education in general, and BME in particular, independently in each of the medical schools...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27688873/the-cost-and-value-of-cancer-drugs-are-new-innovations-outpacing-our-ability-to-pay
#20
EDITORIAL
Daniel A Goldstein, Salomon M Stemmer, Noa Gordon
Cancer drug expenditures have been increasing significantly in countries around the world. A recent paper in the IJHPR provides new knowledge and insights into this global phenomenon by analyzing how it is playing out in an Israeli health plan with over two million members, whose state-of-the-art information systems provide an opportunity to explore these changes in a comprehensive, detailed and reliable manner. There is a wide variation in both the cost-effectiveness and the budget impact of individual drugs...
2016: Israel Journal of Health Policy Research
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