Israel Journal of Health Policy Research最新文献

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Balint groups: an effective tool for improving health professionals' perceived well-being. 巴林特小组:提高卫生专业人员幸福感的有效工具。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-08-01 DOI: 10.1186/s13584-024-00618-8
Ruth Kannai, Shai Krontal, Tamar Freud, Aya Biderman
{"title":"Balint groups: an effective tool for improving health professionals' perceived well-being.","authors":"Ruth Kannai, Shai Krontal, Tamar Freud, Aya Biderman","doi":"10.1186/s13584-024-00618-8","DOIUrl":"10.1186/s13584-024-00618-8","url":null,"abstract":"<p><strong>Background: </strong>Physician burnout is a common problem that negatively impacts their well-being and patient care. Balint groups (BGs) deal with doctor-patient relationships. Previous studies that have demonstrated the positive effects of BGs are descriptive and based on small sample sizes. This study aims to evaluate the perceptions of health professionals who participated in BGs, determine the impact of BGs on their personal and professional well-being, and identify the factors related to these positive outcomes.</p><p><strong>Methods: </strong>On January and February 2023 the authors have distributed a questionnaire to 142 healthcare providers in a conference and internet networks. Most respondents were family physicians.</p><p><strong>Results: </strong>Participation in BGs is seen to have a positive impact on healthcare professionals' perceived well-being and professional development. Respondents who had participated in the BG reported a reduction in burnout, increased empathy, and enhanced professional identity and relationships with patients and colleagues. The study also highlighted the importance of duration of participation in BG, with attendance longer than 5 years linked to significantly more positive outcomes compared to less than 1 year. In a logistic regression analysis two factors were significantly associated with self-reported well-being: attending BGs for more than five years and perceiving BGs as a means of relieving burnout.</p><p><strong>Conclusions: </strong>The findings suggest that medical organizations should encourage the regular availability of BGs to support physicians' well-being.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861241","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}
引用次数: 0
Exploring the relationship between social activities and financial risk aversion in adults aged 50 + with depression caseness. 探讨 50 岁以上患有抑郁症的成年人的社交活动与财务风险规避之间的关系。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-07-30 DOI: 10.1186/s13584-024-00621-z
Shay Musbat, Inbal Reuveni, Racheli Magnezi
{"title":"Exploring the relationship between social activities and financial risk aversion in adults aged 50 + with depression caseness.","authors":"Shay Musbat, Inbal Reuveni, Racheli Magnezi","doi":"10.1186/s13584-024-00621-z","DOIUrl":"10.1186/s13584-024-00621-z","url":null,"abstract":"<p><strong>Background: </strong>Risk aversion due to depression is common among older adults, and social participation is associated with improved mental health and a lower risk of late-life depression. However, little is known about the connection between participation in social activities and risky financial decisions among adults with depression. Thus, we aim to examine the connection between participation in social activities and taking financial risks and investing in risky financial assets (with high-return potential) in such individuals, differentiated by age and gender. The study also focuses on analyzing the percentage of investors within each social activity, their attendance frequency, and motivation.</p><p><strong>Methods: </strong>The data was obtained from the Survey of Health, Ageing and Retirement in Europe (SHARE) database Wave 2 (2006-2010). The study included 8,769 individuals aged 50 + with depression caseness, from 15 European countries and Israel who answered the question on participation in social activities and reported financial risk-taking intentions or behaviors (investing in stocks or shares, mutual funds or managed investment accounts, and both). The study utilized Pearson chi-square, odds ratios, Z, and hierarchical logistic regression tests.</p><p><strong>Results: </strong>The odds for taking financial risks and investing in risky financial assets were higher for those participating in social activities compared to those who did not, on both intentional (by 173%) and behavioral (by 240-397%) levels. Such social activities (attended at least once a week, without financial motivation) have been shown to be primarily represented by educational or training courses - where 33% of participants invested in risky financial assets. The connection persisted after controlling for gender, age, marital status, children, income.</p><p><strong>Conclusions: </strong>By overcoming the subjects' financial risk aversion, participation in social activities may help improve mental health in individuals aged 50 + with depression caseness. This has important implications for policymakers in healthcare, who by updating healthcare policies can fund and facilitate participation in social activities. As a result, the national healthcare system may benefit from lower hospitalization-related expenses, and generate higher cash flows into the country's economy using the population's renewed interest in investing available funds. These results are relevant in the wake of COVID-19 that increased loneliness and depression rates.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856817","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}
引用次数: 0
"A day in the life" - telemedicine in family medicine and its relationship with practicing physicians' satisfaction: a cross-sectional study. "生活中的一天"--家庭医学中的远程医疗及其与执业医师满意度的关系:一项横断面研究。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-07-29 DOI: 10.1186/s13584-024-00624-w
Galia Zacay, Limor Adler, Yochai Schonmann, Joseph Azuri, Ilan Yehoshua, Shlomo Vinker, Anthony D Heymann, Shani Afek, Avivit Golan Cohen, Ilan Green, Robert Hoffman, Michal Shani
{"title":"\"A day in the life\" - telemedicine in family medicine and its relationship with practicing physicians' satisfaction: a cross-sectional study.","authors":"Galia Zacay, Limor Adler, Yochai Schonmann, Joseph Azuri, Ilan Yehoshua, Shlomo Vinker, Anthony D Heymann, Shani Afek, Avivit Golan Cohen, Ilan Green, Robert Hoffman, Michal Shani","doi":"10.1186/s13584-024-00624-w","DOIUrl":"10.1186/s13584-024-00624-w","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine has expanded rapidly in recent years, and many encounters that were conducted in person now take place remotely. This study aimed to assess primary care physicians' (PCPs) attitudes towards the different modalities of patient care.</p><p><strong>Methods: </strong>This is a cross-sectional nationwide descriptive study conducted in Israel. We asked PCPs to document an entire workday and answer a short questionnaire after each visit. The questions addressed the type of visit (face-to-face, remote synchronous [telephone/video], or remote asynchronous [online requests]), the perceived quality of the visit, and the physicians' feelings at the end of each visit. Before documenting their working day, we asked the participants to answer a questionnaire about their general attitudes toward different modalities of medical visits and how they affect their well-being and burnout.</p><p><strong>Results: </strong>Sixty physicians documented 2,025 visits, of which 39% took place in person, 36% stemmed from online patient requests, 18% were telephone meetings, < 1% were video meetings, and 6% consisted of other types of contact. Mixed effects logistic regressions were used to model the visits' evaluation. The odds ratios (ORs) for perceived medical quality of visits focused on medical tasks were lower for non-face-to-face visits: OR = 0.39, 95% CI 0.25-0.59 for remote synchronous, and OR = 0.14, 95% CI 0.09-0.23 for remote asynchronous. The perceived medical quality of visits focused on administrative tasks was lower for remote asynchronous than for face-to-face visits (OR = 0.31, 95% CI 0.14-0.65). We found no association between medical quality and patients, physicians, or clinic characteristics. The inappropriateness of the visit modality was also associated with lower medical quality (OR = 0.13, 95% CI 0.09-0.18). We found a correlation between perception of medical quality and physicians' feelings at the end of the visits, Spearman's r = 0.82 (p < 0.001).</p><p><strong>Conclusions: </strong>A substantial portion of the visits was dedicated to administrative tasks and remote medicine. In comparison, physicians rated face-to-face visits' quality higher than remote visits. Policymakers should intervene to minimize administrative work, reduce PCPs' administrative workload, and direct patients to the optimal visit modality for their complaints. These steps would increase medical quality, reduce burnout, and mitigate the shortage of PCPs.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11287843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793721","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}
引用次数: 0
The Israeli Trauma system during wartime - policy and management. 以色列战时创伤系统--政策与管理。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-07-22 DOI: 10.1186/s13584-024-00623-x
Dorit Nitzan, Joseph Mendlovic, Nachman Ash
{"title":"The Israeli Trauma system during wartime - policy and management.","authors":"Dorit Nitzan, Joseph Mendlovic, Nachman Ash","doi":"10.1186/s13584-024-00623-x","DOIUrl":"10.1186/s13584-024-00623-x","url":null,"abstract":"<p><p>On October 7, 2023, Hamas terrorists attacked people in their homes, fields, and at a music festival in Israeli communities near the border with Gaza. More than 1,145 men, women, and children were killed, about 1,800 wounded were evacuated to hospitals in the country, and 253 infants, children, women, elderly, and men were abducted. This mass casualty incident (MCI) was the start of a war that is still ongoing. The Israeli medical system, which faced an overwhelming first 24 h, continues to take care of casualties, including those who are injured by missiles that target Israeli residential areas.Israel has a well-established trauma system, and as a result of the experience gained in this war, the system merited review. This was the topic of a meeting of leaders of the Israeli healthcare system, and it forms the basis of this report. The meeting and report provide a platform for presenting the trauma system management during the war, highlighting the strengths of the system as well as its challenges and lessons learned. The participants also brainstormed and discussed possibilities for future improvements.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749187","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}
引用次数: 0
Frailty and its association with long-term mortality among community-dwelling older adults aged 75 years and over. 体弱及其与 75 岁及以上居住在社区的老年人长期死亡率的关系。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-07-16 DOI: 10.1186/s13584-024-00614-y
Maor Lewis, Anthony Heymann, Galia Zacay, Dan Justo
{"title":"Frailty and its association with long-term mortality among community-dwelling older adults aged 75 years and over.","authors":"Maor Lewis, Anthony Heymann, Galia Zacay, Dan Justo","doi":"10.1186/s13584-024-00614-y","DOIUrl":"10.1186/s13584-024-00614-y","url":null,"abstract":"<p><strong>Background: </strong>Frailty, a significant risk factor for adverse outcomes and mortality, poses an emerging challenge with profound implications for public health and clinical practice. The measurement of frailty offers potential enhancements in healthcare services for older adults. The prevalence of frailty and its association with long-term mortality in a nationwide, unselected population of community-dwelling older adults, particularly those aged 75 and over, has not been previously studied on a large scale in Israel.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at Meuhedet Health Maintenance Organization, Israel's third largest healthcare service provider, serving 1,276,000 people (13.8% of Israelis). The prevalence of frailty and its association with all-cause mortality were studied among older adults aged 75 years and over who were followed for 2-8 years. Frailty, defined by the cumulative deficit method, utilized clinical data from the preceding 10-year period, comprising 28 chronic diseases and age-related health deficits.</p><p><strong>Results: </strong>The cohort included 43,737 older adults, with a median age of 77 years (IQR 75-82 years); among them, 19,300 (44.1%) were males. Overall, 19,396 (44.3%) older adults were frail: 12,260 (28.0%) mildly frail, 5,533 (12.7%) moderately frail and 1,603 (3.7%) severely frail. During the follow-up period 15,064 (34.4%) older adults died: 4,782 (39.0%) mildly frail, 3,016 (54.5%) moderately frail and 1,080 (67.4%) severely frail. Cox regression analysis demonstrated that mortality was associated with severe frailty (HR 2.63, 95%CI 2.45-2.80), moderate frailty (HR 2.05, 95%CI 1.96-2.14), and mild frailty (HR 1.45, 95%CI 1.39-1.51), independent of age, gender, and population sector. Among patients aged 90 years and over, no significant differences in cumulative survival were found between those with moderate and severe frailty (p = 0.408).</p><p><strong>Conclusions: </strong>Frailty is prevalent among community-dwelling Israeli older adults aged 75 years and over, and it is associated with long-term mortality. Considering its association with long-term mortality across frailty levels until the age of 90, early identification and intervention for frailty are recommended within this population. Policymakers should consider the use of the cumulative deficit method for evaluating frailty at both the population health and clinical levels.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621199","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}
引用次数: 0
Factors affecting decisions of an HMO Drug Exemptions Committee on individual patient requests for coverage of non-formulary drugs. 影响 HMO 药物豁免委员会就患者个人申请承保非处方药的决定的因素。
IF 3.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-07-15 DOI: 10.1186/s13584-024-00617-9
Yael Topol, Lior Weiss, Yossi Lomnicky, Inbal Yifrach-Damari, Noa Markovits, Ronen Loebstein, Itai Gueta
{"title":"Factors affecting decisions of an HMO Drug Exemptions Committee on individual patient requests for coverage of non-formulary drugs.","authors":"Yael Topol, Lior Weiss, Yossi Lomnicky, Inbal Yifrach-Damari, Noa Markovits, Ronen Loebstein, Itai Gueta","doi":"10.1186/s13584-024-00617-9","DOIUrl":"10.1186/s13584-024-00617-9","url":null,"abstract":"<p><strong>Background: </strong>In Israel, coverage of health needs is delivered by four health maintenance organizations (HMOs), which are budgeted by the government according to the recommendations of the National Drug Formulary (NDF) Committee. For medications not listed in the NDF, individuals may request to cover the costs by the HMO Exemptions Committee (DEC). The objectives of the current study, a first of its kind, are to document the DEC decision process, to identify its components and to determine the decisions' clinical outcome.</p><p><strong>Methods: </strong>This retrospective cohort study included all members (≥ age 18) of the Maccabi Healthcare Service (MHS) who submitted a request to the DEC between June 2017 and December 2018. Collected data include patient demographics, clinical information and components of the decision process. Decision success (i.e., clinical outcome correlated with DEC decision) was determined by clinical outcome over at least one-year follow-up.</p><p><strong>Results: </strong>A total of 335 requests were included. Strong evidence and rare disease were positively associated with approvals, while the availability of alternative treatments and costs were negatively associated. The majority of decisions (75%) met predicted clinical outcomes. Only estimated costs were found to be associated with decision success.</p><p><strong>Conclusions: </strong>Factors that reduce the potential costs of a requested drug are significantly associated with higher odds for drug approval, but only when the evidence supports potential benefit.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617386","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}
引用次数: 0
The importance of vision care for displaced populations: lessons from Israeli evacuees. 为流离失所者提供视力保健的重要性:以色列疏散人员的经验教训。
IF 4.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-06-06 DOI: 10.1186/s13584-024-00615-x
Hadas Ben-Eli, Itay Chowers, Ariela Gordon-Shaag
{"title":"The importance of vision care for displaced populations: lessons from Israeli evacuees.","authors":"Hadas Ben-Eli, Itay Chowers, Ariela Gordon-Shaag","doi":"10.1186/s13584-024-00615-x","DOIUrl":"10.1186/s13584-024-00615-x","url":null,"abstract":"<p><strong>Background: </strong>This study explores vision care priorities and coping mechanisms for Israeli evacuees and following the October 7th, 2023, attack by Hamas, which displaced 150,000 individuals, with about 15,000 being evacuated to the Dead Sea area. Faced with minimal health care infrastructure in the Dead Sea area and often lacking personal belongings, including eyeglasses and ocular medicine, these evacuees confronted significant vision care challenges. This context sets the stage for investigating the emergency vision care needs and solutions for populations affected by conflict and displacement.</p><p><strong>Methods: </strong>In response to this crisis, a consortium led by Hadassah Academic College's Department of Optometry and the Dept. of Ophthalmology at Hadassah Medical Center established ophthalmic clinics in the Dead Sea region. These clinics offered comprehensive vision care services, including refractive and vision examinations, ophthalmological assessments, ocular imaging, and provision of free glasses. The setup included multiple stations for different vision tests, staffed by an interdisciplinary team of professionals. The study analyzes the effectiveness of these clinics, patient flow challenges, and the psychological impact of vision care in a crisis setting.</p><p><strong>Results: </strong>Approximately 800 evacuees received examinations, with around 700 pairs of glasses distributed. Notable cases included emergency referrals for serious conditions and instances where glasses served as psychological support. The operation highlighted the necessity of vision care during crises and its potential psychological and social implications. The clinics successfully provided immediate vision care, but challenges in patient flow and insufficient electronic medical record integration were noted. The experience underscores the importance of prepared eye care interventions in crises. Recommendations for health policy decision-makers include establishing a national emergency vision care network, developing standardized treatment protocols, training local health workers, and raising public awareness about eye health in emergencies.</p><p><strong>Conclusions: </strong>The consortium's effort in providing urgent vision care to evacuees from the Hamas attack on Israel demonstrates the critical role of rapid, organized eye care in crisis situations. Vision care, along with hearing and mobility, is often overlooked during evacuations but is vital for the well-being and survival of evacuees, especially under trying circumstances. This project serves as a model for future humanitarian interventions, emphasizing the importance of addressing overlooked healthcare issues once the immediate crisis has passed, and the need for strategic planning in health care policy for similar emergency scenarios.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285000","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}
引用次数: 0
Timely care for age-related macular degeneration: a qualitative study among retina specialists in Israel. 老年黄斑变性的及时治疗:对以色列视网膜专家的定性研究。
IF 4.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-06-04 DOI: 10.1186/s13584-024-00616-w
Vicki Myers, Osnat Luxenburg, Rachel Wilf-Miron, Hani Levkovitch Verbin
{"title":"Timely care for age-related macular degeneration: a qualitative study among retina specialists in Israel.","authors":"Vicki Myers, Osnat Luxenburg, Rachel Wilf-Miron, Hani Levkovitch Verbin","doi":"10.1186/s13584-024-00616-w","DOIUrl":"10.1186/s13584-024-00616-w","url":null,"abstract":"<p><strong>Background: </strong>Age-related macular degeneration (AMD) affects quality of life and independence, and its incidence and prevalence are increasing due to ageing of the population. Access to effective timely treatment can improve vision and reduce incidence of blindness. This study aimed to explore the perspectives of ophthalmologists in the Israeli public healthcare system regarding timely treatment of AMD patients.</p><p><strong>Methods: </strong>Qualitative semi-structured interviews were conducted in 2020-2021 with 22 senior ophthalmologists, from 10 general hospitals and from two HMOs, representing different geographic regions. All interviewees specialize in retinal diseases and work with AMD patients. Interviews discussed patient pathways involved in the diagnosis and treatment of AMD, access to care, and obstacles to timely care. Thematic analysis was conducted.</p><p><strong>Results: </strong>Based on the interviews, we describe the usual referral and treatment pathways. Themes included regional disparities, long wait times in some areas, a lack of retina specialists, differences in referral pathways, inappropriate use of emergency department to obtain timely treatment, and second-line treatment not fully covered by insurance, most affecting the weakest segments of the population.</p><p><strong>Conclusions: </strong>Loss of vision incurs high health and societal costs. In the context of insufficient medical manpower in Israel, the healthcare system will need to assess future resources to cope with accumulating burden of AMD cases over time in an ageing population. Precise referral information, and simultaneous referral to imaging and retinal clinics, may minimize delays in treatment. Awareness of AMD symptoms and the importance of early intervention could be highlighted by campaigns, particularly among high-risk groups.</p><p><strong>Highlights: </strong>• Interviews with hospital-based and community ophthalmologists showed regional disparities in AMD treatment, with long wait times and a lack of retina specialists in some areas. • Differences in referral pathways, inappropriate use of emergency department to obtain timely treatment, and second line treatment not fully covered by insurance were highlighted. • The healthcare system will need to assess future resources to cope with accumulating burden of AMD cases over time in an ageing population • Precise referral information, and simultaneous referral to imaging and retinal clinics, may minimize delays in treatment. • Awareness of AMD symptoms and the importance of early intervention should be emphasized in high-risk groups.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11151479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248924","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}
引用次数: 0
Demographic and injury trends for car crash casualties hospitalized in Level I Trauma centers over two decades: data from the National Trauma Registry. 二十年来在一级创伤中心住院的车祸伤员的人口统计和受伤趋势:来自国家创伤登记处的数据。
IF 4.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-05-29 DOI: 10.1186/s13584-024-00613-z
Sharon Goldman, Irit Cohen-Manheim, Irina Radomislensky, Bella Savitsky, Moran Bodas
{"title":"Demographic and injury trends for car crash casualties hospitalized in Level I Trauma centers over two decades: data from the National Trauma Registry.","authors":"Sharon Goldman, Irit Cohen-Manheim, Irina Radomislensky, Bella Savitsky, Moran Bodas","doi":"10.1186/s13584-024-00613-z","DOIUrl":"10.1186/s13584-024-00613-z","url":null,"abstract":"<p><strong>Background: </strong>During the past two decades, there have been many changes in automotive and medical technologies, road infrastructure, trauma systems, and demographic changes which may have influenced injury outcomes. The aim of this study was to examine injury trends among traffic casualties, specifically private car occupants, hospitalized in Level I Trauma Centers (TC).</p><p><strong>Methods: </strong>A retrospective cohort study was performed based on data from the Israel National Trauma Registry. The data included occupants of private cars hospitalized in all six Level I TC due to a traffic collision related injury between January 1, 1998 and December 31, 2019. Demographic, injury and hospitalization characteristics and in-hospital mortality were analyzed. Chi-squared (X<sup>2</sup>) test, multivariable logistic regression models and Spearman's rank correlation were used to analyze injury data and trends.</p><p><strong>Results: </strong>During the study period, 21,173 private car occupants (14,078 drivers, 4,527 front passengers, and 2,568 rear passengers) were hospitalized due to a traffic crash. The percentage of females hospitalized due to a car crash increased from 37.7% in 1998 to 53.7% in 2019. Over a twofold increase in hospitalizations among older adult drivers (ages 65+) was observed, from 6.5% in 1998 to 15.7% in 2018 and 12.6% in 2019. While no increase was observed for severe traumatic brain injury, a statistically significant increase in severe abdominal and thoracic injuries was observed among the non-Jewish population along with a constant decrease in in-hospital mortality.</p><p><strong>Conclusions: </strong>This study provides interesting findings regarding injury and demographic trends among car occupants during the past two decades. Mortality among private car occupant casualties decreased during the study period, however an increase in serious abdominal and thoracic injuries was identified. The results should be used to design and implement policies and interventions for reducing injury and disability among car occupants.</p>","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176481","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}
引用次数: 0
Correction to: The Hamas massacre of Oct 7, 2023, and its aftermath, medical crimes, and the Lancet commission report on medicine, Nazism, and the Holocaust. 更正:2023 年 10 月 7 日哈马斯大屠杀及其后果、医疗犯罪以及柳叶刀委员会关于医学、纳粹主义和大屠杀的报告。
IF 4.5 4区 医学
Israel Journal of Health Policy Research Pub Date : 2024-05-07 DOI: 10.1186/s13584-024-00610-2
Shmuel P Reis, Hedy S Wald
{"title":"Correction to: The Hamas massacre of Oct 7, 2023, and its aftermath, medical crimes, and the Lancet commission report on medicine, Nazism, and the Holocaust.","authors":"Shmuel P Reis, Hedy S Wald","doi":"10.1186/s13584-024-00610-2","DOIUrl":"10.1186/s13584-024-00610-2","url":null,"abstract":"","PeriodicalId":46694,"journal":{"name":"Israel Journal of Health Policy Research","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11077749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877577","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}
引用次数: 0
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