Goldberg Avishay, Pliskin Joseph S, Peterburg Yitzhak
Department of Emergency Medicine, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Mil Med. 2002 Aug;167(8):634-8.
The medical services system of the Israel Defense Forces (IDF) is founded on a principle that by definition considers it the military's role to maintain the health of its personnel in uniform. The 1994 Compulsory Health Insurance Law, Section 55 addresses health services for soldiers, stating that a soldier is entitled to health services from the Medical Corps of the IDF or an agent operating on its behalf. In the implementation of its responsibilities, the IDF Medical Corps operates an array of medical services, including secondary care. This study deals with the scope of utilization of secondary medical services by IDF personnel visiting military medical clinics and civilian hospital outpatient clinics: their character, the subjective health status of the respondents, and their degree of satisfaction with medical services. The results indicate that most of those seeking medical treatment at military and civilian clinics are not chronically ill. Most consider their health status to be good to excellent, but many of those referred for secondary care--more than half of the respondents who visited military specialist clinics-visited the clinics many times and even visited other clinics. No problem of access to clinics was found, but availability was problematic. There was a marked preference among patients to receive secondary health sevices from outside civilian agents rather than the military system.
以色列国防军（IDF）的医疗服务体系基于一项原则，该原则从定义上就认为军队有责任维护其现役人员的健康。1994年的《强制健康保险法》第55条涉及士兵的医疗服务，规定士兵有权享受以色列国防军医疗队或代表其行事的机构提供的医疗服务。在履行职责过程中，以色列国防军医疗队提供一系列医疗服务，包括二级医疗。本研究探讨了前往军事医疗诊所和民用医院门诊就诊的以色列国防军人员对二级医疗服务的利用范围：其特点、受访者的主观健康状况以及他们对医疗服务的满意度。结果表明，在军事和民用诊所寻求治疗的大多数人并非慢性病患者。大多数人认为自己的健康状况良好至极佳，但许多被转诊接受二级医疗的人——超过一半前往军事专科诊所就诊的受访者——多次前往这些诊所，甚至还去过其他诊所。未发现就诊诊所的获取问题，但可及性存在问题。患者明显更倾向于从外部民用机构而非军事系统接受二级医疗服务。
