Israel Journal of Health Policy Research最新文献

{"title":"Assessing admitted patients' preparedness during mass casualty incidents at the hospital - a prospective study.","authors":"Winston Wolf, Lia Schoenfeld, Maya Siman-Tov, Moran Bodas, Bosmat Hoch, Kholood Abu Hamad, Ronit Bar-Haim, Shachar Laks, Katia Dayan, Mordechai Shimonov, Adam Lee Goldstein","doi":"10.1186/s13584-025-00716-1","DOIUrl":"10.1186/s13584-025-00716-1","url":null,"abstract":"<p><strong>Background: </strong>Hospitalized patients are inherently one of the most vulnerable populations. When the hospital is damaged, this population becomes even more at risk. Violence and natural disasters always have the potential to damage hospitals and other healthcare facilities, creating additional strain on an already catastrophic event. This study presents the preparedness of hospitalized patients during a mass casualty incident in order to understand their perspectives during a time of war in order to prepare, optimize, and to guide policy in order to maintain the highest level of care, efficiency, and safety.</p><p><strong>Methods: </strong>A descriptive cross-sectional prospective analysis was conducted for patients admitted during an active war.</p><p><strong>Results: </strong>Data from 103 patients were analyzed. 77% reported mobility limitations that significantly increased compared to their baseline home status. The majority did not know what to do in a disaster, only 20.4% felt able to take care of themselves in an emergency. 61.7% believed it was important to have CPR or stop-the-bleeding training. The major challenges were getting out of bed (56.9%), mobility help (41.2%), pain, and attachment to IVs/drains (both 25.5%). Older patients, non-Jewish individuals, religious patients, and those without an academic degree were all significantly at higher risk for having less knowledge about what to do if there was a mass casualty incident.</p><p><strong>Conclusions: </strong>There is a clear need to better understand the patient perspective, as reflected in specific points identified in this study, in order to optimize hospital preparedness when the hospital itself is a disaster victim.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"55"},"PeriodicalIF":2.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240011","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 multifaceted impact of volunteering in an Israeli neurosurgery department following the October 7th terror attacks.","authors":"Gabriella Vulakh, Jonathan Roth, Sigal Freedman","doi":"10.1186/s13584-025-00717-0","DOIUrl":"10.1186/s13584-025-00717-0","url":null,"abstract":"<p><strong>Background: </strong>The paper examines the experiences of volunteers, residents, and leadership in Tel Aviv Medical Center's (TLVMC) Neurosurgery Department following the October 7th terrorist attacks. It explores how volunteers impacted the department's operations during acute medical staff shortages, a surge in patient needs, and a time of profound national and personal crisis.</p><p><strong>Methods: </strong>Fifteen semi-structured interviews were conducted with volunteers, residents, and management members in TLVMC's Neurosurgery Department to provide a qualitative analysis of their experiences and insights for future disaster preparedness. The findings are analyzed using three theoretical frameworks: Surge Capacity Framework, Resilience Theory, and Volunteer Process Model.</p><p><strong>Results: </strong>Participants reflected on the overall impact of volunteers in the department - helping to maintain the service's functionality and operations, filling gaps in staffing, and providing relief and support to staff members - as well as the non-medical contributions such as increasing morale and a sense of solidarity within the community. Volunteers also spoke about the personal impact of this experience, expressing their desire to give back and have a sense of purpose. Participants emphasized the importance of strong leadership, cohesive teams, and the need for pre-disaster planning.</p><p><strong>Conclusions: </strong>Volunteers provided essential clinical and morale support. They reported meaningful personal experiences and also offered practical recommendations for future disaster volunteering. Embedding community-wide planning and formal volunteer integration can strengthen healthcare system resilience.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"59"},"PeriodicalIF":2.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12492893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214138","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":"Exploring the role of empathy in nurses' intention to provide disaster care: a cross-sectional study.","authors":"Anna Goudetsidou, Theodoros Pesiridis, Petros Galanis, Venetia Sofia Velonaki","doi":"10.1186/s13584-025-00721-4","DOIUrl":"10.1186/s13584-025-00721-4","url":null,"abstract":"<p><strong>Background: </strong>Over the past two decades, the increasing frequency of disasters highlights the urgent need for nurses willing to respond to these crises. Although disaster care is part of their professional role, willingness to provide care in such situations is not always guaranteed and may be influenced by various factors. Understanding what shapes their intention to provide care is critical for effective disaster planning. This study investigates the role of empathy in shaping nurses' intention to participate in disaster care, drawing on the Empathy-Altruism Hypothesis. To further contextualize this relationship, elements of the Theory of Planned Behavior-attitude toward the behavior, subjective norms, and perceived behavioral control-were also examined as potential predictors of behavioral intention.</p><p><strong>Methods: </strong>A cross-sectional and correlational study was carried out among nurses in Greece using a convenience sampling method. Data collection took place from December 2023 to April 2024. Participants completed a questionnaire covering demographics, academic background, experiences with disasters, empathy (assessed using the Jefferson Scale of Empathy), and behavioral intentions related to disaster care. The Behavioral Intention Scale was used to assess the behavioral intention, attitude toward the behavior, subjective norms and perceived behavioral control.</p><p><strong>Results: </strong>The final sample included 252 nurses. Findings revealed a strong intention to participate in disaster victim care. Empathy levels were moderate to high, with a mean score of 103.56 on a 20-140 scale. Multiple linear regression, using behavioral intention as the dependent variable, revealed a significant positive association between subjective norms and behavioral intention. In contrast, empathy, attitude, and perceived behavioral control were not significantly associated with behavioral intention.</p><p><strong>Conclusions: </strong>This study provides insights into the factors that influence nurses' intention to provide disaster care, with subjective norms emerging as the strongest predictor. These findings partially support the Theory of Planned Behavior and suggest that social expectations and perceived peer support may be critical in shaping willingness to respond. Although nurses exhibited strong empathy and a high intention to participate in disaster care, empathy did not significantly influence behavioral intention. Further research is needed to explore empathy's potential contribution to motivating nurses to engage in disaster response.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"58"},"PeriodicalIF":2.2,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114709","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 return home model: design and implementation of a geriatric home-care model for long-term care eligible older adults.","authors":"Inbal Mayan, Kristine Yaffe, Adam J Rose, Isabel E Allen, Gila Yakov, Glynis Katz, Irit Fischer-Reif, Ron Sabar","doi":"10.1186/s13584-025-00719-y","DOIUrl":"10.1186/s13584-025-00719-y","url":null,"abstract":"<p><strong>Background: </strong>Most older adults prefer to \"age in place\" within their communities. This preference cannot always be honored and dependent older adults may transfer to a long-term care facility. The Return Home is an Israel Ministry of Health initiated care model designed to prevent or delay a transfer of the dependent older adult to a long-term facility. The intervention team included a physician, nurse, social worker, occupational therapist, physical therapist, and a dietician, all participating in in-home visits. This study's aim was to examine the Return Home model's feasibility to prevent long-term care placement in a complex, dependent geriatric population.</p><p><strong>Methods: </strong>We analyzed data from the electronic medical record (EMR) of the provider. Participants were recruited by the Israeli Ministry of Health from July 2021 to November 2022 at the time of hospital discharge. Caregiver input was obtained from interviews at the beginning and end of the one-year intervention.</p><p><strong>Results: </strong>138 patients were enrolled in the intervention. 86 (62%) completed the intervention in their homes, 39 (28%) died during the intervention, 5 (4%) were transferred to a long-term facility, 8 (6%) were dis-enrolled. Prescription medication usage declined by 0.79 medications per person on average. Forty patients had pressure ulcers at the time of admission; all of these ulcers healed during the program, after an average time of 1.5 months. Caregiver burden measured by the Zarit score, declined from 20.9 to 9.7, t (156) = 11.88, p < 0.001.</p><p><strong>Conclusions: </strong>The Return Home intervention demonstrated the feasibility of preventing or delaying long-term care placement for a complex, dependent geriatric population. Further evaluation is needed to determine effectiveness and inform broader implementation.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"57"},"PeriodicalIF":2.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082017","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":"It is all about location: the performance of urgent care centers by proximity to an emergency room in a general hospital.","authors":"Fadi Abu Saman, Liat Lerner-Geva, Zohar Mor","doi":"10.1186/s13584-025-00718-z","DOIUrl":"10.1186/s13584-025-00718-z","url":null,"abstract":"<p><strong>Background: </strong>The gradual increase in referrals to the busy Emergency Departments (ED) raises concerns about the potential negative effect on the quality of medical care and patient satisfaction. Urgent Care Center (UCC) provides an alternative to the ED for non-life saving medical conditions. This study aimed to compare the admission rates, reasons for referrals and patient's satisfaction amongst UCCs based on their distance from the nearest ED.</p><p><strong>Methods: </strong>This cross-sectional study included all medical records of four UCCs between 2017 and 2020. Admission rates, reasons for referrals, and patients' satisfaction were compared between UCCs located near and ED located farther away.</p><p><strong>Results: </strong>The study included 216,903 patients with an average age of 32.4±24.4 years. Most referrals were independent, with 37.7% occurring on weekends. The average triage time and total time spent in the UCCs were approximately 5.3 minutes and 62.8 minutes, respectively. The proportion of residents visiting UCCs in cities with an ED was 14.4% with a level of satisfaction of 91.5%, compared with UCCs in cities without ED where these figures were 23.7% and 84.4%, respectively. UCCs in northern Israel treated more patients with trauma/injury (33.0%) than UCCs in southern Israel (28.2%).</p><p><strong>Conclusions: </strong>UCCs in the two locations without an ED received a higher volume of patients, while their satisfaction levels were lower. UCC serves as an alternative to ED for non-lifesaving medical conditions.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"56"},"PeriodicalIF":2.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081989","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 impact of shortening shifts of physicians during their residency on patients and physicians : A systematic review and meta-analysis.","authors":"Vered Daitch, Itamar Poran, Leonard Leibovici","doi":"10.1186/s13584-025-00715-2","DOIUrl":"10.1186/s13584-025-00715-2","url":null,"abstract":"<p><strong>Background: </strong>Prolonged shifts in residency contribute to physician fatigue, cognitive decline, and increased medical errors. This systematic review and meta-analysis evaluate how reducing shift length affects patient-physician safety, physician well-being, and residency training, addressing the ongoing challenge of balancing resident welfare, patient outcomes, and educational standards across varied implementation settings.</p><p><strong>Methods: </strong>A comprehensive search of PubMed, EMBASE, The Cochrane Library, Google Scholar, and opengrey.eu was performed from database inception to January 2024. Eligible studies assessed the effects of duty hour limitations (≤ 24 h) on clinical, educational, or systemic outcomes. Both randomized controlled trials and observational studies were included. Meta-analyses used random-effects models. Risk of bias was assessed with RoB 2.0 and ROBINS-I tools. Subgroup analyses were performed by specialty, shift duration, and publication period. Sensitivity analyses excluded studies with extended timeframes.</p><p><strong>Results: </strong>A total of 108 studies (8 RCTs, 100 observational) were included. Shift shortening was associated with improved resident well-being, including reduced fatigue and work-life balance. Patient safety remained stable, with a significant reduction in 30-day mortality for shifts ≤ 16 h (pooled OR 0.84, 95% CI 0.79-0.89). No significant effect on complications or adverse events was observed. Operative experience showed mixed results, with a non-significant reduction in case volume (pooled std. mean difference 0.65, 95% CI -0.04 to 1.34, P = 0.07), while test scores exhibited minimal changes. Effect directions remained consistent across publication periods. High heterogeneity and risk of bias were observed across most included studies.</p><p><strong>Conclusions: </strong>Shortening shifts to 24 h or less appears to improve residents' satisfaction and work-life balance while maintaining patient safety outcomes. Educational outcomes were mixed; operative experience was preserved in some settings, while effects on non-surgical training remain less clear. These findings underscore the importance of tailoring reforms to specialty needs and training contexts. Future research should examine unstudied outcomes, such as residency attrition or shifts to less demanding specializations, and system-wide implementation costs. A stepped wedge cluster randomized trial is recommended for future policy evaluations.</p><p><strong>Systematic review registration: </strong>PROSPERO CRD42023390197.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"53"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973913","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 child dental care reform in Israel - age-related patterns of uptake: 2011 to 2022.","authors":"Dan Dekel, Hazav Dadosh, Hagit Domb Herman, David Yellon, Shlomo Paul Zusman, Lena Natapov","doi":"10.1186/s13584-025-00714-3","DOIUrl":"https://doi.org/10.1186/s13584-025-00714-3","url":null,"abstract":"<p><strong>Background: </strong>The Child Dental Care Reform introduced in Israel in 2010 aimed to provide universal dental coverage for children, addressing high caries morbidity and inequalities in access to care. The reform initially covered ages 0-8 and expanded to include all children up to age 18 by 2019. This study examines age-related patterns of dental service utilization during the first decade of its implementation.</p><p><strong>Methods: </strong>This retrospective study analyzed anonymized dental service data from 2011 to 2022, submitted by the four Health Maintenance Organizations to the Israeli Ministry of Health. The data included the number of children treated, categorized by age group, and the types of treatments provided.</p><p><strong>Results: </strong>Service utilization showed distinct age-related patterns, with rates peaking at age 8 (48%) and gradually declining through adolescence (p < 0.001). Restorative care consistently outnumbered preventive care across all age groups (p < 0.001), with children aged 3-5 receiving the most restorative procedures per child. Preventive treatments increased with age, from 1.0 per patient in young children to 1.5 in teenagers, transitioning from mainly dental examinations in younger children to hygienist visits in adolescents. Restorative treatments included dental restorations (peaking at 50% at ages 8-9), extractions (25% at ages 10-11), and pulp treatments (25% at ages 6-8). Emergency dental visits were most common in infants and increased by 83% over the course of a decade (p < 0.001). General anesthesia utilization increased significantly in the younger age groups, with the 4-5 age group showing the most dramatic increase (2.39-fold increase, p < 0.001).</p><p><strong>Conclusion: </strong>This study highlights distinct age-related patterns in dental service utilization among children in Israel, emphasizing the need for targeted prevention strategies and policy reforms to address current challenges disparities, including the increasing rate of treatment under general anesthesia. Preventive interventions, such as community water fluoridation and early childhood programs, alongside improved access to specialized dental care, are essential for fostering better long-term oral health outcomes. Integrating quality indicators will facilitate better incorporation of dental services into the national health system, ensuring comprehensive and equitable oral care.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"52"},"PeriodicalIF":2.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973847","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":"Mediating role of social support in relations between psychological capital and subjective well-being among IDF soldiers during conflict: insights from the 2023 Gaza war.","authors":"Batel Hazan-Liran, Ofra Walter","doi":"10.1186/s13584-025-00713-4","DOIUrl":"https://doi.org/10.1186/s13584-025-00713-4","url":null,"abstract":"<p><strong>Background: </strong>The study explored the relations between psychological capital, social support, and subjective well-being among Israel Defense Forces soldiers, focusing on differences between active-duty and reserve soldiers, as well as pre-war and wartime conditions.</p><p><strong>Methods: </strong>The sample comprised 233 soldiers, divided into three groups based on their service conditions: active-duty soldiers before the war, active-duty soldiers during the war, and reserve soldiers during the war. Four questionnaires were administered: Demographic Questionnaire, Psychological Capital Questionnaire, Social Support Questionnaire, and Subjective Well-Being Questionnaire.</p><p><strong>Results: </strong>The findings revealed significant positive correlations between psychological capital, social support, and subjective well-being, with social support mediating relations. While psychological capital remained stable across various service conditions, social support and subjective well-being were more pronounced among soldiers serving during wartime, underscoring the vital role of interpersonal connections in high-stress environments.</p><p><strong>Conclusion: </strong>The results suggest psychological capital may function as a psychological buffer, positively associated with resilience and well-being. Moreover, the mediation effect of social support highlights the importance of social networks in sustaining psychological resilience and mitigating the adverse effects of combat stress. While these are established constructs, the study embeds them within a real-time war context, offering rare insight into how they operate under acute national trauma. Given the cross-sectional design, findings should be interpreted as associations rather than definitive causal relationships.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"51"},"PeriodicalIF":2.2,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973858","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":"Policy implications of physicians' attitudes towards being examined by medical students.","authors":"Ruth Kannai, Tamar Freud, Tsafnat Test, Roni Peleg","doi":"10.1186/s13584-025-00711-6","DOIUrl":"10.1186/s13584-025-00711-6","url":null,"abstract":"<p><strong>Background: </strong>Physicians who become patients-especially those involved in teaching-hold a dual perspective that may influence their comfort with medical student involvement in their care. Understanding these attitudes is essential for shaping medical education policies related to consent, patient assignment, and professional boundaries. This study explored Israeli family physicians' willingness to be examined by medical students and examined implications for clinical teaching policy.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among Israeli family physicians during June-July 2024. A total of 149 participants completed a structured questionnaire assessing their comfort with students observing, taking medical histories, and performing physical, intimate, and invasive examinations. Data were analyzed using descriptive statistics and chi-square tests to compare subgroups by gender, age, and teaching status.</p><p><strong>Results: </strong>Among the 149 respondents (mean age 47.2 years; 65.1% female), 92.6% were comfortable with students observing non-intimate exams, but only 29.5% agreed to student presence during intimate exams. Comfort increased slightly if the student was of the same gender (48.3%), but overall acceptance remained low. Female physicians were significantly less willing than males to undergo physical exams by students (63.5% vs. 88.2%; p = 0.006) and were more uncomfortable with male students performing intimate exams (48% vs. 28.1%; p = 0.014). Physicians aged ≤ 45 were less willing to student observation than those aged ≥ 46 (61.0% vs. 42.3%; p = 0.033). Only 16.8% agreed to allow students to perform invasive procedures. Interestingly, teaching physicians were significantly less likely than non-teachers to agree to student presence during intimate exams (29.7% vs. 51.6%; p = 0.018).</p><p><strong>Conclusions: </strong>While student involvement in non-invasive care is widely accepted, substantial discomfort persists with intimate and invasive scenarios-particularly among female and teaching physicians. These findings raise ethical and educational concerns. Institutions should consider: (1) Allowing physician-patients to opt out of student involvement without stigma; (2) Implementing real-time, standardized informed consent for all patients, including physicians; (3) Creating clear guidelines on teacher-student dynamics in clinical care.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"50"},"PeriodicalIF":2.2,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838168","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":"Dental lessons learned from large-scale military dental records in the Israel defense forces: military dentistry as a window into national oral health trends.","authors":"Yehuda Zadik, Guy Tobias","doi":"10.1186/s13584-025-00712-5","DOIUrl":"10.1186/s13584-025-00712-5","url":null,"abstract":"<p><p>Mandatory military service creates a unique opportunity to examine health patterns in a near-comprehensive national cohort of young adults. In this context, large-scale, routinely collected military health data, particularly from dental records, can serve as a powerful lens through which to explore broader public health phenomena. Recent population-based studies conducted within the Israel Defense Forces have demonstrated how clinical records originally intended to ensure operational readiness can also illuminate associations between health outcomes and social determinants. These findings highlight the untapped potential of military health systems to contribute not only to force fitness, but to national health surveillance and epidemiologic insight. Particularly in the realm of oral health, where disease burden remains relatively high and disparities are both widespread and insufficiently explored, military data provide a scalable, real-world foundation for risk assessment, preventive strategies, and informed policy development. The integration of clinical, cognitive, and demographic data from this setting underscores the relevance of military research far beyond its operational context, informing strategies that bridge public health, clinical practice, and social equity.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"49"},"PeriodicalIF":2.2,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822782","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}