HealthDataNavigator Assess available data on different performance domains across various settings

Israel

Population (2010): 7,623,600
GDP per capita, US$ PPP at current prices (2010) 26,531.13
Health expenditure per capita, US$ PPP (2009): 2,071.1
Life expectancy at birth, years (2010): 81.7

The National Health Insurance Law, implemented in 1995, guarantees health insurance coverage for all Israelis. Medical care is provided in Israel by four non-profit HMOs ("kupot").  Members may freely choose between HMOs. HMOs receive a capitated payment for each member, adjusted for age, gender and geographic location of residence. HMOs are required by law to provide a basic package of services ("sal briut") to all members. This package was established by the Health Insurance Law and is updated periodically by a committee appointed by the Department of Health.  Members of all HMOs have the option of purchasing supplemental health insurance to cover access to private sector providers and services not included in the basic package. The percentage of members carrying supplemental insurance varies by HMO. 

Background information:

Health system data in Israel

Israeli HMOs and hospitals collect person-level data for administrative purposes. These data may also be used by the custodial organizations for research and quality improvement purposes. The Israel Ministry of Health gathers data on service utilization, maintains disease registries, and compiles statistical reports and quality measures on the basis of data reported by providers and HMOs. This information is made available in aggregate form via published reports and the Ministry web site. The Israel Central Bureau of Statistics  (CBS) collects, processes and publicizes statistical information on a wide range of subjects affecting the Israeli population. In additional to ongoing data collections, the CBS conducts the Census of Population and Housing, generally every 10 years, as well as other periodic or one-time surveys. Israel is a member of OECD and participates in OECD data collections on a wide range of subjects, including health care supply, utilization and health status. 

 

Health Status

Aggregate data

Individual level data

  • Israel National Population Register: Demographic data on all Israeli residents since 1948, Collected and managed by Israel Ministry of Interior. pfeil zu
  • Israel National Cancer Registry: data on all reported cancer cases and demographic data since 1961, collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu
  • National hospital services data [Hebrew]: The Ministry of Health collects standard data elements, including dates of service, diagnoses and procedures for admissions, emergency room and outpatient clinic visits a aret Israeli hospitals. Patient and provider identity are masked, therefore these data are not available for linkage to other data sources, however, they provide important information on service utilization in Israel. pfeil zu
  • 2009 Health Survey: Based on a sample of Israeli households. contain data on absence from work because of illness or accident, waiting for surgical operation, primary and secondary physician's visits, referral to paramedical therapists or alternative medicine practitioners, Influenza vaccination, health insurance, HMOs membership etc. pfeil zu
  • Cause of Death Registry: For persons living in Israel, collected and managed by Israel National Bureau of Statistics. pfeil zu
  • Severe chronic diseases registry: data on all Israelis receiving treatment for  end-stage renal disease, AIDS, Gaucher's, thalassemia and hemophilia, according to the criteria set for each condition by the Ministry of Health. Collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu
  • Israel National Very Low Birth Weight Infant Database: Data on infants with cirth weights less than or equal to 1500g, collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu
  • National Trauma Registry: Data on Israelis receiving hospital treatment for trauma, including demographic data, details on the nature of the injury, treatment received in the field, procedures, hospital course and condition at discharge,since 1995. Collected and managed by Gertner Institute for Epidemiology and Health Policy Research. pfeil zu
  • Israel National Immunization Registry: Data from 120 well-baby clinics since 2010, collected and managed by Israel Ministry of Health, National Disease Control Center. pfeil zu
  • Individual HMO administrative data: Data on hospital services, pharmacy purchases, physician visits and laboratory tests and demographic data. collected and managed by four different HMOs. pfeil zu

Quality (valued outcomes)

Aggregate data

  • Israel Department of Health, Department of Medical Services Research [Hebrew] The Department develops and implements measurements of quality of care in general hospitals in Israel. Department staff have carried out national surveys of the quality of care delivered in hospitals, with an emphasis on clinical outcomes such as nosocomial infections, postoperative complications, mortality and re-hospitalizations. In 2009, the Department began implementation of an ongoing system of quality measures, involving identifying and defining appropriate measures, active collection of the necessary data, abstraction of medical, nursing and laboratory records, and consultation with a panel of subject experts and clinicians working in the departments being surveyed. To date, the project has been implemented in orthopedic and surgical departments, with the expectation that additional departments will be included in year.
  • Israel national program for measuring care quality in the community [Hebrew] The program began as a cooperative effort between Ben Gurion University and the four Israeli HMOs, and was transferred to the Ministry of Health in 2004. To date, the program has developed 69 routinely measures of care quality in the clinical areas: diabetes, diseases of the heart and circulatory system, asthma, cancer screening, immunizations and pediatric medicine.

Efficiency/Economy

Aggregate data

Individual level data

  • National hospital services data [Hebrew] pfeil zu
  • Individual HMO administrative data pfeil zu

Access/Equity

Aggregate data

Non-health care determinants

Aggregate data

Health System Design and Context