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Quality of care in Israel and beyond

This thematic series in Israel Journal of Health Policy Research (IJHPR) considers quality of care not just in Israel but internationally. Health care systems around the world are intensively engaged in efforts to monitor and improve the quality of care. Empirical studies and scholarly publication have played a central role in these efforts. Israel has been an active participant in these world-wide efforts. Its system for monitoring the quality of care in community-based services covers all of Israel's citizens and is among the most advanced in the world. That effort is supported by the sophisticated information systems of Israel's health plans, which also provide a fertile ground for additional types of quality monitoring and evaluation.

In the hospital arena, until recently, Israel's quality monitoring effort was less well-developed. However, five years ago the Ministry of Health initiated hospital monitoring efforts as well. Since then, rapid progress has been made, with almost all Israeli hospitals participating in international accreditation processes, and nation-wide systems being put into place to monitor clinical quality. In both hospital and community settings, there is an ongoing exchange of ideas between Israel and other countries. In both settings, the issue of sharing information on quality with the general public is increasingly coming to the fore, and here too, Israel is simultaneously learning from the international experience and contributing to it.

Israeli studies of quality of care have been, and continue to be, published in such established journals as the BMJ, Health Services Research, Health Affairs, and the International Journal for Quality in Health Care. At the same time, IJHPR is emerging as an important vehicle for exploring the policy implications of Israeli efforts to improve quality and for facilitating cross-national learning in this area.

This article collection brings together, in a convenient setting, the IJHPR articles published to date on quality of care, broadly defined. We look forward to seeing this collection grow over the coming years.

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  1. Food allergy can result in life-threatening anaphylaxis and is considered an increasing public health burden. Hospitalized patients are dependent on the hospital menu to meet their nutritional needs; thus, err...

    Authors: Rivki Harari, Orly Toren, Yuval Tal and Tair Ben-Porat
    Citation: Israel Journal of Health Policy Research 2021 10:32
  2. Many in-patients require care from practitioners in various disciplines. Consultations most probably have significant implications for hospitalization outcomes.

    Authors: Amir Jarjou’i, Joseph Mendlovic, Ziv Dadon, Marwan Abu Sneineh, Meir Tabi, George Kalak, Yousef R. Jarallah, Amos M. Yinnon and Gabriel Munter
    Citation: Israel Journal of Health Policy Research 2021 10:19
  3. We planned an observational study to assess obstetric anesthesia services nationwide. We aimed to assess the effect of the anesthesia workload/workforce ratio on quality and safety outcomes of obstetric anesth...

    Authors: Gal Schtrechman-Levi, Alexander Ioscovich, Jacob Hart, Jacob Bar, Ronit Calderon-Margalit, Eshel A. Nir and Yehuda Ginosar
    Citation: Israel Journal of Health Policy Research 2021 10:24

    The Correction to this article has been published in Israel Journal of Health Policy Research 2021 10:30

  4. Patient centered care requires that health care organizations and health care professionals actively understand what patients value. Fortunately, there are methods for gaining that understanding. But, they nee...

    Authors: Susan Edgman-Levitan and Stephen C. Schoenbaum
    Citation: Israel Journal of Health Policy Research 2021 10:21

    The original article was published in Israel Journal of Health Policy Research 2020 9:58

    The original article was published in Israel Journal of Health Policy Research 2020 9:47

    The original article was published in Israel Journal of Health Policy Research 2020 9:39

    The original article was published in Israel Journal of Health Policy Research 2020 9:33

    The original article was published in Israel Journal of Health Policy Research 2020 9:7

    The original article was published in Israel Journal of Health Policy Research 2020 9:13

  5. Improving the quality of health care across a nation is complex and hard. Countries often rely on multiple single national level programmes to make progress. But the key is to use a framework to develop a bala...

    Authors: Jennifer Dixon
    Citation: Israel Journal of Health Policy Research 2021 10:15

    The original article was published in Israel Journal of Health Policy Research 2020 9:62

  6. Colorectal cancer leads to significant morbidity and mortality. Early detection and treatment are essential. Screening using fecal occult blood tests has increased significantly, but adherence to colonoscopy f...

    Authors: Revital Azulay, Liora Valinsky, Fabienne Hershkowitz, Einat Elran, Natan Lederman, Revital Kariv, Benjamin Braunstein and Anthony Heymann
    Citation: Israel Journal of Health Policy Research 2021 10:11
  7. Emergency department overcrowding is associated with adverse clinical outcomes and poor patients and staff experience. Full capacity protocols enabling hallway boarding in internal wards are instituted to reli...

    Authors: Assaf Ben Shoham and Gabriel Munter
    Citation: Israel Journal of Health Policy Research 2021 10:8
  8. Legislation and accreditation standards both address patients’ rights. The two approaches differ in important ways; they should not be seen as competing but as complementing efforts. Laws define minimum standa...

    Authors: Carsten Engel
    Citation: Israel Journal of Health Policy Research 2020 9:70

    The original article was published in Israel Journal of Health Policy Research 2020 9:47

  9. The Israeli health system is facing high workloads with average occupancy in certain hospital wards of around 100%. Since there is a shortage of hospitalization beds in institutions for continuous, long-term c...

    Authors: Gidon Berger, Danny Epstein, Meital Rozen, Avigdor Miskin, Michael Halberthal and Michal Mekel
    Citation: Israel Journal of Health Policy Research 2020 9:66
  10. The quality of healthcare in Israel is considered “high”, and this achievement is due to the structure and organization of the healthcare system. The goal of the present review is to describe the major achieve...

    Authors: Dalia Dreiher, Olga Blagorazumnaya, Ran Balicer and Jacob Dreiher
    Citation: Israel Journal of Health Policy Research 2020 9:62

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2021 10:15

  11. This retrospective study compared perioperative measures, costs, quality of life and survival after open vs. robotic surgery, among obese women diagnosed with low-grade endometrial cancer.

    Authors: Adi Sofer, Racheli Magnezi, Ram Eitan, Oded Raban, Orna Tal, Noam Smorgic and Zvi Vaknin
    Citation: Israel Journal of Health Policy Research 2020 9:60
  12. Over the past decade, hospitals in many countries, including Israel, have undergone an accreditation process aimed at improving the quality of services provided. This process also refers to the protection and ...

    Authors: Daniel Sperling and Rina B. Pikkel
    Citation: Israel Journal of Health Policy Research 2020 9:47

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2021 10:21

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2020 9:70

  13. Overcrowding in hospital emergency departments that arises from long length-of-stay is an unfortunate common occurrence. While some factors affecting length-of-stay are well known, there may be additional fact...

    Authors: Guy Wachtel and Amir Elalouf
    Citation: Israel Journal of Health Policy Research 2020 9:37
  14. Despite Israel’s universal health coverage, disparities in health services provision may still exist. We aimed to assess socioeconomic disparities in diabetes prevalence and quality of care among Israeli child...

    Authors: Yiska Loewenberg Weisband, Michal Krieger, Ronit Calderon-Margalit and Orly Manor
    Citation: Israel Journal of Health Policy Research 2020 9:41
  15. Return visits to the emergency department are viewed as a quality measure of patient management. Avoiding unnecessary admissions to the ward can potentially cause an increase in return visits, thus effecting q...

    Authors: Amit Keret, Yakir Shir, Shepard Schwartz, Elihay Berliner, Mattityahu Erlichman and Giora Weiser
    Citation: Israel Journal of Health Policy Research 2020 9:40
  16. Patient-centered care is particularly important for patients undergoing fertility treatment because of their emotional involvement and their constant contact with providers. To the best of our knowledge, to da...

    Authors: Tamar R. Medina-Artom and Eli Y. Adashi
    Citation: Israel Journal of Health Policy Research 2020 9:39

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2021 10:21

  17. Primary care physicians (PCPs) play a pivotal role in the management of illnesses of the digestive tract. The study aim was to assess the adherence of PCPs to the guidelines on the management of Helicobacter pylo...

    Authors: Wasef Na’amnih, Amir Ben Tov, Amna Bdair-Amsha, Shlomi Cohen, Judith Tsamir, Gabriel Chodick and Khitam Muhsen
    Citation: Israel Journal of Health Policy Research 2020 9:28
  18. Emergency department (ED) crowding is an international phenomenon dependent on input, throughput, and output factors. This study aims to determine whether patterns of potentially unnecessary referrals from eit...

    Authors: Roee Gorodetzer, Evan Avraham Alpert, Zvika Orr, Shifra Unger and Todd Zalut
    Citation: Israel Journal of Health Policy Research 2020 9:18
  19. Increasing numbers of children with developmental, emotional, and psychosocial issues require adaptation of the services provided by pediatricians in the community. An international workshop that took place in...

    Authors: Zachi Grossman, Boaz Porter, Joseph Meyerovitch, Lisa Rubin, Jacob Kuint, Efrat Wechsler, Doron Dushnitzky and Shai Ashkenazi
    Citation: Israel Journal of Health Policy Research 2019 8:85
  20. In 2014 the OECD published a report regarding inter-regional variation of hysterectomies in 13 countries including Israel. Variance in hospital admission rates were also reported. The Israeli Ministry of Healt...

    Authors: Roy Lauterbach, Mendlovic Joseph, Ziona Haklai, Lavie Gil and Lior Lowenstein
    Citation: Israel Journal of Health Policy Research 2019 8:52
  21. In recent years, it has become increasingly prevalent internationally to record and archive digital recordings of endoscopic procedures. This emerging documentation tool raises weighty educational, ethical and...

    Authors: Maya Peled-Raz, Nadav Willner, Dan Shteinberg, Keren Or-Chen and Tova Rainis
    Citation: Israel Journal of Health Policy Research 2019 8:57
  22. Preventive medicine and health education are among the strategies used in coping with chronic diseases. However, it is yet to be determined what effect do personal and organizational aspects have on its’ imple...

    Authors: Ayelet Schor, Lucia Bergovoy-Yellin, Daniel Landsberger, Tania Kolobov and Orna Baron-Epel
    Citation: Israel Journal of Health Policy Research 2019 8:50

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2020 9:12

  23. In most countries there is a mismatch between demand for intensive care unit (ICU) beds and ICU bed availability. Because of a policy of low ICU-bed reimbursement this mismatch is much more profound in Israel,...

    Authors: Yuval Schwartz, Amir Jarjoui and Amos M. Yinnon
    Citation: Israel Journal of Health Policy Research 2019 8:48

    The original article was published in Israel Journal of Health Policy Research 2019 8:20

  24. Pervasive disparities exist in the treatment of pain and anxiety in pediatric patients presenting to hospitals with emergency conditions. This finding has been demonstrated worldwide, and is especially exacerb...

    Authors: Aaron Brody and Usha Sethuraman
    Citation: Israel Journal of Health Policy Research 2019 8:35

    The original article was published in Israel Journal of Health Policy Research 2018 7:17

  25. Women who have continuous intrapartum support are more likely to have a shorter labor and spontaneous vaginal birth, and are less likely to need intrapartum analgesia than women who receive usual care without ...

    Authors: Maya Frank Wolf, Oleg Shnaider, Limor Sharabi, Sari Nahir Biderman, Reut Elon and Jacob Bornstein
    Citation: Israel Journal of Health Policy Research 2019 8:27
  26. Mechanical ventilation is a life supporting modality increasingly utilized when caring for severely ill patients. Its increasing use has extended the survival of the critically ill leading to increasing health...

    Authors: Rachel Yaffa Zisk-Rony, Charles Weissman and Yoram G. Weiss
    Citation: Israel Journal of Health Policy Research 2019 8:20

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:48

  27. Restraint or seclusion measures in acute psychiatric care are used as a last resort when all other methods for removal of physical threat have failed. The purpose of this study is to find a correlation between...

    Authors: Chanoch Miodownik, Michael D. Friger, Eyal Orev, Yisroel Gansburg, Nadav Reis and Vladimir Lerner
    Citation: Israel Journal of Health Policy Research 2019 8:9

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:71

  28. An analysis of benefit and cost is critical for independent advisory groups that provide evidence-based recommendations. In many countries, the role of RSV immunoprophylaxis for infants at increased risk of ho...

    Authors: H. Cody Meissner
    Citation: Israel Journal of Health Policy Research 2019 8:15

    The original article was published in Israel Journal of Health Policy Research 2018 7:63

  29. Observational studies have detected discrepancies between two expert interpreters of imaging and histopathological studies. Furthermore, in a substantial proportion of patients, an independent second opinion d...

    Authors: Jochanan Benbassat
    Citation: Israel Journal of Health Policy Research 2019 8:12

    The original article was published in Israel Journal of Health Policy Research 2017 6:67

  30. Ethnicity may affect graft longevity and recipient mortality after heart transplantation (HTx). We hypothesized that differences in ethnic origin between Arabs and Jews undergoing HTx in Israel may contribute ...

    Authors: Yael Peled, Ron Loewenthal, Yigal Kassif, Eugenia Raichlin, Arwa Younis, Anan Younis, Eyal Nachum, Dov Freimark and Jacob Lavee
    Citation: Israel Journal of Health Policy Research 2019 8:3

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:53

  31. The emerging science in early childhood development challenges past paradigms of health care. There is consideration within the profession of paediatrics, and health care more broadly, of how to make systems o...

    Authors: Moira Inkelas and Frank Oberklaid
    Citation: Israel Journal of Health Policy Research 2018 7:62

    The original article was published in Israel Journal of Health Policy Research 2017 6:53

  32. Patient understanding of health care recommendations provided by health care professionals is essential to enabling active and informed patient participation in care. Unfortunately, evidence suggests that pati...

    Authors: Gary L. Kreps
    Citation: Israel Journal of Health Policy Research 2018 7:56

    The original article was published in Israel Journal of Health Policy Research 2018 7:50

  33. Previous studies have shown that, in a variety of health care settings, patients often do not understand what health care professionals tell them about their diagnoses and care plans; this is particularly true...

    Authors: Shachaf Shiber, Rona Zuker-Herman, Michael J. Drescher and Marek Glezerman
    Citation: Israel Journal of Health Policy Research 2018 7:50

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:56

  34. Rachel Podell and her colleagues at the National Program for Quality Indicators in Community Healthcare in Israel have provided a clear and engaging description of thequality of primary care provided to the el...

    Authors: Richard H. Glazier
    Citation: Israel Journal of Health Policy Research 2018 7:46

    The original article was published in Israel Journal of Health Policy Research 2018 7:21

  35. In view of increasing global and local trends in population ageing and the high healthcare utilization rates among the elderly, this study assesses the quality of primary care provided to the elderly populatio...

    Authors: Rachel Podell, Vered Kaufman-Shriqui, Yael Wolff Sagy, Orly Manor and Arie Ben-Yehuda
    Citation: Israel Journal of Health Policy Research 2018 7:21

    The Correction to this article has been published in Israel Journal of Health Policy Research 2021 10:22

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:46

  36. The emergency department (ED) setting is an environment where children may experience intense physical pain and emotional stress.

    Authors: Tali Capua, Zohar Bar Kama and Ayelet Rimon
    Citation: Israel Journal of Health Policy Research 2018 7:17

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:35

  37. Red blood cell (RBC) transfusions save lives and improve health; however, unnecessary transfusion practice exposes patients to immediate and long-term negative consequences. Indirect consequences of unnecessar...

    Authors: Shoshana Revel-Vilk and Mira Naamad
    Citation: Israel Journal of Health Policy Research 2018 7:8

    The original article was published in Israel Journal of Health Policy Research 2017 6:49

  38. In 2012, Maccabi Healthcare Services founded Maccabi Telecare Center (MTC), a multi-disciplinary healthcare service providing telemedical care to complex chronic patients. The current paper describes the estab...

    Authors: Avi Porath, Angela Irony, Avital Segal Borobick, Shuruk Nasser, Ateret Malachi, Naama Fund and Galit Kaufman
    Citation: Israel Journal of Health Policy Research 2017 6:68

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:9

  39. Seeking a second-opinion (SO) is a common clinical practice that can optimize treatment and reduce unnecessary procedures and risks. We aim to characterize the composition of the population of SO seekers, thei...

    Authors: Liora Shmueli, Nadav Davidovitch, Joseph S. Pliskin, Ran D. Balicer, Igal Hekselman and Geva Greenfield
    Citation: Israel Journal of Health Policy Research 2017 6:67

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2019 8:12

  40. Quality measures are widely used globally in order to measure clinical performance and organizational efficiency of the healthcare systems. However, in a race to achieve certain numerically defined goal, the m...

    Authors: Kobi Peleg, Michael Rozenfeld and Avi Israeli
    Citation: Israel Journal of Health Policy Research 2017 6:64

    The original article was published in Israel Journal of Health Policy Research 2017 6:27

  41. Care at the end-of-life has attracted global attention, as health care workers struggle with balancing cure based care with end-of-life care, and knowing when to transition from the former to the latter. Simul...

    Authors: Jane M. Gannon
    Citation: Israel Journal of Health Policy Research 2017 6:62

    The original article was published in Israel Journal of Health Policy Research 2017 6:48

  42. Simulation-based training improves residents’ skills for end-of-life (EOL) care. In the field, staff providers play a significant role in handling those situations and in shaping practice by role modeling. We ...

    Authors: Mayer Brezis, Yael Lahat, Meir Frankel, Alan Rubinov, Davina Bohm, Matan J Cohen, Meni Koslowsky, Orit Shalomson, Charles L Sprung, Henia Perry-Mezare, Rina Yahalom and Amitai Ziv
    Citation: Israel Journal of Health Policy Research 2017 6:48

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2017 6:62

  43. ‘Out of Hours Surgery Service’ (OHSS) was implemented in Israel, amongst other reasons, in order to reduce the time interval between hospital admission and surgery and consequently improve outcomes. The OHSS i...

    Authors: Yaniv Keren, Sybil Sailofsky, Doron Keshet and Michal Barak
    Citation: Israel Journal of Health Policy Research 2017 6:27

    The Commentary to this article has been published in Israel Journal of Health Policy Research 2017 6:64

  44. Out of hospital cardiac arrest (OHCA) remains a major cause of morbidity and mortality. The survival rates are poor and even more frustrating are the rates of neurologically favorable outcomes at hospital disc...

    Authors: Shlomo Vinker
    Citation: Israel Journal of Health Policy Research 2017 6:36

    The original article was published in Israel Journal of Health Policy Research 2017 6:22

  45. Congestive heart failure (CHF) is among the most common causes of hospital admissions and readmissions in the Western world. However, the burden of ambulatory care has not been as well investigated. The object...

    Authors: Lori D. Bash, Dahlia Weitzman, Robert O. Blaustein, Ofer Sharon, Varda Shalev and Gabriel Chodick
    Citation: Israel Journal of Health Policy Research 2017 6:26
  46. The proliferation of new technology platforms and tools is dramatically advancing our ability to capture, integrate and use clinical and other health related data for research and care. Another critical and in...

    Authors: Alison Rein and Lisa A. Simpson
    Citation: Israel Journal of Health Policy Research 2017 6:14

    The original article was published in Israel Journal of Health Policy Research 2016 5:50

  47. Despite widespread agreement that nursing homes’ use of antipsychotic medications for residents without specific psychiatric diagnoses is a marker of poor quality of care, prevalence remains high. Additionally...

    Authors: Rosa R. Baier and Vincent Mor
    Citation: Israel Journal of Health Policy Research 2017 6:5