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首页> 外文期刊>Israel Journal of Health Policy Research >Reducing income-related inequalities in care and health: insights from Israel
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Reducing income-related inequalities in care and health: insights from Israel

机译：减少与收入有关的医疗保健不平等：以色列的见解

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Amir Shmueli assessed income-related disparities in healthcare and health in Israel, extending earlier studies that focused primarily on education, ethnic or geographic differences. The new analysis finds that the poor are more likely to suffer from an array of chronic conditions, despite higher use of primary care and hospital services. The author suggests that lower use of preventive care, patient behaviors, and lack of adherence to physician recommendations likely contribute to the persistence of health disparities. However, the poor are more likely to work at jobs and live in neighborhoods or housing that put their health at risk. Policies will thus likely need to look beyond medical care to broader social services and workplace issues if the goal is to reduce disparities in disability and heart, lung, mental health and other chronic conditions. If Israeli databases include work and community attributes, it would be useful to include such information to enrich the baseline analysis and to assess the relative efficacy of Ministry of Health and sickness funds initiatives aimed at reducing health disparities.
机译：阿米尔·舒穆利（Amir Shmueli）评估了以色列在医疗保健方面与收入相关的差异，并扩展了先前的研究，这些研究主要关注教育，种族或地理差异。新的分析发现，尽管更多地使用初级保健和医院服务，但穷人更容易遭受一系列慢性病的折磨。作者认为，预防性使用的减少，患者行为的缺乏以及对医生建议的依从性可能会导致健康差异的持续存在。但是，穷人更有可能在工作中工作并居住在有可能危及健康的社区或房屋中。因此，如果目标是减少残疾以及心脏，肺，精神健康和其他慢性病方面的差异，那么政策将可能需要超越医疗范围而扩大社会服务和工作场所问题。如果以色列数据库包含工作和社区属性，则包括此类信息以丰富基线分析并评估旨在减少健康差距的卫生部和疾病基金计划的相对效力将是有用的。

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