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Progress in palliative care in Israel: comparative mapping and next steps
Netta Bentur1, Linda L Emanuel, Nathan Cherney
1Center for Research on Aging, Myers-JDC-Brookdale Institute, Jerusalem, Israel. bentur@jdc.org.il.
Israel Journal of Health Policy Research
|August 24, 2012
Summary
Palliative care development in Israel is emerging but requires significant advancement. Key needs include resource allocation, education, and leadership to establish it as a recognized medical specialty.
Area of Science:
- Medical Specialties
- Palliative Care Development
- Healthcare System Analysis
Background:
- Palliative care enhances quality of life for patients with serious illnesses by addressing physical, mental, social, and spiritual needs.
- Modern palliative care emerged with advancements in life-sustaining technology, prompting ethical considerations.
- Dame Cicely Saunders established the first modern hospice, demonstrating the efficacy of palliative care.
Purpose of the Study:
- To identify core steps in developing a medical specialty.
- To examine palliative care development in Israel compared to the US and England.
- To consider future steps for palliative care in Israel.
Main Methods:
- Comparative analysis of palliative care development trajectories.
- Review of key steps: service establishment, skills development, specialty recognition, research, policy, and infrastructure.
- Examination of Israel's progress against these steps, referencing the US and England.
Main Results:
- Israel has established palliative care services, mirroring the initial step seen globally.
- Significant gaps exist in Israel regarding clinician skills development, specialty recognition, service availability, and research capacity compared to the US.
- While policy initiatives are in place, a financially sustainable infrastructure for palliative care is lacking in Israel.
Conclusions:
- Palliative care in Israel is in its nascent stages and requires substantial growth.
- Critical factors for advancing palliative care in Israel include adequate resource allocation, standardized educational guidelines, credentialed professionals, and strong leadership.
- Addressing these factors is essential for the successful establishment and sustainability of palliative care as a medical specialty in Israel.
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