Afek Arnon
Harefuah. 2008 Apr;147(4):309-10, 375, 374.
The Israeli health care system bases itself on the principles of justice, equality, and social solidarity. In 1994 a Health Insurance Act was passed, based upon these principles, which helped to reduce the differences between Israeli population groups. People from lower socio-economic status suffer from more illnesses and have shorter life spans than their more fortunate countrymen. These differences in well-being, as well as being unnecessary and avoidable, are also unfair and unjust - and define the inequities in our health care system. Therefore, the goal of the health care system should be to reduce or eliminate these disparities, especially when they are avoidable and unjust. A study by Orna Apel Brown describes the results of a health care survey among new immigrants to Israel from the former U.S.S.R. She shows that there has been an increase in their utilization of healthcare services, excluding preventive measures such as mammography, along with a reduction in the differences in their self perception of health care status and well-being - now placing them on the same par as their fellow Israeli-born citizens. The results, although encouraging, stress the importance of the health care system's need to direct its efforts to decreasing the disparity and making the system more equitable to the underprivileged populations in Israel.
以色列医疗体系基于正义、平等和社会团结的原则。1994年,一部基于这些原则的《健康保险法》得以通过,这有助于缩小以色列不同人群之间的差距。社会经济地位较低的人群比条件更优越的同胞更容易患病,寿命也更短。这些幸福水平上的差异不仅是不必要且可避免的,也是不公平和不公正的,它们界定了我们医疗体系中的不公平现象。因此,医疗体系的目标应该是减少或消除这些差距,尤其是那些可避免且不公正的差距。奥娜·阿佩尔·布朗的一项研究描述了对来自前苏联的以色列新移民进行医疗调查的结果。她指出,除了乳房X光检查等预防措施外,他们对医疗服务的利用率有所提高,同时他们对医疗状况和幸福的自我认知差异也有所减少,现在他们与以色列本国出生的公民处于同一水平。这些结果虽然令人鼓舞,但也凸显了医疗体系有必要努力缩小差距,使该体系对以色列的弱势群体更加公平。