Israel Journal of Health Policy Research最新文献

{"title":"An individual's trust in government is a major determinant in the decision to voluntarily join a public health initiative.","authors":"Orit Golan, Carmit Satran, Shiran Bord","doi":"10.1186/s13584-025-00671-x","DOIUrl":"10.1186/s13584-025-00671-x","url":null,"abstract":"<p><strong>Background: </strong>Recently, there has been a growing trend of incorporating technology using health applications by official organizations such as health organizations and governmental bodies. In response to the COVID-19 pandemic, Israel implemented a health application to be voluntarily downloaded by citizens (VA). Additionally, the Israeli authorities used mandatory mobile tracking to monitor citizens' movements (GT). The current study aims to identify the factors associated with individuals' decisions to download the voluntary contact-tracing app. We hypothesized that (a) attitudes toward GT will mediate the relations between trust in the healthcare system and downloading VA, and (b) attitudes toward GT will mediate the relations between the perceived COVID-19 threat and downloading VA.</p><p><strong>Methods: </strong>Data were collected among 741 respondents who completed an online survey on July 19-21, 2020. The survey was designed to represent the diversity of the Israeli population. A logistic regression was calculated with downloading VA as the dependent variable and trust in the healthcare system, perceived threat and attitudes toward GT as independent variables. Then, the extent to which attitudes toward GT mediated the associations between trust in the healthcare system and downloading VA and between the perceived threat and downloading the voluntary app was assessed using the Process procedure.</p><p><strong>Results: </strong>The findings reveal that 47.1% of respondents perceive governmental tracing as an invasion of privacy, while 24.4% report that it increased their sense of security. About a third report having downloaded the voluntary app. Both research hypotheses were supported; attitudes played a mediating role in the relationship between an individual's level of trust and an individual's level of perceived threat and behavior, i.e., higher trust and higher perceived COVID-19 threat were associated with more favorable attitudes towards GT, which was associated with more substantial odds of downloading VA.</p><p><strong>Conclusions: </strong>The results emphasize the crucial importance of public trust. Building trust with the public is essential to encourage voluntary actions that ultimately benefit public health. Achieving and maintaining the public's trust requires addressing concerns about the potential misuse of government power and fostering an environment that promotes voluntary participation and engagement.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"9"},"PeriodicalIF":3.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food supplied to Gaza during seven months of the Hamas-Israel war.","authors":"Naomi Fliss-Isakov, Dorit Nitzan, Moran Blaychfeld Magnazi, Joseph Mendlovic, Sharon Alroy Preis, Gilad Twig, Aron M Troen, Ronit Endevelt","doi":"10.1186/s13584-025-00668-6","DOIUrl":"10.1186/s13584-025-00668-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The ongoing Hamas-Israel war has put the civilian population in Gaza at risk of severe food and nutrition insecurity. Our goal was to provide objective, verifiable data to ascertain amounts and nutritional content of food supplied to Gaza through Israeli border crossings from January to July 2024. We aimed to assess their compliance with Sphere international humanitarian standards for food security and nutrition maintenance in crisis affected populations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We obtained the registry of all food supplied to Gaza via air drops and land crossings from Israel's Coordinator of Government Activities in the Territories (COGAT) from January to July 2024. This registry itemizes daily food shipments, their items and estimated weights. Food items in shipments were categorized, quantified, assessed and summed for energy (kcal), protein (g), fat (g), iron (mg) content, based on food labels and composition tables. We then calculated supply per capita per day supplied to the the Gaza Strip, according to the most recent population census of Gaza. Finally, we compared it to the Sphere standards for population food security.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Adjusting for projected food losses, a net total of 478,229 metric tons of food was supplied to Gaza over the seven consecutively studied months. The average amount of energy available per person per day was 3,004 kcal, with 98 g of protein (13% of energy), 61 g of fat (18% of energy), and 23 mg of iron. Except for February, when entries dropped from January, there was a steady increase in the tonnage, energy, macronutrients and iron content of donated foods supplied to Gaza registered by COGAT. The amounts of energy, protein, and fat, but not dietary iron, in food crossing the border into Gaza consistently exceeded Sphere standards after making conservative adjustment for high food loss and the age distribution of the Gazan population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study assessed food deliveries by type, amount and nutrient composition, supplied to Gaza from January to July 2024. We found that, except in February, food crossing the borders into Gaza exceeded per capita minimal requirements for humanitarian aid. While reliable data do not exist for critical dimensions of food access and consumption across Gaza, these estimates suggest that adequate amounts of nutritious food were being transported into the Gaza Strip during most of the 1st half of 2024. We propose that with increased cooperation of all partners and shared efforts to overcome barriers, communication and data sharing, the UN Food Security Cluster, COGAT and humanitarian assistance agencies can develop a comprehensive, continually updated database to gauge food availability, access, nutritional value, and gaps to address, especially in the areas most disrupted by conflict in Gaza. This will also help ensure that food donations supplied to Gaza reach populations in greatest need","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"8"},"PeriodicalIF":3.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11818336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arab representation in Israeli healthcare professions: achievements, challenges and opportunities.","authors":"Bruce Rosen, Sami Miaari","doi":"10.1186/s13584-024-00663-3","DOIUrl":"10.1186/s13584-024-00663-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Israel is a multiethnic society with a population of 9.8 million at the end of 2023. Israeli Arabs (i.e., Arab Palestinian citizens of Israel) account for 21% of the Israel's overall population, 22% of its working age population and 16% of the employed population. This study has several objectives: (1) To provide an overview of the current representation of Israeli Arabs in four key health care professions (medicine, nursing, dentistry, and pharmacy) in terms of employment, licensure, and professional studies; (2) To document changes in those parameters over the past decade, subject to limitations of data availability; (3) To provide a broader context on the employment of Israeli Arabs; (4) To explore the policy implications of the key findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Estimates of employment levels are based on the Labor Force Survey (LFS) of the Central Bureau of Statistics (CBS). Data on licensure (i.e., professional qualification) and place of professional studies were extracted from the Ministry of Health report series entitled \"The Health Care Professions\". Data on enrollment in degree programs in Israel was provided by the Council of Higher Education. Important background information was elicited from relevant policy documents and policy experts.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In 2023, among employed Israelis up to age 67, Arabs constituted approximately one-quarter of Israel's physicians (25%), nurses (27%), and dentists (27%), and half of Israel's pharmacists (49%). These percentages are substantially higher than they were in 2010, with the increase being particularly marked in the case of physicians (25% versus 8%). The number of new licenses granted annually increased significantly between 2010 and 2022 for both Arabs and Jews in each of the professions covered. The percentage of newly licensed professionals who are Arab increased substantially among physicians and nurses, while remaining stable among dentists and pharmacists. In medicine, dentistry, and pharmacy, many of the licensed Arab health professionals had studied outside of Israel; this phenomenon also exists for nursing but is less widespread there. In the 2022/3 academic year, the percentage of first-degree students in Israeli colleges and universities who were Arab was 70% in pharmacy, 33% in nursing, 23% in dentistry, and 9% in medicine. Between 2012/3 and 2022/3 the percentage of first-degree students who are Arab increased substantially for pharmacy, declined slightly for nursing, and declined substantially for medicine and dentistry.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Arab professionals play a substantial and recently increased role in the provision of health care services in Israel. It is important to recognize, appreciate, and maintain this substantial role. Moreover, its potential as a model for sectors other than health care should be explored. To build on achievements to date, and to promote continued progress, policymakers","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"7"},"PeriodicalIF":3.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wake-up call for recovery: a paradigm shift to address the deep crisis in Israel's public mental health services in the shadow of October 7, 2023.","authors":"Amir Krivoy, Gadi Rosenthal","doi":"10.1186/s13584-025-00670-y","DOIUrl":"10.1186/s13584-025-00670-y","url":null,"abstract":"<p><strong>Background: </strong>The events of October 7, 2023, and the subsequent war have starkly exposed the shortcoming of Israel's public mental health system. This system, already strained by years of underfunding and the COVID-19 pandemic, was unprepared for the surge in mental health needs resulting from these traumatic events. This paper outlines the systemic failures and proposes a comprehensive overhaul reform towards an integrative community-based, recovery-oriented mental health service.</p><p><strong>Main body: </strong>Israel's mental health crisis is exacerbated by four converging vectors: a global diagnostic crisis in psychiatry, insufficient biological treatments, chronic underfunding, and a fragmented service model. Diagnostic practices, centered on outdated classifications, fail to address the complexity of severe mental illnesses, resulting in imprecise diagnoses and insufficient treatments. Despite the advent of psychopharmacology, significant advancements in drug efficacy are lacking, with recovery rates stagnating or declining. Financially, mental health in Israel receives only 5.2% of the health budget, far below the 10-16% seen in high-GDP Western countries. The community mental health services reform in 2015 lack effective oversight and incentives, leading to long wait times and inadequate care. Additionally, the fragmentation among funding entities-HMOs, Ministry of Health, and Ministry of Welfare-hampers coordinated care and comprehensive service delivery.</p><p><strong>Conclusion: </strong>The proposed solution involves shifting from a hospital-biomedical -based to an integrated community-based model, emphasizing recovery over symptom management, based on regional mental health centres as hubs of services. This requires significant investment in community mental health teams, crisis intervention, home treatment, and integrated services. Early intervention, technology utilization, economic incentives for community-based care, and patient and family involvement are crucial components. This transformation aims to create a holistic, efficient, and patient-centered mental health system, better equipped to handle future challenges and reduce the societal and economic burdens of mental illness in Israel.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"6"},"PeriodicalIF":3.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vision impairment in boys recruited to the iREAD study.","authors":"Jonathan Levine, Ravid Doron, Lisa A Ostrin, Einat Shneor","doi":"10.1186/s13584-025-00667-7","DOIUrl":"10.1186/s13584-025-00667-7","url":null,"abstract":"<p><strong>Background: </strong>Uncorrected refractive error is reported to be the most common cause globally of vision impairment in school age children. However, little is known about the extent of uncorrected refractive error in Israel. The purpose of this study was to investigate the prevalence of vision impairment in schoolchildren recruited for the Israel Refraction, Environment, And Devices (iREAD) Study.</p><p><strong>Methods: </strong>Healthy boys, ages 5-13 years, were recruited to participate in the iREAD Study. Parents first answered a questionnaire to exclude children with a known history of amblyopia, strabismus, or hyperopia. A comprehensive eye exam was then performed. Presenting visual acuity < 6/12 was defined as vision impairment. Myopia and hyperopia were defined as cycloplegic spherical equivalent refraction  ≤ - 0.50 D, and ≥  + 0.50 D, respectively, and astigmatism as ≤ - 0.75 D. Amblyopia was defined as best corrected visual acuity ≤ 6/12 in at least one eye in the absence of any ocular pathology. Descriptive statistics were used to calculate the prevalence of each refractive error and amblyopia.</p><p><strong>Results: </strong>Two hundred five boys (average age 8.8 ± 1.7 years) presented for a comprehensive eye exam. The prevalence of vision impairment at initial presentation was 22.9% (N = 47), with 16.1% (N = 33) and 6.8% (N = 14) for both eyes and one eye, respectively. Of the children with vision impairment, 36.2% (N = 17) were wearing habitual correction. Of the children with vision impairment, 97.9% (N = 46) had refractive error, with 85.1% (N = 40) being myopic and 12.8% (N = 6) being hyperopic. In addition, 36.2% (N = 17) with vision impairment had astigmatism. Most children with vision impairment (N = 43) achieved good vision with refractive correction. However, amblyopia was observed in 2.0% (N = 4) of the children.</p><p><strong>Conclusions: </strong>A high prevalence of vision impairment was observed, primarily due to uncorrected or undercorrected refractive error. Children with amblyopia and/or hyperopia presented despite a parent questionnaire to exclude children with these conditions. Findings suggest that many parents are unaware of their children's visual and refractive status, even for children who already have glasses. In conclusion, improvements to the current system in Israel of vision screenings in first grade should be made to help insure children in need receive adequate follow-up throughout their education.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"5"},"PeriodicalIF":3.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Israel's Medical Administration subspecialty, 1987-2022.","authors":"Yoel Angel, Hadar Goldshtein, Nevo Barel, Gil Fire, Michael Halberthal, Adi Niv-Yagoda","doi":"10.1186/s13584-025-00666-8","DOIUrl":"10.1186/s13584-025-00666-8","url":null,"abstract":"<p><strong>Background: </strong>Israel is unique in offering a formal subspecialty in Medical Administration and mandating it for physicians applying for senior roles. Data on the prevalence and characteristics of these specialists are limited.</p><p><strong>Methods: </strong>The national registry of licensed physicians was used to identify all living physicians who completed the Medical Administration subspecialty by December 31, 2022. Data on year of medical licensing, city of residence, and list of additional recognized specialties along with their respective date of completion were extracted. Websites of key public health organizations were sampled to identify qualifications of persons in senior leadership positions.</p><p><strong>Results: </strong>Since 1987, 277 physicians have completed the Medical Administration subspecialty, with a significant increase in annual certifications from 4.5 in 2015 (interquartile range [IQR] 4-6) to 13 (IQR 10.5-15) in 2022 (p < 0.001). Specialists completed the subspecialty a median of 18 years (IQR 13-21) post-licensing, with 269 physicians (97.1%) holding additional specialties, primarily in Internal Medicine, Pediatrics, Family Medicine, or Public Health. Compared to the general physician population, some base specialties like Public Health are over-represented while others, like Anesthesiology, are under-represented. Only 40 (14.4%) specialists reside outside major metropolitan areas. Nineteen (61.3%) general hospital CEOs, 2 (20%) psychiatric hospital CEOs, 13 (35.1%) Ministry of Health and 4 (7.8%) Sick Fund executives are specialists in Medical Administration (p < 0.005).</p><p><strong>Conclusions: </strong>The steady growth in the number of specialists in Medical Administration demonstrates the sustainability and scalability of this model, which may serve as a template for other healthcare systems. However, the limited representation of these specialists in senior roles of some organizations, and their concentration within certain specialties and regions, indicates areas for policy attention to enhance leadership diversity and reduce healthcare disparities.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"3"},"PeriodicalIF":3.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Have gender and ethnic disparities in ophthalmology disappeared? Insights from a workforce-based study in Israel (2006-2021).","authors":"Asaf Israeli, Eytan Z Blumenthal, Achia Nemet, Shiri Zayit-Soudry, Hadas Pizem, Eedy Mezer","doi":"10.1186/s13584-024-00664-2","DOIUrl":"10.1186/s13584-024-00664-2","url":null,"abstract":"<p><strong>Background: </strong>Workforce diversity in healthcare has been shown to improve the quality of patient care. A paucity of data exists globally on this subject in ophthalmology. The purpose of this study was to analyze nationwide trends in gender-, ethnic- and country of graduation disparities among ophthalmologists in Israel.</p><p><strong>Methods: </strong>Cross-sectional, workforce-based study using data retrieved from the Israeli Ministry of Health. Data included gender, ethnicity, and medical graduation country. Proportions and trends among new residents and board-certified ophthalmologists (BCO) were assessed.</p><p><strong>Results: </strong>During 2006-2021, 18,624 medical licenses were issued (41.7% Israeli Medical Graduates (IsrMGs), 42.2% female), average yearly increase (AYI) was 6.9%, females and IsrMGs had an average yearly decrease of 1% and 0.53%, respectively. 561 physicians began ophthalmology residency (57.5% male, 75% Jewish, 69.9% IsrMGs), reflecting a 6.2% total AYI, but 8.1% and 4.8% for female versus male residents, respectively. There were fewer female residents despite population and graduate pool adjustments (p = 0.002 and p = 0.002, respectively), but differences disappeared after 2015 (p = 0.52). Arab and Jewish residents AYIs were 6.4% and 5.7% respectively, with ethnic differences elucidated by adjusting for population sizes (p = 0.097). BCO densities in 2006 and 2021 were 7.5 and 9.06, respectively, with a 1.3% AYI (p < 0.001). Proportions of female and Arab BCO were lower than expected based on population proportions. (p < 0.001 and p < 0.001, respectively). Gender-differences remained after adjusting for population sizes (p < 0.001), but AYIs for female and male BCO were 1.38% and 1.15%, respectively. AYIs for Arab and Jewish BCO were 12% and 0.61%, respectively.</p><p><strong>Conclusions: </strong>Jewish and male dominance was seen among Israeli BCOs and was unrelated to population size or graduate distribution. Among new ophthalmology residents, Arab representation was adequate to their population proportion. In early years, male predominance was noted, however this disparity was no longer evident after 2015. These trends are encouraging, and efforts should be made to ensure the field remains inclusive and representative of the broader population.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"2"},"PeriodicalIF":3.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping, meaning in life, and quality of life during ongoing conflict: insights from Israeli populations.","authors":"Orly Sarid, Liat Hamama, Yaira Hamama-Raz","doi":"10.1186/s13584-024-00665-1","DOIUrl":"10.1186/s13584-024-00665-1","url":null,"abstract":"<p><strong>Background: </strong>Conducted in May 2024, this study examines the well-being of Israeli evacuees and non-evacuees from conflict zones. We assess health-related quality of life (HRQoL), meaning in life (MIL), coping strategies, psychological symptoms, and self-mastery. Aims include exploring effects of trauma and socio-demographics on HRQoL and MIL, analyzing mediating roles of psychological symptoms and coping, and evaluating if evacuation status moderates these relationships during ongoing conflict.</p><p><strong>Methods: </strong>In May 2024, seven months post-October 7th attacks, we conducted a cross-sectional study with 366 participants (221 evacuated, 145 non-evacuated) via a survey company. We assessed HRQoL (SF-12), MIL (MLQ), psychological symptoms (PHQ-4), self-related and other-related coping strategies (Brief COPE), and self-mastery (Self-Mastery Scale) through self-reported measures. Path and moderated mediation analyses evaluated relationships among socio-demographics, psychological symptoms, coping variables, HRQoL, and MIL.</p><p><strong>Results: </strong>Except for self-mastery, northern and southern evacuees showed no significant differences and were combined into one group. Path analysis revealed significant associations between traumatic life events, HRQoL, and MIL. Traumatic events were negatively associated with the physical component summary (PCS) of HRQoL and positively with anxiety, depression, and coping (self and others- problem-solving). Depression negatively related to PCS, mental component summary (MCS), and MIL, while coping (self and others) was positively associated with MIL. Moderated mediation analysis showed evacuated participants had higher dysfunctional coping, whereas non-evacuated participants demonstrated a stronger positive relationship between anxiety and the search for meaning.</p><p><strong>Conclusion: </strong>Despite regional differences, evacuees exhibited similar psychological responses, likely due to the shared experience of displacement. Traumatic events negatively impacted their HRQoL and MIL. Adaptive coping strategies-self-related and problem-focused coping through helping others-played significant roles in mitigating these effects. The theoretical frameworks of Conservation of Resources (COR) theory, Taylor's \"tend and befriend\" model, and Frankl's existential framework provided a basis for explaining these findings.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"1"},"PeriodicalIF":3.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of intention to stay in the profession among novice nurses: a cross-sectional study.","authors":"Bella Savitsky, Rachel Shvartsur, Ilya Kagan","doi":"10.1186/s13584-024-00662-4","DOIUrl":"10.1186/s13584-024-00662-4","url":null,"abstract":"<p><strong>Background: </strong>Preserving new graduate nurses in the profession is an essential step for addressing the nursing shortage and sustaining the future of the profession. This study aimed to examine the relationship between employment characteristics and job satisfaction of novice nurses and their willingness to stay in the nursing profession in the next 5 years.</p><p><strong>Methods: </strong>Novice nurses' intention to stay in the profession was assessed, considering demographics, employment characteristics, and components of job satisfaction. Among the sample of 216 novice nurses (93% response rate), four components of job satisfaction were extracted and included in the multivariable logistic regression model with the intention to stay in the profession as a dependent variable.</p><p><strong>Results: </strong>Professional self-accomplishment was significantly and positively associated with the intention to stay in the profession, with an elevation of one standard deviation in this component associated with more than a two-fold increase in the odds of staying (OR = 2.3, 95% CI 1.3-3.9). This component contributed 10% to the variance in intention to stay. Independently, managerial support also contributed 10% to the variance and was significantly associated with willingness to stay (OR = 1.9, 95% CI 1.2-3.0). Overall, self-accomplishment, managerial support, and healthier organizational culture were significantly associated with novice nurses' intention to stay, whereas work conditions and rewards were not. The multivariable analysis model explained 38.0% of the variance in the intention to stay in the profession.</p><p><strong>Conclusions: </strong>This study found that novice nurses' intention to stay in the profession is highly associated with their self-accomplishment and better managerial support. Thus, to enhance the retention of novice nurses, managers must establish an environment that fosters professional development and support. This involves providing engaging work assignments, facilitating the seamless integration of novice nurses into the team, and offering managerial support and guidance.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"13 1","pages":"75"},"PeriodicalIF":3.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The race to disasters - is the international relief community ready for future disasters?","authors":"Kobi Peleg, Moran Bodas","doi":"10.1186/s13584-024-00657-1","DOIUrl":"10.1186/s13584-024-00657-1","url":null,"abstract":"<p><strong>Background: </strong>Climate-related disasters have tripled in the past 30 years. Between 2006 and 2016, the global sea levels rose 2.5 times faster than the entire 20th century. More than 20 million people a year are forced out of their homes because of climate change impacts. Rapid urbanization and increasing population density in coastal mega-metropolitan areas will inevitably lead to more large-scale disasters due to extreme weather events, i.e., stronger storms and massive flooding. Despite the inevitability of these events, disaster risk reduction is still locally based in each country, many of which have scarce resources to devote to the activity. It is widely assumed that the global community will respond when a calamity occurs. This perspective article explores the appropriateness of the current international relief and aid paradigm in light of near and middle-term trends in global disasters.</p><p><strong>Main body: </strong>After briefly summarizing the anticipated effects of global climate change, population growth, and progressive urbanization in low-lying coastal and riverine environments on the frequency and scale of future disasters, this paper examines how existing concepts of international relief following disasters are insufficient to address the challenges to come. Current paradigms are tested against selected case studies demonstrating the growing frequency of mega-disasters. For example, in 2010, the world saw a catastrophic earthquake in Haiti, very large-scale floods in Pakistan, a major earthquake in Chile, and heat waves that resulted in the death of tens of thousands of people in Russia and many more in other countries. However, the world exhausted most of its humanitarian aid, responding to Haiti in January of that year. The review closes with a proposition for a new paradigm to re-organize international relief to meet the challenge posed by our rapidly changing world - one that is more adaptable to the current challenges of climate change and other trends that will almost certainly increase the frequency and intensity of disasters.</p><p><strong>Conclusion: </strong>The future of international disaster aid depends on our ability to foster greater cooperation between the various organizations and donor countries and more seamless cooperation between both groups and the affected countries or regions. Planning and relief operations should utilize new technologies and innovative financing where feasible. A holistic approach that focuses on building large-scale agreements and coordination mechanisms, teaching citizens how to help each other until aid arrives, and strengthening resilience at the local level will equip communities for adaptive action during a disaster, improve coping and long-term rehabilitation, will lead to a more efficient, fairer and more durable global aid system.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"13 1","pages":"74"},"PeriodicalIF":3.5,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}