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The nutritional and health perceptions of inmates are crucial to their overall well-being. However, limited research has been conducted on this topic. This study aimed to assess the nutritional and health perception state of male inmates in eleven prisons in Israel. A cross-sectional study was conducted between February and September 2019 with 176 voluntary participants. Structured questionnaires were used to collect data on socio-demographic characteristics, healthy habits, subjective health status, and prison situation variables. The study found that the prevalence of overweight (40%) and obesity (18.1%) among 18–34-year-old inmates was significantly higher than in the reference Israeli population. Short detention periods (up to one year) predicted less weight gain, while older age predicted poorer health status. Better emotional status significantly predicted better subjective health status among male inmates. There is a need for nutrition interventions to improve the health of inmates. The significant weight gain during incarceration and the associated lower health index and stress highlights the importance of increasing knowledge and promoting a healthier lifestyle in incarceration as early as possible and continuing over time.

Assessing the attitudes and perception of risk management among medical secretaries and their effect on patients' safety in actual patient care, in a semi-private medical network and in a public hospital, to evaluate changes in these attitudes over time.A hospital is a complex, complicated and a high-risk environment in which, along with other procedures, administrative processes, which are usually performed by the medical secretarial staff, may also have an impact on clinical activities and are prone to errors as well as other hospital activities.A retrospective cohort study was conducted. The survey was based on questionnaires completed once a year (during the period 2015-2018) by medical secretaries from seven different medical centers. Over these three years, different instructional and guidance interventions dealing with patients' safety were performed. Changes in attitudes and perceptions towards risk management and patients' safety were collected by comparison of answers at the beginning (2015) and the end (2018) of the study period. A group of medical secretaries of a new public hospital served as a control group. They completed the initial questionnaire and were not exposed to any instructional interventions. Follow-up time was 33 months.A total of 225 participants were recruited at the beginning of the study and 277 were in the study group at the end and 40 were in the control group. A significant and positive correlation was found between the perception and attitude towards patients' safety of the medical secretaries in the study group. Safety perception of the research group was significantly higher in comparison to the control group.Instructional interventions do have an impact and increase the level of safety perception of the medical secretaries regarding patients' safety.Ongoing safety interventions have led to an increased level of safety perception among medical secretaries. The results demonstrated the importance and benefit of the interventions in raising the safety level of hospital care.

Environmental, social, and governance (ESG) is a form of international private business self-regulation that aims to contribute to society from a philanthropic, activist, or charitable nature by engaging in or supporting volunteering or ethically oriented practices. The major benefit of ESG is having the organization's workers recruited for the goal of making the world a better place. There is a growing understanding regarding the extent of the environmental impacts of health services. Therefore, the interest in measuring and reporting the sustainability of health system performance is becoming crucial. As population aging and growth in healthcare demand are two of the main challenges of the current and mainly future health services, performance, and quality measurement as well as sustainability metrices are relevant more than ever.To review the ESG activities at Assuta Medical Centers (AMC) that helped the organization earn the Maala Index Platinum + grade in 2021.We reviewed the ESG elements that were implemented at AMC.AMC entered an ESG process in November 2019 and earned Platinum and Platinum+ grades from the Maala Index in 2020 and 2021, respectively. AMC won the Workforce Diversity prize for having many employees over 60 years of age. AMC activities are detailed as a case study for other health organizations in Israel and worldwide.A big leading health organization can spearhead sustainable development goals model in Israel and worldwide.

Overuse of healthcare services is a common phenomenon defined as: "a healthcare service that is provided under circumstances in which its potential for harm exceeds the possible benefit." It is expressed in the gap between desired services and available ones and is accompanied by high financial and human life costs. One-fifth to one-third of patients receives unnecessary, ineffective, or potentially harmful treatments or services. One of the greatest challenges to understanding overuse is the lack of definition for appropriate use. Apart from the physical and mental damage caused by overuse or improper use of medical services, this phenomenon has many implications, such as increasing waiting times for services, creating long queues, and incurring considerable financial costs as over 10% of hospital expenses are used to correct medical errors or preventable infections. Government intervention through economic arrangements such as deductibles and pre-authorization of services by the insurer are partially effective in reducing the overuse of health services. Additional solutions include ensuring safety and quality of care as well as shared decision-making.

Quality measurement programs exist in Israel and around the world and their role is, among other things, to monitor and proceed according to quality indicators in order to improve the quality of medical care. In Israel and England, there are programs for measuring quality in hospitals.The purpose of this work is to compare the program for measuring quality in hospitals in Israel with the corresponding program in England in terms of the process of determining indicators, methods of collecting data and ways of reporting and publishing the data. This article reviews the similarities and differences between quality measurement programs in hospitals operating in the two countries and examines the performance rates of similar indicators in the two countries.A comprehensive literature review was conducted to learn about the quality measurement programs in hospitals in both countries, and then designated websites for programs from which more information about the programs was derived.We found that in Israel there is an inclusive body, a quality department in the Ministry of Health, which is responsible for the process of determining the indicators in consultation with officials in the Medical Association, while in England there is also a body responsible for the program, the National Health Service (NHS), but it cooperates with other bodies who share some responsibilities. It was also found that in both countries the programs include indicators on common topics such as: acute myocardial infarction, cerebrovascular accident, fractures in the femoral neck and more and in each subject there are identical indices and different indicators. Beyond that there are also different measured issues in the two programs. We also found that in quality measurement programs in hospitals in Israel and England there are 4 identical indicators in all of which the results of hospitals in Israel are better than the results of hospitals in England, even though in England there is a reward for the indicators and in Israel there isn't such a reward. The reason for this is probably because the program in Israel sets targets for the indicators, while England does not.The two countries can learn from each other in order to improve the quality of health services that are provided.

Background By the end of February 2021, when 48% of the Israeli population was immune, the number of new positive COVID-19 cases significantly dropped across all ages. Understanding which parameters influenced this drop and how to minimize the number of hospitalizations and overall positive cases is urgently needed. Methods In this study we conducted an observational analysis which included COVID-19 data with over 12,000,000 PCR tests from 250 cities in Israel. In addition, we performed a simulation of different vaccination campaigns to find the optimal policy. Results Our analysis revealed that cities with younger populations reached a decrease in new cases when a lower percentage of their residents were immunized, showing that median age is a crucial parameter effecting overall immunity, while other parameters appeared to be insignificant. This variance between cities is explained by recalculating the immunized population and multiplying each individual by a factor symbolizing the impact of their age on the spread on the virus. This factor is easily calculated from historical data of positive cases per age. Conclusions The simulation proves that prioritizing different age groups or changing the rate of vaccinations drastically effects the overall hospitalizations and positive cases.