Articles

Workplace violence in a tertiary care Israeli hospital - a systematic analysis of the types of violence, the perpetrators and hospital departments

Worldwide, there is a widespread and disturbing pattern of violence towards healthcare workers. However, violent occurrences in Israeli hospitals have often been unrecognized and underreported. Moreover, most ...

Authors: Sigal Shafran-Tikva, Revital Zelker, Zvi Stern and David Chinitz

A new marker of primary care utilization - annual accumulated duration of time of visits

Most of the research on primary care workload has focused on the number of visits or the average duration of visits to a primary care physician (PCP) and their effect on the quality of medical care. However, t...

Authors: Talya A. Nathan, Arnon D. Cohen and Shlomo Vinker

Regional variations in mortality and causes of death in Israel, 2009–2013

Regional variations in mortality can be used to study and assess differences in disease prevalence and factors leading to disease and mortality from different causes. To enable this comparison, it is important...

Authors: Ethel-Sherry Gordon, Ziona Haklai, Jill Meron, Miriam Aburbeh, Inbal Weiss Salz, Yael Applbaum and Nehama F. Goldberger

Pharmacovigilance in Israel – tools, processes, and actions

Due to the limited safety data available at the time that a new medication is first marketed, it is essential to continue the collection and monitoring of safety data about adverse drug reactions (ADRs) during...

Authors: Eyal Schwartzberg, Matitiahu Berkovitch, Dorit Dil Nahlieli, Joseph Nathan and Einat Gorelik

The effect of ‘Out of hours surgery Service’ in Israel on hip fracture fixation outcomes: a retrospective analysis

‘Out of Hours Surgery Service’ (OHSS) was implemented in Israel, amongst other reasons, in order to reduce the time interval between hospital admission and surgery and consequently improve outcomes. The OHSS i...

Authors: Yaniv Keren, Sybil Sailofsky, Doron Keshet and Michal Barak

Youth drinking and acute harm: a perspective from the UK on effective engagement opportunities

Youth drinking is linked with acute harms and Emergency Departments (ED) are places where some of these harms become apparent. This commentary argues that there is a clear case for routinely monitoring alcohol...

Authors: John Larsen

Knowledge and understanding of health insurance: challenges and remedies

As coverage is expanded in health systems that rely on consumers to choose health insurance plans that best meet their needs, interest in whether consumers possess sufficient understanding of health insurance ...

Authors: Andrew J. Barnes and Yaniv Hanoch

Equity in HTA: what doesn’t get measured, gets marginalised

When making recommendations about the public funding of new health technologies, policy makers typically pay close attention to quantitative evidence about the comparative effectiveness, cost effectiveness and...

Authors: Richard Cookson and Andrew J. Mirelman

Binge drinking among young adults in an urban tertiary care emergency department in Israel

Alcohol use is a major preventable public health problem with serious health and social consequences especially among youth. In Israel, alcohol use has become an emerging problem during the last decade, and it...

Authors: Daphna Levinson, Paola Rosca, Doron Vilner, Idit Brimberg, Yael Stall and Ayelet Rimon

On the implications of desexualizing vaccines against sexually transmitted diseases: health policy challenges in a multicultural society

Two vaccines against sexually transmitted infections are included in many national vaccination programs: Hepatitis B Virus (HBV) vaccine and Human Papilloma Virus (HPV) vaccine. The trajectories of the impleme...

Authors: Baruch Velan and Yaacov Yadgar

Policy entrepreneurship in the reform of pediatric dentistry

In a recently published IJHPR article, Cohen and Horev ask whether an individual who holds rightful governmental power is able to effectively “challenge the equilibrium” in ways that might “clash with the goal...

Authors: Burton L. Edelstein and William R. Maas

Out of hospital Cardio-pulmonary arrest - Is there a role for the primary healthcare teams?

Out of hospital cardiac arrest (OHCA) remains a major cause of morbidity and mortality. The survival rates are poor and even more frustrating are the rates of neurologically favorable outcomes at hospital disc...

Authors: Shlomo Vinker

Cardiopulmonary arrest in primary care clinics: more holes than cheese: a survey of the knowledge and attitudes of primary care physicians regarding resuscitation

Patients experiencing pre-arrest symptoms may first refer to their primary care physician. The study's aim was to determine the likelihood that a patient undergoing out-of-hospital cardiac arrest will receive ...

Authors: Sharon Einav, Oren Wacht, Nechama Kaufman and Eliezer Alkalay

Targeted approaches to improve outcomes for highest-cost patients

Bash and colleagues, using data from Maccabi Healthcare Services, have documented increased cost and utilization attributable to patients with congestive heart failure (CHF). The CHF patients were older than t...

Authors: Adam J. Rose

Is it time for comprehensive geriatric assessment to move beyond primary care? The case for targeting medical sub-specialty practice

Comprehensive geriatric assessment (CGA) as a consultative service for older adults with complex medical and psychosocial challenges has existed for decades. However, studies have often showed inconsistent acc...

Authors: Laura K. Byerly and G. Michael Harper

Comprehensive healthcare resource use among newly diagnosed congestive heart failure

Congestive heart failure (CHF) is among the most common causes of hospital admissions and readmissions in the Western world. However, the burden of ambulatory care has not been as well investigated. The object...

Authors: Lori D. Bash, Dahlia Weitzman, Robert O. Blaustein, Ofer Sharon, Varda Shalev and Gabriel Chodick

Mobilizing for a war on the home front against sugar-related morbidity and mortality

In Israel today, there are 420,200 Israelis diagnosed with diabetes, and every year, Israelis sustain thousands of diabetes-related deaths and tens of thousands of diabetes-related amputations. As such, in Isr...

Authors: Dean Schillinger and James G. Kahn

Is there a doctor in the house? Availability of Israeli physicians to the workforce

Israeli policymakers have expressed serious concerns about being able to meet the growing demand for physician services. For this reason, the Israel Ministry of Health (MoH) undertook studies based on 2008 and...

Authors: Pamela Kuflik Horowitz, Annarosa Anat Shemesh and Tuvia Horev

Resolving shortages of prescription drugs: the case for public-private collaboration

The recent IJHPR article by Schwartzberg and colleagues presents new data on the growing problem of prescription drug shortages. Resolving shortages typically involves many participants: government, industry, ...

Authors: Eric Efraim Katz

Do the equity-efficiency preferences of the Israeli Basket Committee match those of Israeli health policy makers?

Prioritization of medical technologies requires a multi-dimensional view. Often, conflicting equity and efficiency criteria should be reconciled. The most dramatic manifestation of such conflict is in the prio...

Authors: Amir Shmueli

Which factors affect the implementation of geriatric recommendations by primary care physicians?

The overall implementation rate for outpatient comprehensive geriatric assessment (OCGAU) recommendations ranges from 48.6 to 71%.

Authors: Yan Press, Boris Punchik, Ella Kagan, Alex Barzak and Tamar Freud

Policy entrepreneurship and policy networks in healthcare systems – the case of Israel’s pediatric dentistry reform

Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and ho...

Authors: Nissim Cohen and Tuvia Horev

A national strategic plan for reducing the burden of sexually transmitted infections in Israel by the year 2025

There is on ongoing debate in the literature regarding the real burden of STIs (sexually transmitted infections) in Western countries and the proper strategies needed to estimate and to prevent them. Our purpo...

Authors: Daniel Chemtob, Dan Gandacu, Zohar Mor, Itamar Grotto, Emilia Anis and Elliot Rosenberg

Individualism and social solidarity in vaccination policy: some further considerations

This commentary, in response to the paper by Boas et al [IJPHR December 2016], considers some of the wider ethical, cultural and practical factors that may influence the official response of a polio-free natio...

Authors: Fiona M. Sim

International workshop on “professionalism in the practice of medicine- where are we now?”

Medical professionalism refers to attributes, values, behaviors, responsibilities and commitments of physicians that are congruent with the public’s expectations. An international workshop on medical professio...

Authors: Ora Paltiel, Lior Lowenstein, Jonathan Demma and Orly Manor

Drug shortages in Israel: regulatory perspectives, challenges and solutions

Pharmaceutical drug shortages (DSs) are a global problem which presents challenges to countries around the world. Shortages of pharmaceutical products may have a direct detrimental impact on public health and ...

Authors: Eyal Schwartzberg, Denize Ainbinder, Alla Vishkauzan and Ronni Gamzu

Efficiency and equity considerations in the preferences of health policy-makers in Israel

There is a traditional tension in public policy between the maximization of welfare from given resources (efficiency) and considerations related to the distribution of welfare among the population and to socia...

Authors: Amir Shmueli, Ofra Golan, Francesco Paolucci and Emmanouil Mentzakis

Does pain take holidays? Non-attendance rates at a hospital-based pain clinic are elevated during the Jewish high-holidays

Patient non-attendance is an expensive and persistent problem worldwide with rates between 5–39% reported in the literature. The objective of the study was to assess whether there is a higher incidence of non-...

Authors: Motti Ratmansky, Nitzan Hai, Tzion Schlossberg, Aviva Mimouni-Bloch and Avraham Schweiger

A systems science perspective on the capacity for change in public hospitals

Many types of organisation are difficult to change, mainly due to structural, cultural and contextual barriers. Change in public hospitals is arguably even more problematic than in other types of hospitals, du...

Authors: J. Braithwaite, J. Westbrook, E. Coiera, W. B. Runciman, R. Day, K. Hillman and J. Herkes

An end to lifetime blood donation ban in Israel for MSM would be a major step toward a science-based policy that reduces stigma

In recent years, countries around the world have revised their blood donation policies regarding gay and bisexual men, and other men who have sex with men (MSM). The United States lifted the lifetime ban on MS...

Authors: Sean Cahill and Timothy Wang

Finding “truth” across different data sources

The proliferation of new technology platforms and tools is dramatically advancing our ability to capture, integrate and use clinical and other health related data for research and care. Another critical and in...

Authors: Alison Rein and Lisa A. Simpson

Re-thinking barriers to organizational change in public hospitals

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 institut...

Authors: Nigel Edwards and Richard B. Saltman

Soldiers as subjects of medical research: Comments on Hassidim et al. on ethical standards of the Israel Defense Force

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 wh...

Authors: Asa Kasher

A national survey of ethnic differences in knowledge and understanding of supplementary health insurance

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) ...

Authors: Manfred S. Green, Samah Hayek, Jalal Tarabeia, Mohammad Yehia and Neta HaGani

Prevention is better: the case of the underutilized failure mode effect analysis in patient safety

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. Consideri...

Authors: Lewis Goodrum and Prathibha Varkey

Medical care epidemiology and unwarranted variation: the Israeli case

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 ...

Authors: David C. Goodman and Andrew A. Goodman

Erratum to: Complying with the framework convention for tobacco control: an application of the Abridged SimSmoke model to Israel

Authors: David T. Levy, David B. Abrams, Jeffrey Levy and Laura Rosen

Pragmatic trials may help to identify effective strategies to reduce nursing home antipsychotic medication use

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...

Authors: Rosa R. Baier and Vincent Mor

Geographic variation in selected hospital procedures and services in the Israeli health care system

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.

Authors: Joseph Mendlovic, Ethel-Sherry Gordon, Ziona Haklai, Jill Meron and Arnon Afek

The right to know one’s genetic origins and cross-border medically assisted reproduction

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 ...

Authors: Vardit Ravitsky

Perceived health status in a comparative perspective: Methodological limitations and policy implications for Israel

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'...

Authors: Baruch Levi

Mortality, hospital days and treatment costs of current and reduced sugar consumption in Israel

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 c...

Authors: Gary M. Ginsberg

The IJHPR celebrates five years of quality publication

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...

Authors: Bruce Rosen and Avi Israeli

Between individualism and social solidarity in vaccination policy: the case of the 2013 OPV campaign in Israel

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 ...

Authors: Hagai Boas, Anat Rosenthal and Nadav Davidovitch

The burden of disease from air pollution in Israel: How do we use burden estimates to advance public health?

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 co...

Authors: Jonathan M. Samet

Israeli medical education: international perspectives, and reflections on challenges and changes

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 w...

Authors: David R. Katz

How to improve influenza vaccine coverage of healthcare personnel

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 propa...

Authors: David J. Weber, Walter Orenstein and William A. Rutala

Should Men who have sex with Men be allowed to donate blood in Israel?

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...

Authors: Gary Michael Ginsberg, Eilat Shinar, Eran Kopel and Daniel Chemtob

Ethics and regulation of inter-country medically assisted reproduction: a call for action

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...

Authors: Carmel Shalev, Adi Moreno, Hedva Eyal, Michal Leibel, Rhona Schuz and Talia Eldar-Geva

Do women prefer a female breast surgeon?

Patient preferences regarding the gender of their physicians is a highly sensitive issue, which can be particularly salient in intimate medical situations. Previously published studies found that women tend to...

Authors: Asnat Groutz, Hadar Amir, Revital Caspi, Eran Sharon, Yifat Amir Levy and Mordechai Shimonov