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: Yitzhak-Sade et al, Ethnicity and Immunization Coverage among Schools in Israel

Yitshak-Sade, Maayan, Nadav Davidovitch, Lena Novack, and Itamar Grotto. “Ethnicity and Immunization Coverage among Schools in Israel.” Ethnicity & Health (early view; online first).

 

URL: https://dx.doi.org/10.1080/13557858.2015.1068281

 

Abstract
Objective. Recent years have seen a global trend of declining immunization rates of recommended vaccines that is more pronounced among school-age children. Ethnic disparities in child immunization rates have been reported in several countries. We investigated an effect of ethnicity on the vaccination rates of immunizations routinely administered within schools in Israel. Design. Data were collected from the Ministry of Health database regarding immunization coverage for all registered Israeli schools (3736) in the years 2009–2011. Negative binomial regression was used to assess the association between school ethnicity and immunization coverage while controlling for school characteristics. Results. The lowest immunization coverage was found in Bedouin schools (median values of 75.1%, 81.5% and 0% for the first, second and eighth grades, respectively) in 2011. During this year, vaccination coverage in the first and second grades in Jewish schools was 1.51 and 1.35 times higher, respectively, compared to Bedouin schools. In the years 2009 and 2010, no significant increase in risk for lower vaccination rate was observed in Bedouin schools, and children in Arab and Druze schools were more likely to have been vaccinated. Conclusion. The lower vaccination refusal rate found in Bedouin schools supports the hypothesis that difficulties related to accessibility constitute the main problem rather than noncompliance with the recommended vaccination protocol for school-age children, featuring higher socio-economic status groups. Our study emphasizes the importance of identifying, beyond the national-level data, subpopulation groups at risk for non-vaccination. This knowledge is essential to administrative-level policy-makers for the allocation of resources and the planning of intervention programs.

 

 

New Article: Southern et al, Varied Utilisation of Health Provision by Arab and Jewish Residents in Israel

Southern, Jo, Hector Roizin, Muhannad Daana, Carmit Rubin, Samantha Hasleton, Adi Cohen, Aviva Goral, Galia Rahav, Meir Raz, and Gili Regev-Yochay. “Varied Utilisation of Health Provision by Arab and Jewish Residents in Israel.” International Journal for Equity in Health (early view; online first).

 

URL: http://link.springer.com/article/10.1186/s12939-015-0193-8

 

Abstract

Introduction

Provision of healthcare is considered a basic human right. Delivery and uptake is affected by many complex factors. Routine vaccinations are provided free of charge in Israel to all residents. The Palestinian Israeli Collaborative Research (PICR) group conducted research on vaccine impact at eight primary care facilities in east Jerusalem (EJ) and central Israel (IL) which allowed assessment and comparison of interactions of these Arab and Jewish populations, respectively, with healthcare services.

Methods

Families attending clinic with a child under five years old were invited to participate. Utilisation of healthcare was assessed using data from standardise questionnaires completed after enrolment, using proxies of vaccination status, antibiotic use, primary care physician and hospital visits as well as demographics such as household size. Differences between EJ and IL were assessed using chi squared tests; univariate analyses identified potential confounders which were tested in a multiple logistic regression model for any independent associations between region and outcome.

Results

Children in EJ were significantly more likely to live in larger households, with tobacco smokers, to have been breastfed, hospitalised and used antibiotics recently than those in IL, who were significantly more likely to have recently seen a primary care physician (all p < 0.01). Receipt of routine vaccinations, given at well baby clinics, was similar between the regions at above 95 % (p = 0.11), except for influenza which was delivered separately at primary physician clinics to 5 % (EJ) and 12 % (IL). Receipt of pneumococcal vaccine when paid for separately was significantly higher in IL than EJ (3 % vs 31 %). Multivariate analysis identified the most important independent predictors of these differences as region, age and household size.

Conclusions

Healthcare in Israel is of a very high standard, but it is not uniformly utilised within the community in all geographical areas, though in some key areas, such as uptake of most routine childhood vaccination, equality seems to be achieved. To ensure excellent healthcare is achieved across the population, inequalities must be addressed, for instance in health promotion and other activities, which could improve and normalise health outcomes.