Shadmi Efrat
Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Department of Health Policy Planning and the Clalit research Institute, Chief Physician Office, Clalit Health Services, Tel Aviv, Israel.
Isr J Health Policy Res. 2018 May 22;7(1):26. doi: 10.1186/s13584-018-0226-z.
The complex nature of studying health and healthcare disparities in general, and in the context of the Israeli healthcare system in particular, is depicted in two recent IJHPR articles. The first examines Emergency Department (ED) waiting times in a tertiary children's hospital and the second examines disparities in the health care for people with schizophrenia of an ethnic-national minority. Contrary to other Israeli studies on wide disparities in health and healthcare, these studies show no disparities - ED waiting times did not differ among Arab and Jewish children and report no differences in performance of Hemoglobin A1C tests or in surgical interventions in patients with cardiovascular disease between Arabs and Jews with schizophrenia. Thus, the studies reflect areas of equitable health care delivery within the Israeli healthcare system.Future studies should account for the fact that the phenomena of health and healthcare disparities is complex and should utilize rigorous methodologies to take into consideration the various factors that may affect the manifestation of differences amongst population groups. As a result, they may help detect disparities which may otherwise be missed.
最近发表在《以色列健康政策研究杂志》上的两篇文章描述了研究健康和医疗保健差距的复杂性,特别是在以色列医疗保健系统背景下的复杂性。第一篇文章研究了一家三级儿童医院急诊科的候诊时间,第二篇文章研究了一个少数民族群体中精神分裂症患者医疗保健方面的差距。与以色列其他关于健康和医疗保健方面巨大差距的研究不同,这些研究没有发现差距——阿拉伯和犹太儿童的急诊科候诊时间没有差异,并且报告称,患有精神分裂症的阿拉伯人和犹太人在糖化血红蛋白检测表现或心血管疾病患者的手术干预方面没有差异。因此,这些研究反映了以色列医疗保健系统中公平的医疗保健提供领域。未来的研究应该考虑到健康和医疗保健差距现象是复杂的这一事实,并应采用严谨的方法来考虑可能影响不同人群之间差异表现的各种因素。这样,它们可能有助于发现那些可能被忽视的差距。