domingo, 28 de abril de 2019

Aging, health and health care

Aging, health and health care



Aging, health and health care

Like most countries around the world, Israel faces the challenge of an aging population. In 2015, 11% of Israel's population was over age 65, and this is expected to grow to approximately 15% by 2035. Moreover, Israel's elderly population is particularly culturally diverse, with over three-quarters of Israel's elderly having been born outside of Israel.
In responding to the needs of its growing elderly population, Israel has some important achievements that should be of great interest to other countries. These include its relatively low rate of institutionalization of the elderly (3.5%), longstanding governmental funding of non-professional home care, an extensive system of day care centers, supportive neighborhoods and strong family support. This collection includes articles about some of these important achievements.
The collection also includes articles about some of the main challenges facing the health and health care of the elderly Israel. These include difficulties in attracting young physicians to geriatric medicine, fragmentation of responsibility for the care of the elderly among several different governmental and non-governmental organizations, insufficient development of palliative care services, and challenges in financing institutional long-term care.
As in all areas covered by IJHPR, many of the empirical studies of developments in Israel are enriched by commentaries by leading international experts which place the Israeli developments in a broader international context.
  1. Content Type:Integrative Article

    Dementia is one of the main causes of disability among older adults and is viewed as one of the most distressing and devastating of conditions. Dementia has a profound impact on those who suffer from the disea...
    Authors:Netta Bentur and Shelley A. Sternberg
    Citation:Israel Journal of Health Policy Research 2019 8:22
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  4. Content Type:Commentary

    The occupational health and safety of direct care workers in the home health setting has been the focal point of a somewhat scarce, though highly important, body of research. Although the demand for home care ...
    Authors:Miriam Ryvicker
    Citation:Israel Journal of Health Policy Research 2018 7:51
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    The original article was published in Israel Journal of Health Policy Research 2018 7:32
  5. Content Type:Commentary

    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
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    The original article was published in Israel Journal of Health Policy Research 2018 7:21
  6. Content Type:Original Research Article

    Home care workers work in an isolated environment, with limited supervision and guidance which makes them more prone to abuse and exploitation. While past research focused mostly on the well-being of care reci...
    Authors:Ohad Green and Liat Ayalon
    Citation:Israel Journal of Health Policy Research 2018 7:32
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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:51
  7. Content Type:Original Research Article

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

    Frailty is associated with poorer quality of life and higher healthcare utilization and spending. Despite its importance, no clear consensus exists on the definition of frailty. The recent IJHPR article by Buc...
    Authors:Shannon Wu and Bruce Leff
    Citation:Israel Journal of Health Policy Research 2018 7:27
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    The original article was published in Israel Journal of Health Policy Research 2018 7:18
  9. Content Type:Original Research Article

    Increasing longevity presents new social and medical challenges in developed countries. The prevalence of frailty is of interest because of its association with health prognosis and outcomes, but so far there ...
    Authors:Assaf Buch, Lital Keinan-Boker, Yitshal Berner, Eli Carmeli, Rebecca Goldsmith and Naftali Stern
    Citation:Israel Journal of Health Policy Research 2018 7:18
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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:27
  10. Content Type:Original Research Article

    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
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    The Commentary to this article has been published in Israel Journal of Health Policy Research 2018 7:9
  11. Content Type:Original Research Article

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

    Comprehensive geriatric assessment (CGA) as a consultative service for older adults with complex medical and psychosocial challenges has existed for decades. However, studies have often showed inconsistent acc...
    Authors:Laura K. Byerly and G. Michael Harper
    Citation:Israel Journal of Health Policy Research 2017 6:33
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    The original article was published in Israel Journal of Health Policy Research 2017 6:7
  15. Content Type:Commentary

    Older adults are at high risk of developing multimorbidity, and the high levels of clinical and psychosocial complexity in this population pose special challenges for primary care physicians (PCPs). As a way t...
    Authors:Pei Chen and Michael A. Steinman
    Citation:Israel Journal of Health Policy Research 2016 5:46
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  16. Content Type:Integrative Article

    Surrogate decision making is common in public healthcare worldwide. In Israel any incompetent adult patient requires a Legal Guardian (LG), appointed by the court, for approval of invasive none-life saving pro...
    Authors:Michael Kuniavsky, Ilana Kadmon and David Chinitz
    Citation:Israel Journal of Health Policy Research 2015 4:59
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  18. Content Type:Original Research Article

    The age-adjusted mortality rate in Israel is low compared to most Western countries although mortality rates from diabetes and renal failure in Israel are amongst the highest, while those from cardiovascular d...
    Authors:Nehama Goldberger, Yael Applbaum, Jill Meron and Ziona Haklai
    Citation:Israel Journal of Health Policy Research 2015 4:31
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  19. Content Type:Commentary

    The ageing of the population across developed countries and beyond has increased the importance of examining multi-morbidity. The recent paper by Arbelle et al. [Isr J of Health Policy Res. 2014;3:29] on multi...
    Authors:Raphael Wittenberg
    Citation:Israel Journal of Health Policy Research 2015 4:1
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  21. Content Type:Commentary

    Spiritual care is a relatively new healthcare discipline in Israel. It has evolved over the past decade through the collaboration of multiple Israeli healthcare professionals, with assistance from interested p...
    Authors:Barry M Kinzbrunner and Bryan D Kinzbrunner
    Citation:Israel Journal of Health Policy Research 2014 3:32
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  22. Content Type:Original Research Article

    One of the major challenges health care systems face in modern time is treating chronic disorders. In recent years, the increasing occurrence of multiple chronic disorders (MCC) in single individuals has compo...
    Authors:Jonathan E Arbelle, Gabriel Chodick, Alex Goldstein and Avi Porath
    Citation:Israel Journal of Health Policy Research 2014 3:29
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  23. Content Type:Commentary

    In this issue, Keinan-Boker summarises the main studies that have followed up offspring of women exposed to famine during pregnancy and calls for the establishment of a national cohort of Holocaust survivors a...
    Authors:Caroline HD Fall and Kalyanaraman Kumaran
    Citation:Israel Journal of Health Policy Research 2014 3:22
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  24. Content Type:Original Research Article

    Coping with existential and spiritual concerns is inescapable in end-of-life care although not enough is known about the strategies and mechanisms involved. This pilot study focused on identifying the strategi...
    Authors:Netta Bentur, Daphna Yaira Stark, Shirli Resnizky and Zvi Symon
    Citation:Israel Journal of Health Policy Research 2014 3:21
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  25. Content Type:Integrative Article

    Modern epidemiology has evolved in the last decades from the simplified “cause-effect” paradigm to a multi-factorial framework of causality. The concept of “Fetal Origin of Adult Diseases” (FOAD) is a good exa...
    Authors:Lital Keinan-Boker
    Citation:Israel Journal of Health Policy Research 2014 3:11
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  27. Content Type:Original Research Article

    Referring patients from nursing homes to general hospitals exposes them to nosocomial diseases, and may result in the development of a broad spectrum of physical, mental and social damages. Therefore, minimizi...
    Authors:Shir Wagman, Shmuel Rishpon, Genady Kagan, Jonathan Dubnov and Sonia Habib
    Citation:Israel Journal of Health Policy Research 2014 3:2
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  29. Content Type:Original Research Article

    Medical events, such as stroke, limb fractures, joint replacements and spinal injuries, can lead to acute functional disability at all ages and to chronic disability, especially among the elderly. Rehabilitati...
    Authors:Inbar Zucker, Irit Laxer, Iris Rasooli, Shulamit Han, Aaron Cohen and Tamar Shohat
    Citation:Israel Journal of Health Policy Research 2013 2:27
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  32. Content Type:Original Research Article

    ICU patients frequently undergo non-life-saving invasive procedures. When patient informed consent cannot be obtained, legal guardianship (LG), often from a close relative, may be required by law. The objectiv...
    Authors:Michael Kuniavsky, Freda DeKeyser Ganz, David M Linton and Sigal Sviri
    Citation:Israel Journal of Health Policy Research 2012 1:36
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  33. Content Type:Integrative Article

    Palliative care was established rapidly in some countries, while in other countries its establishment has taken a different trajectory. This paper identifies core steps in developing a medical specialty and ex...
    Authors:Netta Bentur, Linda L Emanuel and Nathan Cherney
    Citation:Israel Journal of Health Policy Research 2012 1:9
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