Bibliographies thématiques / Hadassah Medical Organization (Israel)

Littérature scientifique sur le sujet « Hadassah Medical Organization (Israel) »

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Publié le 25 juillet 2024

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Articles de revues sur le sujet "Hadassah Medical Organization (Israel)"

Binder, Louis, Desmond Colohan, Wolfgang Dick, Bernard Nemitz, Yoel Donchin et Noriyoshi Ohashi. « Pregraduate Training in Emergency Medicine ». Prehospital and Disaster Medicine 8, n^o 1 (mars 1993) : 69–75. http://dx.doi.org/10.1017/s1049023x00040048.

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AbstractA panel session on undergraduate education in Emergency Medicine from a worldwide perspective was conducted at the Seventh World Congress of Emergency and Disaster Medicine in Montreal, in May, 1991. Desmond Colohan MD, of the University of Toronto (Canada) was the panel moderator. Panel speakers were: Louis Binder MD, Texas Tech University Health Services Center (USA); Wolfgang Dick MD, University of Mainz (Germany); Bernard Nemitz MD, Faculty de Medicine d'Ameins (France); Yoel Donchin MD, Hadassa Medical Organization (Israel); and Noriyoshi Ohashi MD, Tsukuba Medical Center (Japan).

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Koch, Noam, Liat Applebaum, Haggi Mazeh, Lilach Katz et Rena Pollack. « Interobserver Variability in Ultrasound Reporting - Tertiary Hospital Radiologists Do Better ». Journal of the Endocrine Society 5, Supplement_1 (1 mai 2021) : A863. http://dx.doi.org/10.1210/jendso/bvab048.1762.

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Abstract Introduction: Thyroid Imaging Reporting and Data System (TI-RADS) was developed to provide a standardized risk-stratification system for patients with thyroid nodules. Single-center studies have demonstrated an acceptable level of interobserver agreement in applying TI-RADS in clinical practice, however data regarding consistency among different centers is limited. In Israel, thyroid nodules are initially evaluated by ultrasound performed by radiologists at the health maintenance organization (HMO) and then patients are referred to tertiary hospitals for ultrasound-guided fine needle aspiration (FNA) biopsy when indicated. Objective: To evaluate the interobserver concordance in TI-RADS classification system reporting between the HMO and a tertiary hospital. Methods: We performed a retrospective analysis of the sonographic features of 370 thyroid nodules TI-RADS category 2 or higher, from 350 patients evaluated by ultrasound at the HMO and at Hadassah Medical Center from January 1, 2018 to December 31, 2019. The primary outcome was concordance between the TI-RADS classification at the HMO compared to the hospital. Additional endpoints included correlation of TI-RADS to the Bethesda category following FNA, and correlation of TI-RADS with malignancy on final pathology. Results: Of 370 nodules, only 73 (19.8%) demonstrated concordance between the HMO and the hospital. The level of agreement was poor, with 277 (74.8%) nodules demonstrating higher TI-RADS at the HMO compared to the hospital, and 20 (5.4%) with lower TI-RADS at the HMO compared to the hospital (p<0.001, weighted Kappa = 0.120). Of the nodules referred to the hospital, 241 (65.1%) were selected for FNA. A strong correlation between the hospital TI-RADS and Bethesda category was demonstrated (p<0.001). Furthermore, 60 (16.2%) nodules were surgically removed. A strong correlation was identified between the hospital TI-RADS and malignancy on final pathology (p<0.001), yet there was no correlation with the TI-RADS of the HMO (p=0.346). Conclusions: There is poor concordance between TI-RADS classification on ultrasound performed in the HMO compared to a tertiary hospital. In patients who underwent FNA and eventually surgery, the hospital TI-RADS strongly correlated with Bethesda category and final risk of malignancy. Standardization of thyroid ultrasound terminology and dedicated training in thyroid imaging are needed to improve the interobserver concordance in clinical practice.

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Steir-Livny, Liat. « One Trauma, Two Narratives : Adamah versus Tomorrow’s a Wonderful Day ». Folklore : Electronic Journal of Folklore 83 (août 2021) : 135–54. http://dx.doi.org/10.7592/fejf2021.83.steir_livny.

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In the three years after World War II, prominent Jewish organizations in the United States and in the Land of Israel made films aimed at promoting Zionist goals. The film Adamah (Helmar Lerski, 1948) was produced in the Land of Israel with the support of the Jewish-American volunteer women’s organization Hadassah. It tells the rehabilitation story of Benjamin, a Holocaust survivor in the Land of Israel. When the final version was sent to Hadassah for approval, the directorate felt that the American public would not relate to it. Hadassah altered the footage and distributed its own version entitled Tomorrow’s a Wonderful Day (1949). This article presents a comprehensive analysis of the main differences between the two representations of trauma, which were taken from the same footage but shaped into two differing narratives. Based on studies in Zionism and a great deal of archival material, it shows how these films epitomized the differences in the perception of trauma and its representations between the Zionist organizations in the Land of Israel and the USA.

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Kyle, Robert A., et Marc A. Shampo. « Henrietta Szold—Founder of Hadassah Medical Organization ». Mayo Clinic Proceedings 63, n^o 12 (décembre 1988) : 1268. http://dx.doi.org/10.1016/s0025-6196(12)65418-4.

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West, Debra Gershov, Evan Avraham Alpert et George Braitberg. « Integrating the six C’s of disaster response : Lessons from the mega terrorist attack on October 7, 2023 ». American Journal of Disaster Medicine 19, n^o 2 (1 avril 2024) : 175–78. http://dx.doi.org/10.5055/ajdm.0476.

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On October 7, 2023, over 2,500 Hamas terrorists infiltrated Israel from Gaza and killed over 1,400 people and injured 2,800, resulting in the largest terrorist attack in Israel’s history. Several models describe the principles of managing a mass casualty event. One of them is an Australian construct known as the six C’s. While command, control, and coordination are familiar concepts, the six C’s emphasize the importance of communication and community (consequences and community connection). We describe how two emergency departments in Israel—Assuta Ashdod and the Hadassah Medical Center-Ein Kerem—responded to this disaster in the context of the six C’s.

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Liebergall, Michal H., Nava Braverman, Shmuel C. Shapira, Orly Picker Rotem, Irene Soudry et Shlomo Mor-Yosef. « Role of Nurses in a University Hospital During Mass Casualty Events ». American Journal of Critical Care 16, n^o 5 (1 septembre 2007) : 480–84. http://dx.doi.org/10.4037/ajcc2007.16.5.480.

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Mass casualty events due to terror attacks have escalated throughout Israel since September 2000, with a high proportion of these events occurring in the Jerusalem area. Immediately after news of a large-scale terror attack is received, family/public information centers are set up in all local hospitals to meet the needs of members of the public who call or arrive at hospitals anxious to obtain information about relatives who may have been at the site of the attack. The most urgent task facing these centers is the quick and accurate identification of victims whose identity is in question. To date, some 3000 casualties have been treated at Hadassah Hebrew University Medical Center (Hadassah), a level I trauma center. This number accounts for nearly half of Israel’s total number of casualties from terror attacks during this period. Extensive experience has led the hospital to develop a unique organizational model for its family/public information center; in this model, members of the nursing staff identify casualties. The experience and knowledge gained in dealing with terror events also can be applied to other types of mass casualty events, such as major road or work accidents.

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Hawley, Carolyn E., Amy J. Armstrong, Shimon Shiri, Jenna Czarnota, Sara Blumenfeld, Isabella Schwartz et Zeev Meiner. « Post-Traumatic Growth Following Politically Motivated Acts of Violence : 10 Years Post Injury ». Australian Journal of Rehabilitation Counselling 23, n^o 1 (10 mai 2017) : 1–18. http://dx.doi.org/10.1017/jrc.2017.6.

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The study explored posttraumatic growth (PTG) and its relationship with the quality of life (QOL), posttraumatic stress, and resilience among survivors of terror attacks over 10 years post-injury. Participants were patients of Hadassah Medical Center, Israel, who were injured in terror attacks between 2000 and 2004 during the second Intifada. Variables of interest were obtained from a survey and patients' medical files. In total, 42 patients participated, 66% were men, and the average age was 41.4 years. Multivariate analysis was utilized to predict PTG from a variety of demographic variables including gender, ethnicity, relationship status, age, education, income, religiosity, and injury/disability type. Additional primary variables of study included current levels of QOL, posttraumatic stress, and resilience. Results revealed that married/partnered individuals had higher levels of PTG than divorced or single individuals. Findings suggest that social support following trauma is important for PTG and should be prioritized in recovery interventions with trauma survivors.

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Yanko, Robert, Yaara Badran, Shirley Leibovitz, Yair Sharav, Yuval Vered, Naama Keshet, Andra Rettman, Doron J. Aframian et Yaron Haviv. « Exploring the Effect of Ethnicity on Chronic Orofacial Pain : A Comparative Study of Jewish and Arab Israeli Patients ». Healthcare 11, n^o 14 (8 juillet 2023) : 1984. http://dx.doi.org/10.3390/healthcare11141984.

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The relationship between ethnicity and chronic pain has been studied worldwide. The population of Israel includes two main ethnic groups, 75% Jews and 21% Arabs. The purpose of this study was to compare orofacial chronic pain characteristics and treatment outcomes between Jewish and Arab Israeli citizens. Two hundred patients admitted to the Orofacial Pain Clinic at Hebrew University–Hadassah School of Dental Medicine between 2017 and 2022 were selected randomly for this historical cohort study. Our cohort included 159 (79.5%) Jews and 41 (20.5%) Arabs. Twenty-six pain-related variables were compared of which only two differed significantly between the two groups, awakening due to pain and mean muscle sensitivity; both indicators were higher in the Arab group (p < 0.05). No differences were found in any of the other variables such as diagnosis, pain severity, onset, and treatment outcome. This minimal difference may be explained by the equal accessibility to medical services for all citizens, and the diversity of our staff that includes Jew as well as Arab service providers. These factors minimize or even eliminate racial bias, language, and cultural barriers, and is reflected in the minor differences in orofacial pain characteristics found between the two main ethnic groups in Israel.

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Zahran, Shadi, Ran Nir-Paz, Ora Paltiel, Chen Stein-Zamir et Yonatan Oster. « Are Healthcare Workers Infected with SARS-CoV-2 at Home or at Work ? A Comparative Prevalence Study ». International Journal of Environmental Research and Public Health 19, n^o 19 (10 octobre 2022) : 12951. http://dx.doi.org/10.3390/ijerph191912951.

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Prior to the widespread use of vaccinations, healthcare workers (HCWs) faced the double burden of caring for unprecedented numbers of critically ill COVID-19 patients while also facing the risk of becoming infected themselves either in healthcare facilities or at home. In order to assess whether SARS-CoV-2-positivity rates in HCWs reflected or differed from those in their residential areas, we compared the SARS-CoV-2-positivity rates during 2020 among HCWs in Hadassah Hebrew University Medical Centers (HHUMC), a tertiary medical center in Jerusalem, Israel, to those of the general population in Jerusalem, stratified by neighborhood. Additionally, we compared the demographic and professional parameters in every group. Four percent of the adult population (>18 years) in Jerusalem tested positive for SARS-CoV-2 during 2020 (24,529/605,426) compared to 7.1% of HHUMC HCWs (317/4470), rate ratio 1.75 (95% CI 1.57–1.95), with wide variability (range 0.38–25.0) among different neighborhoods. Of the 30 neighborhoods with more than 50 infected HCWs, 25 showed a higher positivity rate for HCWs compared to the general population. The higher risk of HCWs compared to residents representing the general population in most neighborhoods in Jerusalem may be explained by their behavior in and out of the hospital.

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Soskolne, Varda, Omer Bonne, Atara Kaplan Denour et Arieh Y. Shalev. « Depressive Symptoms in Hospitalized Patients : A Cross-Sectional Survey ». International Journal of Psychiatry in Medicine 26, n^o 3 (septembre 1996) : 271–85. http://dx.doi.org/10.2190/v1ah-4bnn-wddy-ynfd.

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Objective: To evaluate the level of depressive symptoms among medical inpatients, and to examine the associations with sociodemographic, medical, and psychosocial characteristics. Method: A point prevalence study (1 day) of all adult medical patients hospitalized at Hadassah University Hospital. Patients who were too incapacitated to be interviewed were excluded. The questionnaire included sociodemographic data, social supports (MOS Social Support Scale), Multidimensional Health Locus of Control (MHLC), and depressive symptoms (CES-D scale). Medical data were collected from the patients' charts. Of the 331 eligible patients, 256 (77%) were interviewed. Results: The level of depressive symptoms was high (mean = 21, s.d. = 12). About 60 percent of the patients had scores above 16, which is the suggested cut-off point for psychopathology. A multifactorial analysis of covariance showed that higher scores of depression were significantly ( p < 0.01) associated with being a female, with lower scores of internal and higher scores of external health locus of control and only marginally ( p = .08) with medical diagnosis (multiple R2 = .33, multiple R = .58). Depressive symptoms were not associated with age, education, marital status, social supports, type of admission, ward, or length of stay prior to evaluation. Conclusions: The high levels of depressive symptoms found across medical and most of the personal and social characteristics in this first survey of its kind in Israel may reflect a reaction to the event of hospitalization; sex and locus of control may be suggested as risk markers of elevated depression to be used for screening and prompt psychiatric consultation in this population.

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Livres sur le sujet "Hadassah Medical Organization (Israel)"

Simmons, Erica. Hadassah and the Zionist project. Lanham, MD : Rowman & Littlefield Publishers, 2004.

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Shehory-Rubin, Zipora. "Hadasah" li-veriʾut ha-ʻam : Peʻilutah ha-beriʾutit-ha-ḥinukhit shel "Hadasah" be-Erets Yiśraʾel bi-teḳufat ha-Mandaṭ ha-Beriṭi. Yerushalayim : Sifriyah ha-Tsiyonit, 2003.

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Shvarts, Shifra. Ḳupat ḥolim, histadrut, memshalah : Mahalakhim be-ʻitsuvah shel maʻarekhet ha-beriʾut be-Yiśraʾel, 1947-1960. Beʾer Shevaʻ [Israel] : ha-Merkaz le-morsehet Ben-Guryon, 2000.

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Chernichovsky, Dov. Nihulan ha-tsiburi shel ḳupot ha-ḥolim be-Yiśraʼel. Yerushalayim : Merkaz Ṭaʼub le-ḥeḳer ha-mediniyut ha-ḥevratit be-Yiśraʼel, 2008.

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Shvarts, Shifra. Ḳupat-ḥolim ha-kelalit : ʻitsuvah ṿe-hitpatḥutah ka-gorem ha-merkazi be-sherute ha-beriʾut be-Erets Yiśraʾel, 1911-1937. Ḳiryat Śedeh-Boḳer : ha-Merkaz le-moreshet Ben-Guryon, 1997.

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Steinberg, Gerald. Resisting reform : A policy analysis of the Israeli health care delivery system. Lanham, Md : University Press of America, 1992.

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Shaviṭ, N. Tikhnun ḳoaḥ-adam be-Ḳupat-ḥolim : Tekhunot demografiyot ṿe-khalkaliyot shel ʻovde Ḳupat-ḥolim lefi miḳtsoʻa, 31.12.1987. Tel-Aviv : Ḳupat-ḥolim shel ha-Histadrut ha-kelalit shel ha-ʻovdim be-Erets-Yiśraʼel, ha-Hanhalah ha-merkazit, 1988.

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Shaviṭ, N. Tikhnun ḳoaḥ-adam be-Ḳupat-ḥolim : Rofʼe Ḳup. ḥ. be-1988 : tekhunot demofografiyot u-miḳtsoʻiyot. Tel-Aviv : Ḳupat-ḥolim shel ha-Histadrut ha-kelalit shel ha-ʻovdim be-Erets-Yiśraʼel, ha-Hanhalah ha-merkazit, 1989.

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Ḳupat ḥolim (Organization : Israel). Hanhalah ha-merkazit. Maḥlaḳah le-ḥeḳer ule-khalkalah refuʼit. Netunim ʻal koaḥ ha-adam ha-siʻudi be-Ḳupat ḥolim ba-tarikh 31.12.1987. Tel-Aviv : Ḳupat ḥolim, ha-Hanhalah ha-merkazit, ha-Maḥlaḳah le-meḥḳar ule-khalkalah refuʼit, 1988.

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Shaviṭ, N. Tikhnun koaḥ adam be-Ḳupat ḥolim : 1. koaḥ ha-adam ha-siʻudi be-Ḳupat-ḥolim 1988, 2. ha-maḥsor be-aḥayot bi-reʼi kalkalat ha-beriʼut. Tel-Aviv : Ḳupat-ḥolim shel ha-Histadrut ha-kelalit shel ha-ʻovdim be-Erets-Yiśraʼel, ha-Hanhalah ha-merkazit, 1989.

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Chapitres de livres sur le sujet "Hadassah Medical Organization (Israel)"

Katzburg-Yungman, Mira. « Epilogue ». Dans Hadassah, 293–306. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0014.

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This concluding chapter considers developments to 2005. It sets out to assess whether the conclusions reached with regard to Hadassah as an organization remain valid. This question is addressed by considering various developments within Hadassah in the 1970s and the subsequent quarter of a century, years when the organization was affected by significant changes within the wider American Jewish community — specifically, the enormous increase in intermarriage with non-Jews and the impact of the so-called ‘second wave’ of feminism. Notwithstanding these developments and changing circumstances, however, the objectives, goals, and organizational identity of Hadassah as a Zionist organization have remained constant over the years. The focus of its work and investment — the medical projects in Israel — has also remained unchanged.

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Katzburg-Yungman, Mira. « Welfare and Education Projects for Children and Teenagers ». Dans Hadassah, 207–41. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0010.

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This chapter discusses Hadassah's welfare and education projects. In addition to its involvement in health care, Hadassah was also engaged in a large number of projects to benefit children and teenagers, both during the Mandate period and after the State of Israel was established. These projects were consistent with the perception of appropriate realms of activity for women in the United States since the end of the nineteenth century — nursing (especially within the field of public health), social work, and education — and in this sense expressed Hadassah's identity as a women's organization more than its health and medical projects did. Hadassah's activity in this field also reflected the concerns of the time at which the organization was founded. No previous period in the history of the United States had been so focused on children as the Progressive era (1890–1920), during which many new movements emerged to benefit children and numerous new educational methods were developed. This focus on children and youth had considerable influence on the path that Hadassah took.

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Katzburg-Yungman, Mira. « Ideology and Politics in the Early Years of the State of Israel, 1951–1956 ». Dans Hadassah, 137–56. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0007.

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This chapter details further developments within the international Jewish community as well as Hadassah's role in these affairs. Despite Hadassah's unrelenting focus on practical work, it could not ignore the questions about the essence of Zionism that arose as a result of the establishment of the State of Israel. In the context of debates over aliyah and ḥalutsiyut, the question arose whether Hadassah was a Zionist organization or an organization of ‘friends of Israel’; the leaders of Hadassah firmly refused to ‘demote’ the organization to the level of ‘friends of Israel’. Another focus of debate between the Zionists in Israel and American Zionists was the concepts of ‘exile’ and ‘diaspora’. In this respect Hadassah, more than the other Zionist organizations in the United States, supported the view that can be defined as affirming the value and authenticity of Jewish life in the diaspora.

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Katzburg-Yungman, Mira. « Hadassah’s Partners ». Dans Hadassah, 283–92. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0013.

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This chapter details Hadassah's ‘partners’. Hadassah's enterprise in Palestine was the largest collective project of women in the diaspora on behalf of the Yishuv and, later, Israel, and remains so today. It depended for its success, however, on its partners in this enterprise: professionals in the Yishuv and Israel. These doctors, nurses, teachers, and others, most of them European migrants to Israel, gave of the energy, talent, and knowledge they had acquired in the countries in which they had been educated. They were the executors, and sometimes the visionaries, of Hadassah's various projects in the Yishuv and Israel. These people played a critical role in Hadassah's work for the Yishuv and Israel, and in its existence as a Zionist organization in the United States.

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Katzburg-Yungman, Mira. « Comparative and Feminist Perspectives ». Dans Hadassah, 269–82. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0012.

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This chapter compares Hadassah to other American Zionist organizations. In particular, the chapter compares it to the Zionist Organization of America (ZOA), Pioneer Women, and the Mizrachi Women's Organization of America, and also with WIZO, the Women's International Zionist Organization. Through these comparisons, the chapter aims to better understand Hadassah's sources of strength. In addition to these, Hadassah drew strength from its apolitical character. The avoidance in principle of any affiliation with any political party, either in the United States or in Israel, was based on the central objective of Hadassah to be a popular, mass-based Zionist movement of Jewish women. This motive was coupled with the accepted view at the time of its establishment that political involvement was not appropriate for women. Indeed, to this day the largest women's organizations, Jewish and non-Jewish alike, are mainly involved in humanitarian work, and declare themselves non-partisan.

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Katzburg-Yungman, Mira. « Prologue ». Dans Hadassah, 1–8. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0015.

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This introductory chapter is a brief overview of Hadassah, the Women's Zionist Organization of America. It briefly describes the organization's founding, as well as its leader, Henrietta Szold (1860–1945) — a woman who personified a rare combination of spirit, vision, idealism, and an extraordinary organizational and practical ability. Szold, who was both the spiritual and the organizational progenitor of Hadassah, envisioned it as a way to harness the unique capabilities of American Jewish women to the Zionist enterprise in Palestine. Here, the chapter discusses Hadassah's parallel history with that of American Jewry in general, and reviews the extent of scholarship regarding the organization. It places the study within the context of the circumstances prevailing both in the United States and in the Yishuv and Israel.

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Katzburg-Yungman, Mira. « Hadassah, 1933–1947 : Responding to Crisis ». Dans Hadassah, 34–53. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0002.

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This chapter discusses organizational developments during the Second World War. From 1937 a gradual shift took place in Hadassah's policy that saw it beginning to engage in political activity. A significant contribution was made to this change by David Ben-Gurion, the Zionist workers' leader who would later be considered the architect of the Jewish state. In addition, the rise of Hitler to power in 1933, and the consequent challenge of coping with the problem of the Jewish refugees from Germany, led to an expansion both of Hadassah's activity and of the organization itself. Furthermore, the chapter reveals that Hadassah's political activity in the three years between the end of the Second World War and the establishment of the State of Israel was only part of its overall programme. Another part, which the organization saw as one of its central roles, was the education of its members along Jewish and Zionist lines.

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Katzburg-Yungman, Mira. « The Leadership ». Dans Hadassah, 54–70. Liverpool University Press, 2011. http://dx.doi.org/10.3828/liverpool/9781874774839.003.0003.

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This chapter takes a look at the women who led the organization. Between the end of the Second World War and the end of Israel's first decade of statehood in 1958, Hadassah was headed by twelve of the thirty women who sat on the National Board. They can be divided into three groups according to their socioeconomic and cultural background. One group (the largest) comprised members of families that had emigrated to the United States from eastern Europe. These women had been raised and educated in America, most of them in New York. The second group, consisting of women from a German Jewish background, falls into two sub-groups: American-born women of German Jewish origin who were married to men of east European origin, and very well-to-do women who came to the United States from Germany on the eve of the Second World War. The third group consisted of women who were involved in volunteer work in Palestine and, later, Israel. The members of this last group had a totally different background from that of the US leadership, but their work in Palestine over a long period justifies their inclusion in this chapter's review.

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Rogoff, Leonard. « My Kinship with All Other Jews ». Dans Gertrude Weil. University of North Carolina Press, 2017. http://dx.doi.org/10.5149/northcarolina/9781469630793.003.0010.

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After the war and Holocaust, Weil dedicated herself to the restoration of the Jewish people in Palestine. She took state leadership positions in the North Carolina Association of Jewish Women. She remained a Temple lady, a congregational activist teaching Sunday school and worshipping on the Sabbath, but she retained a questioning, universalistic outlook on religious questions. In a series of credos she wrote and spoke on What Judaism Means to Me, delineating a prophetic ethic reflective of German idealism but still affirming Jewish peoplehood. As a member of Hadassah and the Zionist Organization of America, she was a benefactor of the budding state of Israel which she visited in 1951 and 1962, returning to Goldsboro as a public advocate for the Jewish State.

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Friedman, Nurit L., et Nava Pliskin. « Demonstrating Value-Added Utilization of Existing Databases for Organizational Decision-Support ». Dans Advances in Information Resources Management, 275–93. IGI Global, 2004. http://dx.doi.org/10.4018/978-1-59140-253-4.ch013.

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Managers of healthcare organizations are increasingly aware that the potential of medical information systems exceeds mere support of routine administrative and clinical transaction processing. This chapter describes a case study about Maccabi Health Services, the second largest health maintenance organization in Israel and the first one to computerize clinical records resulting from routine transactions in doctors’ offices, laboratories, and pharmacies. In this case about decision-making support practices, recycling the content of existing databases made it possible to discover patterns of sub-optimal treatment without having to invest time and money in additional data-collection procedures. The case study thus demonstrates value-added utilization of patient data, beyond uses intended at the beginning, for effectively supporting the implementation and evaluation of disease-management programs. Lessons learned about organizational benefits reaped from the organization’s decision-support practices include implications for such initiatives as data warehousing, data mining, and online analytical processing.

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