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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. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. The economic impact and ease of measurement of all-cause hospital readmission rates (HRR) have led to the current debate as to whether they are reducible, and whether they should be used as a publicly reported...

    Authors: Jochanan Benbassat and Mark I Taragin
    Citation: Israel Journal of Health Policy Research 2013 2:1
  18. Mortality from causes amenable to health care is a valuable indicator of quality of the health care system, which can be used to assess inter-regional differences and trends over time. This study investigates ...

    Authors: Nehama Goldberger and Ziona Haklai
    Citation: Israel Journal of Health Policy Research 2012 1:41
  19. Since 2000, Israel has had a national program for ongoing monitoring of the quality of the primary care services provided by the country's four competing non-profit health plans. Previous research has demonstr...

    Authors: Rachel Nissanholtz-Gannot and Bruce Rosen
    Citation: Israel Journal of Health Policy Research 2012 1:26
  20. Continuity of care is critical to achieving the best outcomes, especially for patients with chronic conditions. Israel’s strong commitment to primary care as a central organizing concept of the health system, ...

    Authors: Janet M Corrigan
    Citation: Israel Journal of Health Policy Research 2012 1:22
  21. The study goal was to assess indices of continuity of care in the primary care setting and their association with health outcomes and healthcare services utilization, given the reported importance of continuit...

    Authors: Jacob Dreiher, Doron S Comaneshter, Yael Rosenbluth, Erez Battat, Haim Bitterman and Arnon D Cohen
    Citation: Israel Journal of Health Policy Research 2012 1:21
  22. Israel has made impressive progress in improving performance on key measures of the quality of health care in the community in recent years. These achievements are all the more notable given Israel's modest ov...

    Authors: Mark R Chassin
    Citation: Israel Journal of Health Policy Research 2012 1:4
  23. The National Program for Quality Indicators in Community Healthcare in Israel (QICH) was developed to provide policy makers and consumers with information on the quality of community healthcare in Israel. In w...

    Authors: Dena H Jaffe, Amir Shmueli, Arie Ben-Yehuda, Ora Paltiel, Ronit Calderon, Arnon D Cohen, Eran Matz, Joseph K Rosenblum, Rachel Wilf-Miron and Orly Manor
    Citation: Israel Journal of Health Policy Research 2012 1:3