Child healthcare in Israel: current challenges

Child healthcare in Israel: current challenges

The article describes and discusses several key elements of the paediatric healthcare system in Israel, including paediatric training, family and community paediatrics, hospital-based paediatric services, preventive care services, and special programs such as the “Drop of Milk” (Tipat Halav) program. Although child care in Israel has gained several notable achievements, such as a low infant mortality rate, there are several significant challenges for the coming years. These include training of enough paediatricians and periodic updating of training programs to fulfil needs and provide an adequate preventive care from fetal life through infancy, childhood, and adulthood. In addition, paediatricians in Israel should continue to be involved in national public health programs to reduce health inequities among mothers and children and reduce health disparities among certain geographic areas and various populations. Graduates of paediatric residency are expected to be able to address the new technologies, the requirements for personal medicine and on-line medicine, and to be able to deal with both pure “medical” issues, and public health, lifestyle, and environmental issues. Keywords: Community, pediatrics, public health, training

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  • 1. https://www.health.gov.il/PublicationsFiles/manpower2018.pdf
  • 2. Somekh E, Katz M, Grossman Z. Planning the paediatric workforce in Israel. J Pediatr 2019; 206: 308–9.
  • 3. Tasher D, Rubin L, Grossman Z, et al. Child health care in Israel. J Pediatr 2016; 177S: S107–15.
  • 4. Sagi D, Pessach-Gelblum L, Divon-Ophir O, et al. Simulation as a training and assessment tool for competency based medical education – a regulatory challenge.[Article in Hebrew]. Harefuah 2019; 158: 674–9.
  • 5. Haggerty RJ. Community pediatrics: past and present. Pediatr Ann 1994; 23: 657–63.
  • 6. American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health: Pediatrics and the psychosocial aspects of child and family health. Pediatrics 1982; 70: 126–7.
  • 7. Committee on Psychosocial Aspects of Child and Family Health. American Academy of Pediatrics. The new morbidity revisited: a renewed commitment to the psychosocial aspects of pediatric care. Committee on Psychosocial Aspects of Child and Family Health. Pediatrics 2001; 108: 1227–30.
  • 8. Kelleher KJ, McInerny TK, Gardner WP, Childs GE, Wasserman RC. Increasing identification of psychosocial problems: 1979-1996. Pediatrics 2000; 105: 1313–21.
  • 9. Horwitz SM, Leaf PJ, Leventhal JM, Forsyth B, Speechley KN. Identification and management of psychosocial and developmental problems in community-based, primary care pediatric practices. Pediatrics 1992; 89: 480–5.
  • 10. American Academy of Paediatrics, Committee on Psychosocial Aspects of Child and Family Health. The future of paediatrics: mental health competencies for paediatric primary care. Paediatrics 2009; 124: 410–21.
  • 11. Porter B, Urkin J. Community pediatrics in Israel: time for change?. Isr Med Assoc J. 2011; 13: 133–6.
  • 12. Kuint J, Porter B. Community paediatrics in Israel during the next decade - A need for a change. Harefuah 2018; 157: 646–9.
  • 13. Grossman Z, Chodick G, Kushnir T, Cohen HA, Chapnick G, Ashkenazi S. Burnout and intentions to quit the practice among community paediatricians: associations with specific professional activities. Isr J Health Policy Res 2019; 8: 2.
  • 14. Rubin L, Belmaker I, Somekh E, et al. Maternal and child health in Israel: building lives. Lancet 2017; 389: 2514–30.
  • 15. Willis TA, Roberts KP, Berry TM, Bryant M, Rudolf MC. The impact of HENRY on parenting and family lifestyle: A national service evaluation of a preschool obesity prevention programme. Public Health 2016; 136: 101–8.
  • 16. Grossman Z, Grotto I, Tasher D, Stein M, Kaliner E, Somekh E. Learning across borders: Advocacy of pediatricians in public health response during a recent wild poliovirus transmission in Israel. J Pediatr 2014; 165: 1278–9.
  • 17. Zimmerman DR, Verbov G, Edelstein N, Stein-Zamir C. Preventive health services for young children in Israel: historical development and current challenges. Isr J Health Policy Res 2019; 8: 23.
  • 18. Heckman JJ. Invest in Early Childhood Development: Reduce Deficits, Strengthen the Economy. 2012. Available at: https://heckmanequation.org/resource/invest-in-early-childhood-development-reduce-deficits-strengthen-the-economy/.
  • 19. Young EM. Early Child Development: Investing in the future. The World Bank, 1996. Available at: http://documents.worldbank.org/curated/en/582711468771287347/ Early-child-development-investing-in-the-future.
  • 20. Heckmans JJ, Stixrud J, Urzua S. The Effects of Cognitive and Noncognitive Abilities on Labor Market Outcomes and Social Behavior. Labor Economics 2006; 24: 411–82.
  • 21. Heckman JJ. Schools, Skills, and Synapses. Econ Inq 2008; 46: 289.
  • 22. MOCHA. Models of Child Health Appraised. Planning a healthy future for Europe’s population. https://www. childhealthservicemodels.eu/. Accessed 17 November, 2019.
  • 23. Blair M, Alexander D, Rigby M. Critical factors for child primary: child-centricity, core principles and context sensitivity. Arc Dis Child 2019; 104: A12.
  • 24. Kuo AA, Inkelas M, Lotstein DS, Samson KM, Schor EL, Halfon N. Rethinking well-child care in the United States: an international comparison. Pediatrics 2006; 118: 1692–702.
  • 25. Clinical Guidelines. Available at: https://www.ima.org.il/ userfiles/image/clinical_97_HealthBoy.pdf.
Türk Pediatri Arşivi-Cover
  • ISSN: 1306-0015
  • Başlangıç: 2015
  • Yayıncı: Alpay Azap
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