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Improving Health and Healthcare המכון הלאומי לחקר שרותי הבריאות ומדיניות הבריאות (ע"ר) The Israel National Institute for Health Policy Research THE FOURTH INTERNATIONAL JERUSALEM CONFERENCE ON HEALTH POLICY ICC Jerusalem Convention Center, December 8-10, 2009 Improving Health and Healthcare Who Is Responsible? Who Is Accountable? Program & Book of Abstracts CHAIR: Prof. Avi Israeli (IL) & Prof. Stephen Shortell (USA) 3 Dear Colleagues, Health systems in nearly all nations face daunting challenges of growing costs while at the same time improving or maintaining access and quality of services. Greater attention is also being given to the social determinants of health with a renewed emphasis on population health. More immediately, health systems and society as a whole are caught up in the whirlwind of an unprecedented world economic crisis. The collapse of financial markets combined with globalization pose challenges never before addressed by national and international leadership. Far more than a simple platitude; we are entering a time of danger, but also one of opportunity. ∗ Will the current economic chaos simply put more pressure on already financially stressed health systems - or will investment in health be seen as a spur to economic growth? ∗ As societies reconsider their social contracts and the relationship between government and the private sector; how will health systems be affected? What can they offer in the way of lessons after decades of struggling with issues of governance, social support, personal responsibility for health, and systemic accountability for health systems outcomes? ∗ Will health systems falter in the face of population migrations - or will they serve as a beacon to maintain solidarity because of – and not despite – immigration of citizens and health professionals? ∗ Will Health Ministries maintain their secondary position in the bureaucratic pecking order - or will they succeed in articulating the inter-sectoral nature of health and establish health-promoting coordination with other agencies? ∗ Will the new fields of evidence based medicine and evidence based management be confined to the characterization of technical tools and measures - or will they provide an example of nesting quality improvement within the organizational culture and social fabric of societies? The Fourth International Conference on Health Policy will address these issues, seeking to maximize the health and welfare of populations and to contribute to overall improved social policy. Leading health policy experts from around the globe will discuss these issues in plenary and parallel sessions, debates, panel discussions, and poster presentations. The Conference 4 will provide new knowledge and ideas aimed at improving the future of populations worldwide during a time of daunting challenges. Looking forward to seeing you at the conference! Professor Avi Israeli Professor Stephen Shortell 5 Table of Contents Page No. Scientific and Organizing Committee 6 Sponsors & Acknowledgements 7 General Information 8 Scientific Program 10 BIOGRAPHIES Invited Speakers & Chairpersons 28 Speakers 32 Poster Presenters 37 Biographies 39 Abstracts of Oral Presentations 91 Abstracts of Poster Presentations 227 6 Improving Health and Healthcare: Who Is Responsible? Who Is Accountable? Scientific and Organizing Committee Chair: Prof. Avi Israeli The Hadassah-University Medical Center, Israel Chair: Prof. Stephen Shortell University of California, Berkeley, USA Prof. Alik Aviram The Israel National Institute for Health Policy Research, Israel Prof. Gabi Barbash Tel-Aviv Sourasky Medical Center, Israel Prof. David Chinitz Hadassah Medical Center, Israel Prof. Chaim Doron The Israel National Institute for Health Policy Research, Israel Prof. Alan Garber Stanford University, USA Ms. Ziva Litvak The Israel National Institute for Health Policy Research, Israel Prof. Martin McKee London School of Hygiene & Tropical Medicine, UK Prof. Shlomo Mor-Yosef The Israel National Institute for Health Policy Research and Hadassah Medical Center, Israel Prof. Rosalind Raine University College of London, UK Prof. Richard Saltman Emory University, US Prof. Mordechai Shani The Gertner Institute, Israel Prof. Amir Shmueli The Hebrew University of Jerusalem, Israel Improving Health and Healthcare: Who Is Responsible? Who Is Accountable? 7 Sponsors Acknowledgements 8 Improving Health and Healthcare: Who Is Responsible? Who Is Accountable? GENERAL INFORMATION VENUE ICC Jerusalem Convention Center Adjacent to the Crowne Plaza Hotel Telephone (02) 6558558 REGISTRATION / HOSPITALITY DESKS The Registration / Hospitality Desks will be located at the ICC Jerusalem Convention Center and the Crowne Plaza Hotel, and will be open to coincide with sessions on each day of the Conference. Opening Hours Crowne Plaza Hotel Monday: 12:00-19:00 Tuesday: 8:00-18:00 Wednesday: 9:00-14:30 Thursday: 9:00-14:30 Opening Hours ICC Jerusalem Convention Center Tuesday: 8:00-18:00 Wednesday: 9:00-18:00 Thursday: 9:00-17:00 POSTER BOARDS Posters will be on display in the poster area for the duration of the conference. Exhibition hours are: Tuesday: 8:00-18:00 Wednesday: 8:00-22:00 Thursday: 8:00-14:30 The posters should be removed at the end of the conference on Thursday at 14:30 in the afternoon. There is no way to retrieve forgotten posters. Awards for Outstanding Posters will be given at the concluding session on Thursday. General Information 9 CONFERENCE BADGE Upon registration, you will receive your conference kit, which will include your conference badge. You are requested to wear your conference badge at all sessions and social events. In addition, you will receive entry passes to the conference lunches and to the Gala Dinner. LANGUAGE English is the official language of the conference. CLOTHING Dress is informal for all occasions. OPTIONAL SIGHTSEEING TOURS There are a large variety of sightseeing tours available. For further information and reservations, please contact the Hospitality / Registration Desk. SOCIAL EVENTS Welcome Reception: Monday, December 7, 2009, 19:00 - 22:00. The reception will take place at the Bible Lands Museum. Pickup for the reception will be in the lobby of The Crowne Plaza Hotel at 19:00. Gala Dinner: Wednesday, December 9, 2009, 18:30 - 22:00. The Gala Dinner will take place at the Teddy Hall, ICC Jerusalem International Convention Center. 10 Improving Health and Healthcare: Who Is Responsible? Who Is Accountable? Monday, December 7, 2009 19:00 – 21:00 Welcome Reception Tuesday, December 8, 2009 08:00 – 09:00 Registration 09:00 – 10:45 Opening Session Chair: Prof. Shlomo Mor-Yosef Chairman, Board of Directors & Director Teddy Hall General of the Hadassah Medical Organization, Israel Mr. Nir Barkat Mayor of Jerusalem, Israel Mr. Yaakov Litzman Deputy Minister of Health, Israel Dr. Nata Menabde WHO Regional Office for Europe Prof. Avi Israeli Co-Chair of the Conference The Hadassah–University Medical Center, Israel Responsibility and Accountability – talk is cheap... Prof. Stephen Shortell Co-Chair of the Conference University of California, Berkeley, USA Meeting the Challenge of Chronic Illness: Policy and Evidence On Integrated Care 10:45– 11:15 Coffee Break Scientific Program 11 Teddy Hall 11:15 – 13:30 Plenary Session – Group A Public Accountability / Governance & Stewardship Chair: Prof. Jonathan Halevy Shaare Zedek Medical Center, Israel Prof. Gabi Barbash Tel Aviv Sourasky Medical Center, Israel Government Accountability or Health Care Leaders' Responsibility Prof. Richard Saltman Emory University, Atlanta, USA Context, Culture, and the Practical Limits of Health Sector Accountability Dr. Ezekiel Emanuel National Institutes of Health, USA Dr. Josep Figueras European Observatory & WHO European Centre, Belgium Strengthening health governance: and old “new” paradigm. What is next? Dr. Siegal Sadetzki The Gertner Institute, Israel Responsibility and accountability in diagnostic and preventive medicine - are we doing too much or too little? 13:30 – 14:30 Lunch Break 14:30 – 16:00 Parallel Session 1 Oren Hall 1 Group A: Public Accountability Quality Assurance: From Technical Science to Stakeholders Politics Chair: Prof. Avi Porath Maccabi Healthcare Services, Israel Prof. Paulo Moreira Health communication in the EU: A survey on Citizen Information needs, Sweden Mr. Dan Peretianu Health status is depending on corruption, Romania Dr. Fausto Felli Redefine Budgets for Local Health Authorities to Produce Health on A Large Scale, Italy Ms. Edna Bar–Ratson Accreditation in three Clalit acute care hospitals: promise, performance, and lessons learned, Israel Prof. Elisheva Simchen Ministry of Health, Israel Introducing Quality Indicators for hospitals in Israel (QUIP Israel): Setting the Israeli standards for accountability, also for transparency? Israel Dr. Paula Feder–Bubis The voice of the Israeli provider in the face of the accountability and transparency challenge (QUIP), Israel 12 Improving Health and Healthcare: Who Is Responsible? Who Is Accountable? Group B: Social Support Making the Health System Fit the People, or Vice Versa? Oren Hall 2 Chair: Prof. Tamar Shohat Israel Center for Disease Control, Israel Dr. Diane Levin Zamir Cross Cultural Action for Promoting Health among Ethiopian Immigrants in Primary,Secondary and Tertiary Health Care Settings, Israel Dr. Nihaya Daoud First visit to the MCH and the Health Beliefs Model (HBM) among Bedouin mothers i the Negev, Israel Dr. Orna Baron–Epel Differences in the association between social support, mental health and visits to physicians in a multicultural
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