Bulletin: Public Health, Hospitals, and Professionals

Articles

• Stuart Altman, Should Israel Be Concerned by the High Proportion of Medical Care Paid for Privately
• Hadar Amir et al, Bedouin Women’s Gender Preferences When Choosing Obstetricians and Gynecologists
• Sue Anderson et al, The UK, Israel, and the USA:  The Impact of Healthcare Systems on Health
• Liat Ashkenazi et al, Male Nurses in Israel
• Sarah Ben-Ami and Aliza Yaffe, Palliative Care in Israel: The Nursing Perspective
• Merav Ben-Natan et al, Factors That Influence Israeli Muslim Arab Parents’ Intention to Vaccinate Their Children
• Shuli Brammli-Greenberg et al, Why and How Did Israel Adopt Activity-Based Hospital Payment
• Nissim Cohen, Street-Level Bureaucrats’ Bending the Rules in the Context of Informal Payments for Health Care
• Saralee Glasser et al, Intervention for Antenatal Depression by Public Health Nurses in an Ultra-Orthodox Community
• Anthony D. Heymann, Unsupportive Social Interactions are Associated with Poorer Self-reported Health in Israeli Patients with Diabetes
• Tamar Jacob, Implications of the National Health Insurance Law and for Physical Therapy Services
• Ilya Kagan et al, Public Health Nurses in Israel
• Ahmed Khalaila et al, Health Related Absenteeism of Family Physicians in the Negev
• Liat Lerner-Geva et al, Cultural Disparities in the Use of Medications Among Midlife Women in Israel
• Natali Levin, Medical Malpractice in Israel
• Joseph Mendlovic et al, Geographic Variation in Selected Hospital Procedures and Services
• Basil Porter et al, Community Paediatrics in Israel
• Carlos Quiñonez, Dental Reform in Israel’s National Health Insurance Law
• Mark Schweda et al, Views on End-of-Life Decision Making among Religious and Secular Persons in the USA, Germany, and Israel
• Yaffa Shir-Raz and Eli Avraham, PR Strategies of Pharmaceutical Companies in Countries Where Direct Advertising of Prescription Drugs Is Banned
• Diana Tasher et al, Child Health Care in Israel
• Chen Stein Zamir and Avi Israeli, Perceptions About Routine Childhood Vaccinations Among Jewish Ultra-Orthodox Mothers
• Cheryl Zlotnick et al, Comparing the Health Status of Youth Village Alumni in Israel to the General Population

New Article: Iecovich & Avivi, Agism and Burnout among Nurses in Long-Term Care Facilities

Iecovich, Esther, and Michal Avivi. “Agism and Burnout among Nurses in Long-Term Care Facilities in Israel.” Aging & Mental Health (early view; online first).

 

URL: http://dx.doi.org/10.1080/13607863.2015.1102198

 

Abstract

Objectives: The extent to which agism and professional qualifications are associated with nurses’ burnout in long-term care facilities for older adults has been barely examined. This study is aimed to examine the extent to which agism, professional education, and geriatric training explain work burnout.

Method: The study included a convenience sample of 154 nurses working in 17 long-term care facilities in the Tel Aviv area in Israel. To examine agism, Kogan’s Attitudes toward Old People Scale was used, and to probe burnout, the Maslach Burnout Inventory was used.

Results: Overall burnout was significantly explained by agism, nurses’ professional education, length of working as a nurse, and type of facility ownership. When examining each dimension of burnout, agism was a significant predictor of depersonalization and personal achievement.

Conclusion: Agism plays a role in overall burnout. Therefore, training programs that can combat agism can reduce burnout of nurses in long-term care facilities.

 

 

New Article: Lewis and Grant, Expanding the Anesthesiology Workforce in Israel

Lewis, Michael C., and Gilbert J. Grant. “Marketing or Strategy? Defining the Best Approach to Expand the Anesthesiology Workforce in Israel.” Israel Journal of Health Policy Research (early view; online first).

 

URL: http://dx.doi.org/110.1186/s13584-015-0041-8

 

Abstract

There is a chronic shortage of anesthesiologists in Israel. The study by Cohen et al. suggests that a marketing campaign may be one method of addressing this shortage. This commentary argues for a more comprehensive strategy based on the US experience. This would not only involve marketing as suggested by Cohen et al. but would also involve a fundamental change in the Israel anesthesia care model, as well as providing substantial financial incentives to young physicians. We believe that a combination of these approaches will help to alleviate the shortage of anesthesia providers in Israel. Creating a new class of physician extenders, namely, anesthesiologist assistants, would also provide an employment pathway for the skilled medical technicians trained by the Israel Defense Forces, and other non-physicians with an interest in anesthesiology.

 

 

New Article: Schoenbaum et al, Policy Issues Related to Educating the Future Israeli Medical Workforce

Schoenbaum, Stephen C., Peter Crome, Raymond H. Curry, Elliot S. Gershon, Shimon M. Glick, David R. Katz, Ora Paltiel, and Jo Shapiro. “Policy Issues Related to Educating the Future Israeli Medical Workforce: An International Perspective.” Israel Journal of Health Policy Research (early view; online first).

 

URL: http://dx.doi.org/110.1186/s13584-015-0030-y

 

Abstract

A 2014 external review of medical schools in Israel identified several issues of importance to the nation’s health. This paper focuses on three inter-related policy-relevant topics: planning the physician and healthcare workforce to meet the needs of Israel’s population in the 21st century; enhancing the coordination and efficiency of medical education across the continuum of education and training; and the financing of medical education. All three involve both education and health care delivery.

The physician workforce is aging and will need to be replenished. Several physician specialties have been in short supply, and some are being addressed through incentive programs. Israel’s needs for primary care clinicians are increasing due to growth and aging of the population and to the increasing prevalence of chronic conditions at all ages. Attention to the structure and content of both undergraduate and graduate medical education and to aligning incentives will be required to address current and projected workforce shortage areas. Effective workforce planning depends upon data that can inform the development of appropriate policies and on recognition of the time lag between developing such policies and seeing the results of their implementation.

The preclinical and clinical phases of Israeli undergraduate medical education (medical school), the mandatory rotating internship (stáge), and graduate medical education (residency) are conducted as separate “silos” and not well coordinated. The content of basic science education should be relevant to clinical medicine and research. It should stimulate inquiry, scholarship, and lifelong learning. Clinical exposures should begin early and be as hands-on as possible. Medical students and residents should acquire specific competencies. With an increasing shift of medical care from hospitals to ambulatory settings, development of ambulatory teachers and learning environments is increasingly important. Objectives such as these will require development of new policies.

Undergraduate medical education (UME) in Israel is financed primarily through universities, and they receive funds through VATAT, an education-related entity. The integration of basic science and clinical education, development of earlier, more hands-on clinical experiences, and increased ambulatory and community-based medical education will demand new funding and operating partnerships between the universities and the health care delivery system. Additional financing policies will be needed to ensure the appropriate infrastructure and support for both educators and learners.

If Israel develops collaborations between various government agencies such as the Ministries of Education, Health, and Finance, the universities, hospitals, and the sick funds (HMOs), it should be able to address successfully the challenges of the 21st century for the health professions and meet its population’s needs.