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Quality of care in Israel and beyond

This thematic series in Israel Journal of Health Policy Research (IJHPR) considers quality of care not just in Israel but internationally. Health care systems around the world are intensively engaged in efforts to monitor and improve the quality of care. Empirical studies and scholarly publication have played a central role in these efforts. Israel has been an active participant in these world-wide efforts. Its system for monitoring the quality of care in community-based services covers all of Israel's citizens and is among the most advanced in the world. That effort is supported by the sophisticated information systems of Israel's health plans, which also provide a fertile ground for additional types of quality monitoring and evaluation.

In the hospital arena, until recently, Israel's quality monitoring effort was less well-developed. However, five years ago the Ministry of Health initiated hospital monitoring efforts as well. Since then, rapid progress has been made, with almost all Israeli hospitals participating in international accreditation processes, and nation-wide systems being put into place to monitor clinical quality. In both hospital and community settings, there is an ongoing exchange of ideas between Israel and other countries. In both settings, the issue of sharing information on quality with the general public is increasingly coming to the fore, and here too, Israel is simultaneously learning from the international experience and contributing to it.

Israeli studies of quality of care have been, and continue to be, published in such established journals as the BMJ, Health Services Research, Health Affairs, and the International Journal for Quality in Health Care. At the same time, IJHPR is emerging as an important vehicle for exploring the policy implications of Israeli efforts to improve quality and for facilitating cross-national learning in this area.

This article collection brings together, in a convenient setting, the IJHPR articles published to date on quality of care, broadly defined. We look forward to seeing this collection grow over the coming years.

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  1. Content type: Original research article

    Preventive medicine and health education are among the strategies used in coping with chronic diseases. However, it is yet to be determined what effect do personal and organizational aspects have on its’ imple...

    Authors: Ayelet Schor, Lucia Bergovoy-Yellin, Daniel Landsberger, Tania Kolobov and Orna Baron-Epel

    Citation: Israel Journal of Health Policy Research 2019 8:50

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  2. Content type: Commentary

    In most countries there is a mismatch between demand for intensive care unit (ICU) beds and ICU bed availability. Because of a policy of low ICU-bed reimbursement this mismatch is much more profound in Israel,...

    Authors: Yuval Schwartz, Amir Jarjoui and Amos M. Yinnon

    Citation: Israel Journal of Health Policy Research 2019 8:48

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    The original article was published in Israel Journal of Health Policy Research 2019 8:20

  3. Content type: Commentary

    Pervasive disparities exist in the treatment of pain and anxiety in pediatric patients presenting to hospitals with emergency conditions. This finding has been demonstrated worldwide, and is especially exacerb...

    Authors: Aaron Brody and Usha Sethuraman

    Citation: Israel Journal of Health Policy Research 2019 8:35

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    The original article was published in Israel Journal of Health Policy Research 2018 7:17

  4. Content type: Original research article

    Women who have continuous intrapartum support are more likely to have a shorter labor and spontaneous vaginal birth, and are less likely to need intrapartum analgesia than women who receive usual care without ...

    Authors: Maya Frank Wolf, Oleg Shnaider, Limor Sharabi, Sari Nahir Biderman, Reut Elon and Jacob Bornstein

    Citation: Israel Journal of Health Policy Research 2019 8:27

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  5. Content type: Original research article

    Mechanical ventilation is a life supporting modality increasingly utilized when caring for severely ill patients. Its increasing use has extended the survival of the critically ill leading to increasing health...

    Authors: Rachel Yaffa Zisk-Rony, Charles Weissman and Yoram G. Weiss

    Citation: Israel Journal of Health Policy Research 2019 8:20

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:48

  6. Content type: Original research article

    Restraint or seclusion measures in acute psychiatric care are used as a last resort when all other methods for removal of physical threat have failed. The purpose of this study is to find a correlation between...

    Authors: Chanoch Miodownik, Michael D. Friger, Eyal Orev, Yisroel Gansburg, Nadav Reis and Vladimir Lerner

    Citation: Israel Journal of Health Policy Research 2019 8:9

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  7. Content type: Commentary

    An analysis of benefit and cost is critical for independent advisory groups that provide evidence-based recommendations. In many countries, the role of RSV immunoprophylaxis for infants at increased risk of ho...

    Authors: H. Cody Meissner

    Citation: Israel Journal of Health Policy Research 2019 8:15

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    The original article was published in Israel Journal of Health Policy Research 2018 7:63

  8. Content type: Commentary

    Observational studies have detected discrepancies between two expert interpreters of imaging and histopathological studies. Furthermore, in a substantial proportion of patients, an independent second opinion d...

    Authors: Jochanan Benbassat

    Citation: Israel Journal of Health Policy Research 2019 8:12

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    The original article was published in Israel Journal of Health Policy Research 2017 6:67

  9. Content type: Original research article

    Ethnicity may affect graft longevity and recipient mortality after heart transplantation (HTx). We hypothesized that differences in ethnic origin between Arabs and Jews undergoing HTx in Israel may contribute ...

    Authors: Yael Peled, Ron Loewenthal, Yigal Kassif, Eugenia Raichlin, Arwa Younis, Anan Younis, Eyal Nachum, Dov Freimark and Jacob Lavee

    Citation: Israel Journal of Health Policy Research 2019 8:3

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:53

  10. Content type: Commentary

    The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems o...

    Authors: Moira Inkelas and Frank Oberklaid

    Citation: Israel Journal of Health Policy Research 2018 7:62

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    The original article was published in Israel Journal of Health Policy Research 2017 6:53

  11. Content type: Commentary

    Patient understanding of health care recommendations provided by health care professionals is essential to enabling active and informed patient participation in care. Unfortunately, evidence suggests that pati...

    Authors: Gary L. Kreps

    Citation: Israel Journal of Health Policy Research 2018 7:56

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    The original article was published in Israel Journal of Health Policy Research 2018 7:50

  12. Content type: Original research article

    Previous studies have shown that, in a variety of health care settings, patients often do not understand what health care professionals tell them about their diagnoses and care plans; this is particularly true...

    Authors: Shachaf Shiber, Rona Zuker-Herman, Michael J. Drescher and Marek Glezerman

    Citation: Israel Journal of Health Policy Research 2018 7:50

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:56

  13. Content type: Commentary

    Rachel Podell and her colleagues at the National Program for Quality Indicators in Community Healthcare in Israel have provided a clear and engaging description of thequality of primary care provided to the el...

    Authors: Richard H. Glazier

    Citation: Israel Journal of Health Policy Research 2018 7:46

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    The original article was published in Israel Journal of Health Policy Research 2018 7:21

  14. Content type: Original research article

    In view of increasing global and local trends in population ageing and the high healthcare utilization rates among the elderly, this study assesses the quality of primary care provided to the elderly populatio...

    Authors: Rachel Podell, Vered Kaufman Shriqui, Yael Wolff Sagy, Orly Manor and Arie Ben-Yehuda

    Citation: Israel Journal of Health Policy Research 2018 7:21

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:46

  15. Content type: Original research article

    The emergency department (ED) setting is an environment where children may experience intense physical pain and emotional stress.

    Authors: Tali Capua, Zohar Bar Kama and Ayelet Rimon

    Citation: Israel Journal of Health Policy Research 2018 7:17

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:35

  16. Content type: Commentary

    Red blood cell (RBC) transfusions save lives and improve health; however, unnecessary transfusion practice exposes patients to immediate and long-term negative consequences. Indirect consequences of unnecessar...

    Authors: Shoshana Revel-Vilk and Mira Naamad

    Citation: Israel Journal of Health Policy Research 2018 7:8

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    The original article was published in Israel Journal of Health Policy Research 2017 6:49

  17. Content type: Original research article

    In 2012, Maccabi Healthcare Services founded Maccabi Telecare Center (MTC), a multi-disciplinary healthcare service providing telemedical care to complex chronic patients. The current paper describes the estab...

    Authors: Avi Porath, Angela Irony, Avital Segal Borobick, Shuruk Nasser, Ateret Malachi, Naama Fund and Galit Kaufman

    Citation: Israel Journal of Health Policy Research 2017 6:68

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:9

  18. Content type: Original research article

    Seeking a second-opinion (SO) is a common clinical practice that can optimize treatment and reduce unnecessary procedures and risks. We aim to characterize the composition of the population of SO seekers, thei...

    Authors: Liora Shmueli, Nadav Davidovitch, Joseph S. Pliskin, Ran D. Balicer, Igal Hekselman and Geva Greenfield

    Citation: Israel Journal of Health Policy Research 2017 6:67

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:12

  19. Content type: Commentary

    Quality measures are widely used globally in order to measure clinical performance and organizational efficiency of the healthcare systems. However, in a race to achieve certain numerically defined goal, the m...

    Authors: Kobi Peleg, Michael Rozenfeld and Avi Israeli

    Citation: Israel Journal of Health Policy Research 2017 6:64

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    The original article was published in Israel Journal of Health Policy Research 2017 6:27

  20. Content type: Commentary

    Care at the end-of-life has attracted global attention, as health care workers struggle with balancing cure based care with end-of-life care, and knowing when to transition from the former to the latter. Simul...

    Authors: Jane M. Gannon

    Citation: Israel Journal of Health Policy Research 2017 6:62

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    The original article was published in Israel Journal of Health Policy Research 2017 6:48

  21. Content type: Original research article

    Simulation-based training improves residents’ skills for end-of-life (EOL) care. In the field, staff providers play a significant role in handling those situations and in shaping practice by role modeling. We ...

    Authors: Mayer Brezis, Yael Lahat, Meir Frankel, Alan Rubinov, Davina Bohm, Matan J Cohen, Meni Koslowsky, Orit Shalomson, Charles L Sprung, Henia Perry-Mezare, Rina Yahalom and Amitai Ziv

    Citation: Israel Journal of Health Policy Research 2017 6:48

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2017 6:62

  22. Content type: Original research article

    ‘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

    Citation: Israel Journal of Health Policy Research 2017 6:27

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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2017 6:64

  23. Content type: Commentary

    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

    Citation: Israel Journal of Health Policy Research 2017 6:36

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    The original article was published in Israel Journal of Health Policy Research 2017 6:22

  24. Content type: Original research article

    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

    Citation: Israel Journal of Health Policy Research 2017 6:26

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  25. Content type: Commentary

    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

    Citation: Israel Journal of Health Policy Research 2017 6:14

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    The original article was published in Israel Journal of Health Policy Research 2016 5:50

  26. Content type: Commentary

    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

    Citation: Israel Journal of Health Policy Research 2017 6:5

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  27. Content type: Original research article

    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 ...

    Authors: Fanny Ofek, Racheli Magnezi, Yaffa Kurzweil, Inbal Gazit, Sofia Berkovitch and Orna Tal

    Citation: Israel Journal of Health Policy Research 2016 5:30

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  28. Content type: Original research article

    Antipsychotic medications (APMs) are commonly prescribed in nursing homes (NHs) and their excessive use raises concerns about the quality of care. They are often seen as “chemical restraints”, and were shown t...

    Authors: Dvora Frankenthal, Gisele Zandman-Goddard, Yael Ben-Muvhar and Bat Sheva Porat-Katz

    Citation: Israel Journal of Health Policy Research 2016 5:12

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  29. Content type: Commentary

    Two important considerations arise from this IJHPR article from Zimmerman and colleagues. First, is the question regarding what can be considered a “common” procedure in primary care and whether the designatio...

    Authors: Gary L. Freed

    Citation: Israel Journal of Health Policy Research 2015 4:57

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  30. Content type: Commentary

    ED crowding is a prevalent and important issue facing hospitals in Israel and around the world, including North and South America, Europe, Australia, Asia and Africa. ED crowding is associated with poorer qual...

    Authors: Jesse M. Pines and Steven L. Bernstein

    Citation: Israel Journal of Health Policy Research 2015 4:52

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  31. Content type: Original research article

    Length of stay (LOS) is considered a key measure of emergency department throughput, and from the perspective of the patient, it is perceived as a measure of healthcare service quality. Prolonged LOS can be ca...

    Authors: Osnat Bashkin, Sigalit Caspi, Rachel Haligoa, Sari Mizrahi and Ruth Stalnikowicz

    Citation: Israel Journal of Health Policy Research 2015 4:38

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  32. Content type: Commentary

    A lack of respect between nursing and medical disciplines can lead to a lack of trust and disruptive behaviors that are a significant part of the culture of health care today. In order to ensure the best care ...

    Authors: Erin S. DuPree

    Citation: Israel Journal of Health Policy Research 2015 4:51

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  33. Content type: Original research article

    The demand for endocrinology services is growing worldwide, particularly among minority and underserved populations, mainly due to the rapid global increase of diabetes. The medical education of endocrinologis...

    Authors: Anat Jaffe, Aviva Yoselis and Liana Tripto-Shkolnik

    Citation: Israel Journal of Health Policy Research 2015 4:28

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  34. Content type: Commentary

    EMR use during medical visits has been found to distract physicians and negatively influence their ability to deliver patient-centered care. In this issue, Assis-Hassid and colleagues propose a redress of this...

    Authors: Debra L Roter

    Citation: Israel Journal of Health Policy Research 2015 4:17

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  35. Content type: Original research article

    The traditional dyadic dynamics of the medical encounter has been altered into a triadic relationship by introducing the computer into the examination room. This study defines Patient-Doctor-Computer Communica...

    Authors: Shiri Assis-Hassid, Iris Reychav, Tsipi Heart, Joseph S Pliskin and Shmuel Reis

    Citation: Israel Journal of Health Policy Research 2015 4:4

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  36. Content type: Original research article

    The aim of this study is to examine the joint impact of preventive health behavior (PHB) and social and demographic factors on the utilization of primary and secondary medical care under a universal health car...

    Authors: Gregory Yom Din, Zinaida Zugman and Alla Khashper

    Citation: Israel Journal of Health Policy Research 2014 3:41

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  37. Content type: Commentary

    Spiritual care is a relatively new healthcare discipline in Israel. It has evolved over the past decade through the collaboration of multiple Israeli healthcare professionals, with assistance from interested p...

    Authors: Barry M Kinzbrunner and Bryan D Kinzbrunner

    Citation: Israel Journal of Health Policy Research 2014 3:32

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  38. Content type: Original research article

    Cultural and language discordance between patients and providers constitutes a significant challenge to provision of quality healthcare. This study aims to evaluate minority patients’ discharge from hospital t...

    Authors: Nosaiba Rayan, Hanna Admi and Efrat Shadmi

    Citation: Israel Journal of Health Policy Research 2014 3:24

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  39. Content type: Commentary

    Implementation of practice guidelines is a beguilingly complex activity that requires attention to the task of clinicians, the constraints they face, and the social practice of medicine. Local clinical opinion...

    Authors: Saul N Weingart

    Citation: Israel Journal of Health Policy Research 2014 3:20

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  40. Content type: Integrative article

    Many countries have devoted considerable efforts in an attempt to improve the performance of their health care systems. National Medical Associations (NMAs), along with other stakeholders, play a part in the p...

    Authors: Baruch Levi, Malke Borow and Michelle Glekin

    Citation: Israel Journal of Health Policy Research 2014 3:14

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  41. Content type: Original research article

    Influenza vaccination is the most efficient and cost-effective method to prevent influenza. To increase vaccination coverage, health authorities use various intervention programs (IPs), such as cost subsidies ...

    Authors: Dan Yamin, Arieh Gavious, Nadav Davidovitch and Joseph S Pliskin

    Citation: Israel Journal of Health Policy Research 2014 3:13

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  42. Content type: Original research article

    Aseptic technique and handwashing have been shown to be important factors in perioperative bacterial transmission, however compliance often remains low despite guidelines and educational programs. Infectious c...

    Authors: Alex Ioscovich, Elyad M Davidson, Sharon Orbach-Zinger, Zvia Rudich, Simon Ivry, Laura J Rosen, Alexander Avidan and Yehuda Ginosar

    Citation: Israel Journal of Health Policy Research 2014 3:9

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