Health Services Utilization Under Qassam Rocket Attacks
ORIGINAL ARTICLES IMAJ • VOL 15 • August 2013 Health Services Utilization under Qassam Rocket Attacks Lital Goldberg MD1,2, Jacob Dreiher MD MPH1,3, Michael Friger PhD4, Alexander Levin MD5 and Pesach Shvartzman MD1,2,5 1Siaal Research Center, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel 2Department of Family Medicine, Division of Community Health, Ben-Gurion University of the Negev, Beer Sheva, Israel 3Clalit Health Services – General Management, Tel Aviv, Israel 4Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel 5Clalit Health Services – South District, Beer Sheva, Israel Therefore, in times of terrorism and war there could be a genu- ABSTRACT: Background: The Qassam rocket attacks on southern Israel ine increase in morbidity in the civilian population that would during the years 2000–2007 created a unique situation of life manifest in an increased demand for health services. under a continuous threat. The effect of this unique situation on Studies conducted in Israel after the first Gulf War and after health services utilization has not been previously examined. Operation Cast Lead – a warlike operation in the Gaza Strip – Objectives: To evaluate health utilization patterns in two pri- clearly showed that war had an influence on the civilian popula- mary care clinics in southern Israel: one under continuous tion’s pattern of health services use. This influence was reflected attacks of Qassam rockets as compared with a similar clinic in the quantity and quality of visits to primary care physicians not under a rocket threat.
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