Evidence map›Paper›PMID 28495109›Full record

ReviewLancet (London, England)2017

Health and health care in Israel: an introduction.

A Mark Clarfield, Orly Manor, Gabi Bin Nun, Shifra Shvarts, Zaher S Azzam, Arnon Afek, Fuad Basis, Avi Israeli

Abstract readHistorical ArticleReview
PubMed Publisher
In one paragraph

Review in Lancet (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

107 citing papers in PubMed.

  1. Response to Letter to the Editor.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Comparative Patterns in CKD among Native Israeli and Immigrant Ethnic Populations.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  6. Article
  7. Article
  8. The Formation and Transformation of Medical Apartheid in Palestine: A Historical Examination.International journal of social determinants of health and health services · 2026
    Article
  9. Article
  10. The Israeli eye care system through a public and global health lens.Israel journal of health policy research · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The impact of COVID-19 pandemic on treatment adherence of patients with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  20. The War in Gaza and Barriers to Inflammatory Bowel Disease Care.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article

47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

A Mark ClarfieldMedical School for International Health, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Electronic address: markclar@bgu.ac.il.
Orly ManorBraun School of Public Health, Hebrew University-Hadassah, Jerusalem, Israel.
Gabi Bin NunDepartment of Health Systems Management, Faculty of Business and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Shifra ShvartsFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Zaher S AzzamRambam Health Care Campus, Rapaport Faculty of Medicine, Technion University, Haifa, Israel.
Arnon AfekSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Fuad BasisRambam Health Care Campus, Rapaport Faculty of Medicine, Technion University, Haifa, Israel.
Avi IsraeliBraun School of Public Health, Hebrew University-Hadassah, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Starting well before Independence in 1948, and over the ensuing six decades, Israel has built a robust, relatively efficient public system of health care, resulting in good health statistics throughout the life course. Because of the initiative of people living under the British Mandate for Palestine (1922-48), the development of many of today's health services predated the state's establishment by several decades. An extensive array of high-quality services and technologies is available to all residents, largely free at point of service, via the promulgation of the 1994 National Health Insurance Law. In addition to a strong medical academic culture, well equipped (albeit crowded) hospitals, and a robust primary-care infrastructure, the country has also developed some model national projects such as a programme for community quality indicators, an annual update of the national basket of services, and a strong system of research and education. Challenges include increasing privatisation of what was once largely a public system, and the underfunding in various sectors resulting in, among other challenges, relatively few acute hospital beds. Despite substantial organisational and financial investment, disparities persist based on ethnic origin or religion, other socioeconomic factors, and, regardless of the country's small size, a geographic maldistribution of resources. The Ministry of Health continues to be involved in the ownership and administration of many general hospitals and the direct payment for some health services (eg, geriatric institutional care), activities that distract it from its main task of planning for and supervising the whole health structure. Although the health-care system itself is very well integrated in relation to the country's two main ethnic groups (Israeli Arabs and Israeli Jews), we think that health in its widest sense might help provide a bridge to peace and reconciliation between the country and its neighbours.

Indexed as

AccreditationClinical GovernanceDelivery of Health CareDemographyEmigration and ImmigrationHealth ExpendituresHealth ServicesHealth StatusHealth Status IndicatorsHistory, 20th CenturyHistory, 21st CenturyHumansIsraelLife ExpectancyNational Health ProgramsPrimary Health Care

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.