A5088685184- COVID-19 and healthcare impacts
- SARS-CoV-2 and COVID-19 Research
- COVID-19 Clinical Research Studies
- Birth, Development, and Health
- Chronic Disease Management Strategies
- Gestational Diabetes Research and Management
- Poxvirus research and outbreaks
- Healthcare Systems and Reforms
- Diabetes Management and Education
- Telemedicine and Telehealth Implementation
- Pregnancy and preeclampsia studies
- Herpesvirus Infections and Treatments
- Cervical Cancer and HPV Research
- COVID-19 and Mental Health
- Child Nutrition and Water Access
- Long-Term Effects of COVID-19
- Obesity, Physical Activity, Diet
- Healthcare cost, quality, practices
- SARS-CoV-2 detection and testing
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Obesity and Health Practices
- Respiratory viral infections research
- Viral Infections and Immunology Research
- Diabetes, Cardiovascular Risks, and Lipoproteins
Clalit Health Services
2022-2024
Hebrew University of Jerusalem
2009-2021
Israel National Institute for Health Policy Research
2019
Israel Ministry of Health
2019
Hadassah Medical Center
2012
The oral protease inhibitor nirmatrelvir has shown substantial efficacy in high-risk, unvaccinated patients infected with the B.1.617.2 (delta) variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Data regarding effectiveness preventing disease 2019 (Covid-19) outcomes from B.1.1.529 (omicron) are limited.We obtained data for all members Clalit Health Services who were 40 years age or older at start study period and assessed as being eligible to receive therapy during...
Background— Accumulating evidence demonstrates that both maternal prepregnancy body mass index (mppBMI) and gestational weight gain (GWG) are associated with adult offspring adiposity. However, whether these attributes related to other cardiometabolic risk factors in adulthood has not been comprehensively studied. Methods Results— We used a birth cohort of 1400 young adults born Jerusalem who had extensive archival data clinical information at 32 years age prospectively examine the...
Postacute sequelae resulting from SARS-CoV-2 infections (LONG-COVID) have been reported. The added economic burden the perspective of healthcare organisations is not clear. Therefore, this study aims to evaluate additive costs among COVID-19 recoverees, in a large community-dwelling general population, as incurred by an insurer-provider organisation over time.In historical cohort study, cost data Clalit Health Services (CHS) were analysed. primary endpoint was direct CHS per month person....
Gestational diabetes mellitus (GDM) influences fetal development and offspring's metabolic risk. We evaluated this association in 17-year-old offspring adjusting for birth weight (BW) prepregnancy maternal BMI (mBMI).The JPS cohort contains extensive data on 92,408 births from 1964 to 1976. Offspring's blood pressure (BP) were obtained military records. For a subcohort born between 1974 1976, mBMI was available. Offspring classified as mothers with GDM (n = 293) or without recorded...
In view of increasing global and local trends in population ageing the high healthcare utilization rates among elderly, this study assesses quality primary care provided to elderly Israel. It examines changes over time, how varies across sub-groups Israel compares with other countries. Data originate from National Program for Quality Indicators Community Healthcare (QICH), which operates full collaboration Israel's four HMOs.The included all Israeli residents aged 65 years or older during...
Abstract Background Nirmatrelvir, an inhibitor of the main protease severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has demonstrated a significant decrease in risk progression to disease symptomatic high-risk patients infected with B.1.617.2 (delta) variant SARS-CoV-2. The effectiveness nirmatrelvir against B.1.1.529 (omicron) is unknown. Methods study included all Clalit Health Services members, 40 years age and older, confirmed infection SARS-CoV-2 during omicron surge that...
Abstract Background The oral antiviral molnupiravir is moderately effective in high-risk, unvaccinated non-hospitalized patients infected with early variants of SARS-CoV-2. Data regarding the effectiveness against B.1.1.529 (omicron) variant and vaccinated populations are limited. Methods We obtained data for all members Clalit Health Services, 40 years age older, eligible therapy during omicron surge. A Cox proportional-hazards regression model time-dependent covariates was used to estimate...
The COVID-19 pandemic generated an extraordinary need for telemedicine.To identify the factors and multi-way interactions associated with telemedicine use in primary healthcare during pandemic.This population-based study included all members (2,722,773) aged ≥18 years of largest organization Israel who used care clinic services between 1 March 2020 31 December 2021. Individuals were classified as users (≥1 phone/video visits or asynchronous encounters) non-telemedicine (only in-person...
The outbreak of the COVID-19 pandemic led to a decrease in primary health care in-person visits and simultaneous increase virtual encounters.To quantify change total volume mix visit types during two years Israel.Cross-sectional study.All by members largest healthcare organization Israel, three one-year periods: pre-COVID-19 year (March 2019-February 2020), first 2020-February 2021), second 2021-February 2022).Total types.More than 112 million were included study. rate per 1000 did not...
<h3>PURPOSE</h3> Primary care physicians have an important role in encouraging adequate cancer screening. Disparities screening by socioeconomic status (SES) may affect presentation stage and survival. This study aimed to examine whether breast, colorectal, cervical rates women differed SES age, disparities changed after introduction of a primary care–based national quality indicator program. <h3>METHODS</h3> repeated cross-sectional spanning 2002-2017 included all female Israeli residents...
A decline in cardiovascular hospitalizations was observed during the initial phases of COVID-19 pandemic. We examine continuous effect pandemic reducing hospitalization and associated mortality rates first year Israel.We conduct a retrospective cohort study using data Clalit Health Services, largest healthcare organization Israel. divide Corona into six periods (three lockdowns three post-lockdowns) compare incidence 30-day all-cause each period to previous years.The number non-STEMI 13.7%...
Abstract Background The recent global outbreak of the human monkeypox virus (MPXV) was declared a public health emergency by World Health Organization. Modified Vaccinia Ankara (MVA) is currently only FDA-approved vaccine against MPXV that approved for this indication based on study in non-human primates. Since there scarce evidence efficacy humans, our objective to evaluate real-life effectiveness (VE) after providing one dose individuals at risk MPVX infection. Methods cohort included all...
Objective This study aimed to assess area-level socioeconomic position (SEP) disparities in nutritional status, determine whether differed by sex and status changed over time. Design We used repeated cross-sectional data from a national programme that evaluates the quality of healthcare Israel children’s status. Setting The included all Israeli residents aged 7 years during 2014–2018 (n=699 255). Methods SEP was measured based on Central Bureau Statistics’ statistical areas, grouped into...
Prior studies found reduced incidences of cardiovascular diagnoses and treatments in the initial phase COVID-19 pandemic. However, these included a limited number outcomes did not consider pre-pandemic trends. This study aimed to describe trends incidence over years 2012–2021 Israel compare two period with preceding 8 years. In this retrospective, population-based study, carried out within Clalit Health Services, rates were calculated for individuals aged ≥ 25 (~2.7 million adults per year)...
Patient satisfaction is an imperative factor in integrating telehealth services as a treatment modality health care systems. Here, we compared patient from versus in-person visits large heterogeneous population.
Abstract Background As the current global resurgence of monkeypox virus infection (MPXVi) continues, immediate supply vaccines is lower than demand. Therefore, prioritization vaccinations for highest risk subjects using routine medical records warranted. Methods This population-based cohort study included all Clalit Health Services (CHS) deemed at moderate-to-high MPXVi: males who purchased HIV-PrEP or tested sexually transmitted infections since January 2021, aged 25–46 received Human...
BackgroundOver the last two decades, a number of tobacco control measures have been put in place Sweden.However, to what extent each these has effective inducing behavioral change among Swedish users is not known.This knowledge would be useful plan future interventions and it increasingly required by policy makers authorities.Aim this study examine possible effect four types policies on calling rates smoking cessation quitline.Methods A quasi-experimental design 16-years monthly data...