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[The challenge of providing high standard medical services in a public hospital].

Harefuah 2017 Februrary
INTRODUCTION: Kaplan Medical Center (KMC) provides medical services to about 1 million Israeli citizens. The southern plain region is one of the leading areas in terms of population growth in Israel and as a result, the demand for medical services is constantly on the rise. The workload at KMC is tremendous; over 140,000 referrals to the emergency department with a 6% increase each year. Bed occupancy in the internal wards is above 120% on average per year (the highest in Israel) and ambulatory care referrals are rising at an overwhelming pace. Nonetheless, even under such a burden, this hospital deals with medical quality on a daily basis. Medical quality in KMC can be evaluated in many ways. The hospital is an academic institute, affiliated to the Hebrew University Medical School in Jerusalem, educates medical students, employs interns and residents in dozens of wards and is accredited on behalf of the JCI. One cannot talk about quality without conducting research. Clinical research is a foundation stone in the hospital. Research is performed by both residents and specialists with no time set aside for that matter (as opposed to the USA), based on the understanding that you cannot provide high standards of care without investigating, understanding, innovating, developing and providing advanced evidence-based treatments. In this current issue of "Harefuah" we present original and review articles written by KMC's physicians, which reflect a sample of the diverse research activity being conducted in the hospital.

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