Israel Journal of Health Policy Research最新文献

{"title":"Premature mortality and years of life lost attributable to ambient air pollution in Israel, compared to Europe: analysis and implications.","authors":"Ilan Levy, Itamar Grotto, Hagai Levine, Isabella Karakis","doi":"10.1186/s13584-026-00753-4","DOIUrl":"10.1186/s13584-026-00753-4","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379012","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":"Reimagining Israel's food system: balancing mediterranean diet recommendations with national food security, sovereignty and resilience.","authors":"Ella Berkovich, Stav Shapira, Moran Koren, Nimrod Talmon, Dorit Nitzan","doi":"10.1186/s13584-026-00748-1","DOIUrl":"10.1186/s13584-026-00748-1","url":null,"abstract":"<p><strong>Background: </strong>This study examines Israel's food system's security, sovereignty, resilience, and sustainability using the Mediterranean Diet (MD) lens. The current global context, marked by supply chain disruptions, climate change impacts, and geopolitical tensions, highlights the critical importance of resilient food systems. We analyzed Israel's food system using FAO Food Balance Sheets (FBS) (2010-2020 trends) and Israel Central Bureau of Statistics (CBS) production and trade data (2021) to assess food availability, import dependency ratios (IDR), and alignment with Mediterranean Diet guidelines.</p><p><strong>Methods: </strong>A literature search was conducted using PubMed, Semantic Scholar, EBSCO Discovery, and Google Scholar, aiming to agree on the food-based guidelines of MD and their impact on health outcomes. Studies from the past 10 years with the keywords \"Mediterranean diet\" and \"meta-analysis\" were included. The Israeli agricultural production data from 2010 to 2020 were drawn from the Central Bureau of Statistics (CBS). Import dependence was calculated by converting product quantities from tonnes to grams per person per day (annual quantity × 10 million people ÷ 365 days).</p><p><strong>Results: </strong>Israel demonstrates significant import dependency across critical food groups, with 90% of cereals, 87% of fish, 82% of nuts, and 65% of added fats sourced internationally. While nearly self-sufficient in poultry and dairy, chickens and cows grown in Israel depend on imported feed. Moreover, the country's food supply significantly deviates from the MD recommendations. Notably, there is an undersupply of nature-based proteins, including legumes.</p><p><strong>Conclusion: </strong>The results emphasize the advantages of shifting towards more locally produced, plant-based food and feed, especially in nature-based proteins. Embracing an MD-aligned food system would concurrently tackle the challenges of public health, food security, resilience, and environmental sustainability. These findings hold global significance for countries confronting similar issues in reconciling nutritional recommendations with food security needs. Future strategies should concentrate on policy reforms, agricultural investments, and public involvement to strengthen Israel's food sovereignty and nutritional landscape.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366867","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":"Individual causal attribution in occupational disease claims: a structured epidemiological approach.","authors":"Eytan Ellenberg, Marc Weber, Aviram Weiss, Eldad Katorza, Akshaya Bhagavathula","doi":"10.1186/s13584-026-00752-5","DOIUrl":"10.1186/s13584-026-00752-5","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311112","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":"Managing healthcare for female BRCA carriers in the population screening era: developing a harmonized national policy for surveillance and risk-reduction.","authors":"Rachel Michaelson-Cohen, Shunit Armon, Naama Srebnik, Einat Koller Volkow, Pnina Mor, David Gekhtman, Ora Rosengarten, Adi Maisel Lotan, Hadar Goldvaser, Yahelli Miller, Dana Madorsky Feldman, Rinat Bernstein Molho, Miri Sklair Levy, Inbal Kedar, Yael Goldberg, Yael Raz, Sharon Simchoni, Aviad Hoffman, Miora Linial, Einat Carmon, Inbar Gatot, Michal Braha, Rakefet Chen Shtoyerman, Shikma Mordechai, Elizabeth E Half, Lior Katz, Zohar Levi, Sharon Bratman Morag, Tanir M Allweis, Eitan Friedman, Ephrat Levy-Lahad, Sari Lieberman","doi":"10.1186/s13584-026-00746-3","DOIUrl":"10.1186/s13584-026-00746-3","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":"4"},"PeriodicalIF":2.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087516","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":"Qualitative insights into nurses' emotional and functional experiences in the 2023 military humanitarian mission to Turkey.","authors":"Sheli Shilman-Nomeisky, Angela Ruban, Irit Bluvstein, Ronen Segev","doi":"10.1186/s13584-026-00747-2","DOIUrl":"10.1186/s13584-026-00747-2","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":"3"},"PeriodicalIF":2.2,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12849552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067658","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":"Geographic access to emergency pediatric dental care during COVID-19: a population-based study from Israel.","authors":"Dana Atia Joachim, Ephraim Shapiro, Thabet Asbi, Doron Haim, Michael V Joachim","doi":"10.1186/s13584-026-00745-4","DOIUrl":"10.1186/s13584-026-00745-4","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic created unprecedented challenges for healthcare systems, particularly affecting specialized services like pediatric dental care. This study examined geographic disparities in emergency dental service access for children during the first COVID-19 lockdown in Israel.</p><p><strong>Methods: </strong>We analyzed data from a major healthcare provider serving 25% of Israel's population, comparing 6,024 emergency dental visits of children under 12 across three time periods: pre-pandemic (March-May 2019), first lockdown (March-May 2020), and post-lockdown (March-May 2021). Using spatial analysis methods, we evaluated the distribution and accessibility of emergency dental services across four main geographic regions through metrics including Load Ratio (LR), Geographic Availability Index (GAI), and Rate of Change in Service Utilization (ROCSU).</p><p><strong>Results: </strong>During the lockdown, emergency visits decreased by 40.2% compared to the pre-pandemic period, with significant regional variations ranging from 31.2% in the Northern region to 44.8% in the Central region. The mean age of children seeking emergency care during lockdown (6.2 years) was significantly lower than in both pre-pandemic (7.1 years) and post-lockdown periods (6.8 years). Analysis revealed substantial regional disparities in service burden, with the highest Load Ratio in the Central region (1.86) and lowest in the Northern region (1.24), despite the Central region having the highest Geographic Availability Index (2.46). The Jerusalem area had the highest proportion of invasive treatments (40.4%) and swelling/abscess cases (22.4%). Ultra-Orthodox neighborhoods demonstrated distinct utilization patterns, with a lower decrease in emergency visits (29.8-36.8%) compared to the national average (40.2%).</p><p><strong>Conclusions: </strong>This study identified significant geographic inequities in emergency dental care access during crisis periods, with a paradoxical relationship between service availability and utilization across regions. Our analysis suggests that emergency dental service planning should incorporate strategic facility placement to minimize travel barriers, consideration of population-specific utilization patterns, and balanced resource allocation that maintains proportional service capacity across diverse geographic contexts. These findings provide important insights for health system preparedness to ensure equitable access to essential pediatric dental services during future crises.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":"2"},"PeriodicalIF":2.2,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953195","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 personal and the public in residents' burnout: a cross-sectional investigation.","authors":"Yehonatan Sonvani, Shoval Madmon Sarikov, Tony Gutentag","doi":"10.1186/s13584-025-00742-z","DOIUrl":"10.1186/s13584-025-00742-z","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"15 1","pages":"1"},"PeriodicalIF":2.2,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12766938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901299","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":"Improving blood culture procurement: a prospective 5-year hospital-wide study.","authors":"Shmuel Benenson, Miriam Dreyer, Bath Sheva Ezagui, Ilana Dery, Todd Zalut, Naama Bagrish, Rona Lujan, Marc V Assous, Amos M Yinnon, Oshrat Ayalon","doi":"10.1186/s13584-025-00744-x","DOIUrl":"10.1186/s13584-025-00744-x","url":null,"abstract":"<p><strong>Background: </strong>Appropriate procurement of blood cultures (BC) is essential for diagnosis of bacteremia and susceptibility testing. This includes (1) adequate preparation of the venipuncture site to minimize contamination; (2) obtaining ≥ two sets with a time interval before starting antibiotics. Although these recommendations are standard since the 1960s, adherence is far less than expected - which may adversely impact on the management of bacteremic patients.</p><p><strong>Aims of study: </strong>This single-center study conducted in Shaare Zedek Medical Center aimed to decrease the proportion of contaminated BCs and to increase the percentage of obtaining two sets of BC/ blood-culture-taking episode.</p><p><strong>Methods: </strong>Determination of both markers at baseline, then monthly for one year, then subsequently on a quarterly basis; showing data from all departments in real-time to all department directors; and providing short educative lectures during departmental staff meetings, at baseline and after 1-2 years. These markers were adopted as one of the hospital-wide quality measures.</p><p><strong>Results: </strong>In the 20-year period 2000-2019 more than 1 million BCs were obtained, of which 70% were from patients ≤ 72 h in hospital. During the 5-year study (2020-2024), the percent of blood-culture-taking episodes from which two culture sets were obtained increased annually by ± 16% from a baseline of 27% (9010/33306) in 2020, to 46% (18462/40191) in 2024 (Incidence Rate Ratios, IRR 1.16 [95%CI 1.13-1.18], p < 0.001). This improvement was observed in almost all departments and was especially profound in the emergency department (ED), starting at a baseline of 19% (1979/10326) and increasing to 53% (5304/9915)(IRR 1.33 [95%CI 1.27-1.39], p < 0.001). During the same period, the annual proportion of false-positive BCs, from which only contaminants were isolated, decreased annually by 18% from 2.4% (1592/65230) in 2020 to 1.3% (895/68991) in 2024 (IRR 0.82 [95%CI 0.77-0.88], p < 0.001). This improvement was observed in all departments: in the emergency department, this rate decreased from 3.3% (676/20529) to 1.56% (272/17459) (IRR 0.79 [95%CI 0.75-0.83], p < 0.001).</p><p><strong>Conclusion: </strong>A simple educational intervention, combined with meticulous data mining and presentation of each department's results, with comparison of all other departments, led to significant and sustained improvement in measurable markers.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"81"},"PeriodicalIF":2.2,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12754872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865904","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 majority of opioid prescriptions in Israel between 2010 and 2020 involved a small minority of physicians and of patients: policy implications.","authors":"Ehud Kaliner, Matan J Cohen, Adam J Rose, Reuven L Dressler","doi":"10.1186/s13584-025-00743-y","DOIUrl":"10.1186/s13584-025-00743-y","url":null,"abstract":"<p><strong>Background: </strong>We sought to examine patterns of opioid prescriptions in Israel, focusing on the extent to which patients received prescriptions from multiple physicians and physicians prescribed opioids to few or many patients.</p><p><strong>Methods: </strong>We conducted a historical cohort analysis using a data repository of Clalit Health Services (CHS), Israel's largest health maintenance organization (serving about five million individuals), between 2010 and 2020. We included all non-oncological adult patients registered with CHS who received opioids during the study period. We examined the number of physicians prescribing opioids to each patient and the number of patients prescribed opioids per physician. We also assessed the difference in opioid prescription patterns based on whether patients were registered with the prescribing physicians.</p><p><strong>Results: </strong>During the study period, 868,499 adult patients filled 5,600,598 opioid prescriptions. Half of the patients received opioid prescriptions from a single physician, filling 3% of the total morphine milligram equivalents (MME) dispensed. In contrast, 11% received opioid prescriptions from more than five physicians, filling 85% of all MME dispensed. There were 9008 physicians who prescribed opioids in 2010, and 15,486 in 2020. The percentage of physicians prescribing opioids to more than 50 patients/year increased from 7% in 2010 to 12% in 2020. The proportion of MMEs prescribed by those physicians increased from 36% in 2010 to 81% in 2020.</p><p><strong>Conclusion: </strong>We found that a small number of patients received the great majority of opioids, and a small number of physicians prescribed the great majority of opioids. Based on our results, we suggest policy options that would have minimal impact on most patients and most prescribers but would make a meaningful contribution to limiting opioid overprescription.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"80"},"PeriodicalIF":2.2,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12751447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858167","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":"Lessons from a large national \"hospital at home\" program.","authors":"Alexander Lustman, Talish Razi, Maya Lerner Shikory, Naama Katz, Ruth Baruch, Shlomit Yaron, Ronen Arbel, Doron Netzer","doi":"10.1186/s13584-025-00741-0","DOIUrl":"10.1186/s13584-025-00741-0","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":"14 1","pages":"79"},"PeriodicalIF":2.2,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12720458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805991","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}