ArticleInternational journal for equity in health2026
Evaluating fifteen years of national policy in Israel to overcome socio-geographic health disparities in Israel's Northern District: a mixed-methods study.
Article in International journal for equity in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGeographic location impacts health. Despite Ministry of Health policies, Israel's northern district continues to lag behind in health outcomes. This study examined geographic health inequities in Israel (2009-2024), alongside policies intended to reduce them, through the Policy Networks framework to analyze Ministry of Health policymaking on health equity.
methodsThis mixed-methods study evaluated Ministry of Health initiatives between 2009 and 2024. A quantitative analysis compared health infrastructure and workforce rates in Israel's Northern District compared to national rates from 2009 to 2024. Qualitative analysis involved a content analysis of policy documents to identify key stakeholders, roles, and policy shifts over time.
resultsQuantitative analysis found persistent healthcare disparities in the north, including hospital bed, physician, and paramedical personnel rates. Qualitative analysis of the ten policy documents issued between 2009 and 2024 showed varying focus to socio-geographic disparities, with only four addressing the Northern District. Three factors were identified as contributing to the persistence of disparities: lack of robust representation, centralized decision-making, and decreased focus on geographic disparities.
conclusionHealth disparities between Israel's northern district and central regions persist due to inequities in healthcare access and outcomes and lack of sufficient policies. Centralized decision-making and the exclusion of peripheral stakeholders in the policy network hinder implementation of equity-focused solutions.
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