The Third International Jerusalem Conference on Health

Policy Health Systems – Are We in a Post Reform Era?

December 10-13, 2006

 

 

 - 11.12.06

 

 

09:00-11:00 OPENING CEREMONY - Teddy Hall

 

Greetings:

Chaim Doron (Israel) - The Israel National Institute for Health Policy Research

Uri Lupolianski (Israel) -The Mayor of Jerusalem

Avi Israeli (Israel) – General Director, Ministry of Health

Keynote Addresses by Conference Co-Chairpersons:

Mordechai Shani (Israel) - Health Care Systems – in Limbo!

Richard Saltman (USA) - Is Re-Centralization the Next Long Wave for Health Sector Reform?

 

11:30-13:00 KEYNOTE PRESENTATIONS: THREE PERSONAL PERSPECTIVES ON

DIFFERENT HEALTH CARE SYSTEMS

 

Chairperson: Avi Israeli (Israel)

Invited Speakers:

Hans Stein (Germany) - Global Health Problems need International Solidarity and Global Responses

Julian Le Grand (UK) -From Target to Market: The Reform of Health Services

Steven Schroeder (USA) - Health Policy Perspectives from Across the Ocean: What - if anything - Can other Nations Learn from the United States?

 

14:00-15:30 Plenary - Teddy Hall

 

TOPIC 1 THE CONTROL OF CHRONIC DISEASE IN THE 21ST CENTURY

 

Chairperson: Leon Epstein (Israel)

Invited Speakers:

Martin McKee (UK) - The Control of Chronic Disease in the 21st Century: Integrating Primary, Secondary and Tertiary Prevention

Naoki Ikegami (Japan) - Merging of Primary and Tertiary Prevention in the Aging Society – The Case of Japan

Manfred S. Green (Israel) -The Burden of Chronic Deasease in Israel - How Healthy is the Population?

 

16:00-18:00 Parallel Sessions A

 

TOPIC 1 THE CONTROL OF CHRONIC DISEASE IN THE 21ST CENTURY:

PRIMARY PREVENTION

 

Oranim 1 Hall

Chairperson: Roz Lasker (USA)

Invited Speakers:

Margaret Thorogood (UK) - Is There a Role for Health Promotion in the Control of Chronic Disease in the 21st Century?

Gad Rennert (Israel) - Chronic Disease Prevention – The Case of Cancer

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Liora Valinsky (Israel) - Tobacco Reduction in a Large Preferred Provider Organization: Building a Multifaceted Approach

Orna Baron-Epel (Israel) -Social Capital and Self Reported Health among Arab and Jewish Israelis

 

TOPIC 2 ARE WE FACING SCARCITY OF INNOVATIVE IDEAS FOR REFORMS?

COUNTRY CASE STUDIES

 

Oranim 2 Hall

Chairperson: Elisheva Simchen (Israel)

Invited Speaker:

Theodore R. Marmor (USA) - Are We Facing Scarcity of Innovative Ideas for Reforms?

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Peter Mihalyi (Hungary) – Health care reform in Hungary

Krzysztof Krajewski-Siuda (Poland) - Political Mapping of the Recent Health Reforms in Poland

Michal Starosolski (Poland) – Health Reform Project (2006) in Poland – ex ante Political Mapping

 

TOPIC 3 THE EFFICIENCY OF COMPETITION AND CONTRACTS IN HEALTH CARE

 

Oranim 3 Hall

Chairperson: Jacob Glazer (Israel)

Invited Speakers:

Carol Propper (UK) - Does Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets and Skills on Hospital Quality and Productivity

Tor Iversen (Norway) - Some Consequences of Incomplete Contracts for Primary Care Physicians

Jacob Glazer (Israel) - Global Ratings of Health Plans to Improve the Quality of Health Care

Dov Chernichovsky (Israel) - Decentralization in Health Care: A Framework for Design and Implementation

 

TOPIC 4 WILL WE SEE THE DECLINE OF DOCTORING IN THE 21ST CENTURY?

MEDICAL PROFESSIONS FACING THE FUTURE

 

Oranim 4 Hall

Chairperson: Yoseph A. Mekori (Israel)

Invited Speakers:

Evan Willis (Australia) - Doctoring in the Future: Evaluating the 'Decline or Stability' Debate

Jonathan Halevy (Israel) - The Role of Complementary Medicine in the 21st Century

Amnon Lahad (Israel) - The Face of the Israeli Primary Care Physician of the 21st Century

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Yossi Weiss (Israel) - Physicians Education in the 21st Century – a Call for Reform

Yael Applbaum (Israel) - Back to the Future

Nurit Nirel (Israel) - A Decline of Doctoring - or the Adaptation of the Doctor’s Role to a New Reality?

 

 

 

 - 12.12.06

 

 

09:00-10:30 Plenary - Teddy Hall

 

TOPIC 2 ARE WE FACING SCARCITY OF INNOVATIVE IDEAS FOR REFORMS?

 

Chairperson: Josep Figueras (WHO Observatory)

Panel Discussion:

Josep Figueras (WHO Observatory) - Interdisciplinary Reform or a Dialogue of the Deaf: A Brief Introduction

Wynand van de Ven (The Netherlands) -Market Competition in Health Care: Myths and Reality

Gur Ofer (Israel) -Managerial and Organizational Innovation: Maimonides' "Golden Path" of the Public to the Private Mix

Reinhard Busse (Germany) -Do Health System Reforms Change Clinical Practice? Evidence, Quality and Human Resources

David Wilsford (UK) -Fighting Entropy Constraints Versus Oportunities in the Macro-Policy Health Environment

 

11:00-12:30 Plenary -Teddy Hall

 

TOPIC 3 THE EFFICIENCY OF COMPETITION AND CONTRACTS IN HEALTH CARE

 

Chairperson: Jacob Glazer (Israel)

Invited Speakers:

Thomas G. McGuire (USA) - Paying Doctors to Improve the Quality of Care

PDF  Martin Gaynor (USA) - What Do We Know about Competition and Quality in Health Care Markets?

 

12:30-13:00 Poster Presentations and Prizes – Leon Gordis

 

14:00-16:00 Parallel Sessions B

 

TOPIC 1 THE CONTROL OF CHRONIC DISEASE IN THE 21ST CENTURY:

SECONDARY PREVENTION

 

Oranim 1 Hall

Chairperson: John Beck (USA)

Invited Speakers:

Cor Spreeuwenberg (The Netherlands) - Future Management for the Chronically Ill in Europe – An Experience and Experiment Based View

Barbara Starfield (USA) - Chronic Illness, Co-Morbidity, Primary Care, and Specialty Care (This lecture was presented by Leon Epstein (Israel))

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Ellen Nolte (USA) - Responding to the Epidemic of Chronic Disease

Pesach Shvartzman (Israel) - Chronic Pain – An Epidemic

Anthony Heymann (Israel) - Evaluating Treatment of our High-Cost Patients

Joseph K. Rosenblum (Israel) - The Diabetes Project at Meuhedet Health Services – A New Approach towards a Major Disease

Diane Levin-Zamir (Israel) - A National Health Education and Promotion Program among Diabetics in The Primary Care Setting – A Multi-Disciplinary Approach

 

 

TOPIC 2 ARE WE FACING SCARCITY OF INNOVATIVE IDEAS FOR REFORMS?

MANAGERIAL REFORMS AND PUBLIC HEALTH INNOVATIONS

 

Oranim 2 Hall

Chairperson: Reinhard Busse (Germany)

Invited Speakers:

Reinhard Busse (Germany) - German Health Care Reform 2006 - Is Opposition by All Actors a Good or a Bad Sign?

Bruce Rosen (Israel) - Is the Era of Health Reform in Israel Over?

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Bart Verbelen (Luxembourg) - The Role of the Public Sector in Health. A Cross Section Time Series Analysis of 19 OECD Countries from 1970-2000

Ryozo Matsuda (Japan) - Changing Health Care Governance in Japan

Janne Nikkinen (Finland) - Health Care Rationing in Three Continents: The Underlying Ideologies of Public Priority Setting in Finland, New Zealand and the US Medicaid

Deborah Katz (Canada) -Integrating Data from Administrative and Clinical Databases to Support Innovation and System Reform in a Large, Publicly Funded, Canadian Health Care Region

 

TOPIC 4 WILL WE SEE THE DECLINE OF DOCTORING IN THE 21 CENTURY?

THE RISE OF ALLIED PROFESSIONALS AND INTERPROFESSIONAL COMPETITION

 

Oranim 4 Hall

Chairperson: Chaim Doron (Israel)

Invited Speakers:

Chaim Doron (Israel) - Back to Teamwork in Primary Care?

Revital Gross (Israel) - The Desired and Actual Division of Labor between Nurses and Physicians in the Care of Chronic Illness

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Asaf Toker (Israel) - Physician Manpower in Israel 1948-2020: Overview of a "Non-Planning Policy" and Future Challenges

Zipi Sadeh (Israel) -Development of Nursing Manpower Planning Model for Clalit Health Services

Alon Seifan (USA) - Medical Education in the 21st Century: A Viewpoint of an American Student

 

TOPIC 2  ARE WE FACING SCARCITY OF INNOVATIVE IDEAS FOR REFORMS?

CONSUMER EMPOWERMENT AND EQUITY

 

Oranim 3 Hall

Chairperson: Charles E. Phelps (USA)

Invited Speakers:

David Chinitz (Israel) - Old Reforms, New Reforms and Public Understanding

Shlomo Mor-Yosef (Israel) -Problems and Questions regarding the Treatment of Political Leaders –

 Presentation & Paper

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Nira Shalom (Israel) - Empowering Patients: A Complementary Approach to the Health System Reform in Israel – There is a Better Way!

Morshid Farhat (Israel) -The Court: An Important Agent of Reforms in the Health System in Israel

 

16:30-18:30 Parallel Sessions C

 

TOPIC 1 THE CONTROL OF CHRONIC DISEASE IN THE 21ST CENTURY:

TERTIARY PREVENTION

 

Oranim 1 Hall

Chairperson: Yohanan Shtesman (Israel)

Invited Speakers:

Peter Disler (Australia) - Tertiary Prevention: The Role of Rehabilitation in the Management of Chronic Disease

Shai Brill (Israel) -Prevention of Reversible Functional Decline – The Main Aim in the Management of Chronic Disease of Old Age

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Jacob Gindin (Israel) - Between General Hospital and Long Term Care – Comparison between Eight European Countries

M.C. Closon (Belgium) - Rehabilitation Sectors: Indicators to Evaluate Needs, Process of Care, Workload and to Finance the Rehabilitation Units

 

TOPIC 2 ARE WE FACING SCARCITY OF INNOVATIVE IDEAS FOR REFORMS?

MARKETS AND COMPETITION FOR REFORM AND INNOVATIONS

 

Oranim 2 Hall

Chairperson: Amir Shmueli (Israel)

Invited Speakers:

Wynand van de Ven (The Netherlands) - Health System Reform: A Perpetual Emotion

Avi Israeli (Israel) -Why Using Markets and Competition in Health Care is Problematic

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Igor Sheiman (Russia) - Competitive Model of Social Health Insurance: Theory and Practice of Its Failure in Russia

Monte Dube (USA) - Privatization of Health Care Services: The US Experience

 

TOPIC 3 THE EFFICIENCY OF COMPETITION AND CONTRACTS IN HEALTH CARE

 

Oranim 3 Hall

Chairperson: Moshe Leshno (Israel)

Invited Speakers:

Martin Gaynor (USA) - Is Drug Coverage a Free Lunch? Cross-Price Elasticities and the Design of Prescription Drug Benefits

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Andrew J. Epstein (USA) - Variation in the Early Use of Drug-Eluting Coronary Stents

Marcus Tamm (Germany) - Elasticities of Market Shares and Social Health Insurance Choice in Germany: A Dynamic Panel Data Approach

Gilad Sorek (Israel) - Advancing Medical Technology, Aging Population, Health Expenditures and Economic Growth

 

 

TOPIC 4 WILL WE SEE THE DECLINE OF DOCTORING IN THE 21ST CENTURY?

PHYSICIANS’ ATTITUDES AND PATIENT EMPOWERMENT

 

Oranim 4 Hall

Chairperson: Rafael Beyar (Israel)

Invited Speaker:

Menahem Fainaru (Israel) -The Future of Doctoring - Dancing Between Patients, Providers and Resources

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Kieke Okma (USA) - General Practitioners Fading out of Existence?

Tammy Sagiv-Schifter (Israel) - Cultural and Social Competence: Awareness, Attitudes and Experience among Graduate Nursing Students in Israel

Eli Marom (Israel) - Over-the-Counter Drugs & Patient Empowerment – A New Era in Israel

Rachel Nissanholtz-Gannot (Israel) - The Relationship between Physicians and Pharmaceutical Companies – Various Positions in Israel and Abroad

 

 

 

 - 13.12.06

 

 

09:00-10:30 Plenary - Teddy Hall

 

TOPIC 4 WILL WE SEE THE DECLINE OF DOCTORING IN THE 21ST CENTURY?

NEW TECHNOLOGIES AND LOOKING INTO THE FUTURE...

 

Co-Chairpersons: Joshua Shemer (Israel)

Invited Speakers:

John B. McKinlay (USA) - When there is No Doctor: The Disappearance of Primary Care in the Digital Age (presented by Evan Willis (Australia))

Joshua Shemer (Israel) -Physician Attitudes in the 21st Century

Rafael Beyar (Israel) - How New Technologies will change Patient/Physician Relationships

Yoram Blachar (Israel) - Physician Communities in the Future

 

11:00-13:00 Parallel Sessions D

 

TOPIC 1 THE CONTROL OF CHRONIC DISEASE IN THE 21ST CENTURY: THE FUTURE

 

Oranim 1 Hall

Chairperson: Lechaim Naggan (Israel)

Invited Speakers:

Michael Sherf (Israel) - Patient Health Care Management – Facts and Challenge in the Future

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Amanda Sue Niskar (Israel) - Development of a New Process to Measure Environmental Impact on the Burden of Chronic Disease in Israel

Itamar Grotto (Israel) - Public Health Services – Coping with Challenges of Epidemics of the 21st Century

Rachelle Kaye (Israel) - Long Term Care – the Next Revolution in Health Care?

Mordechai Shani and Leon Epstein (Israel) – Major Future Challenges in Control of Chronic Disease: Primary Care and Health Equity

 

TOPIC 2 POLITICS AND IMPLEMENTATION OF REFORM AND INNOVATIONS

 

Oranim 2 Hall

Chairperson: Joseph Pliskin (Israel)

Invited Speaker:

David Wilsford (UK) - Sticky Structures and Immense Entanglements: Why ‘Do-Able’ Reforms are so Hard to Come by in almost Every Country

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Sergey Shishkin (Russia) - Institutional Traps for Public Health Finance Systems in the CIS Countries

Gail Wilensky (Israel)  – Realigning Payment Incentives through Gain - Sharing (Presented by Gur Ofer (Israel))

Dalia Guy (Israel) - Stakeholders as an Impediment to Reform – The Example of Mental Health Care Reform

Revital Gross (Israel) - Consumers’ and Senior Managers’ Perceptions of the Health Care System and Future Needs for Reform

 

TOPIC 3 THE EFFICIENCY OF COMPETITION AND CONTRACTS IN HEALTH CARE

 

Oranim 3 Hall

Chairperson: Gabi Bin-Nun (Israel)

Invited Speaker:

Thomas G. McGuire (USA) - Predictability and Predictiveness in Health Care Spending

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Colleen L. Barry (USA) - Impact of FDA Regulatory Policy on Depression Treatment in Youth

Howard Birnbaum (USA) - Workplace Burden of Illness: Cost and Prevalence of Expensive Diseases among Employees in the United States in 2004

Kobi Peleg (Israel) - The Effect of Differential Pricing for Early Treatment of Hip Fractures in Elderly Patients on the Care Provided

Esti Engelchin Nissan (Israel) - Competitiveness in the Sick Fund Market in Israel

 

WILL WE SEE THE DECLINE OF DOCTORING IN THE 21st CENTURY? NEW TECHNOLOGIES AND LOOKING INTO THE FUTURE…

 

Oranim 4 Hall

Chairperson: Yoram Blachar (Israel)

Invited Speaker:

John Gabbay (UK) - Evidence – Based Medicine and the Future of the Health Professions: Will We Ever Make Knowledge Fit for Practice?

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Mordachai Soroka (USA) - Optometry in the 21st Century: An Expanded Role in the Treatment of Ocular Disease

Neomi Siegal (Israel) - Reframing Doctoring: From Patient Centered Care to Population Based Medicine – Ethical Challenges

Rachel Wilf-Miron (Israel) - Leadership for Quality: How Can the Medical Profession Change its Influence and Autonomy?

Aviv Shahak (Israel) - Can an Evidence-Based Medicine Educational Intervention Enhance Facilitators' and Primary Care Physicians' Attitudes, Knowledge, and Clinical Behaviour? A Qualitative Study Nested in a Controlled Trial

Dorit Weiss (Israel) - Managed Care: From Intuition to Fact-Based Knowledge (Presented by Miri Gavrieli (Israel))

Boaz Porter (Israel) - The Missing Healer


TOPIC 5 QUALITY MEASURES - A NEW TOOL FOR HEALTHCARE REFORM

 

Pinkus Hall

Chairperson: Avi Porath (Israel)

Invited Speaker:

Charles N. Kahn III (USA) -An Assessment of Developments in US Hospital Clinical Care Measurement and Reporting and the Potential Application of Pay for Performance

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Shiri Guy-Alfandary (Israel) - Effect of Clinical Pharmacist Consultation in Family Physician Clinic on Quality of Treatment

Tamar Peled-Leviatan (Israel) - Is Compliance Among Patients With Type 2 Diabetes Routine?

Margalit Goldfracht (Israel) - Diabetes in the Community – Ten Years of Chronic Disease Management Program

Anat Raskin-Segal (Israel) - Successes and Challenges in Developing and Operating a National Clinical Measurement System: The Case of Primary Health Care in Israel

Gad Rabinowitz (Israel) - An Overall Perspective of the Primary Healthcare Performance Measures Program

 

14:00-16:30 CONCLUDING SESSION - Teddy Hall

 

Chairperson: Gur Ofer (Israel)

Closing Keynote Address:

Jeffrey D. Sachs (USA) - How we can achieve Dramatic Gains in Public Health in Low-Income Countries -(via video conference)

Leon Gordis (USA) - People or Populations: Have we lost sight of the Individual in Epidemiology and Public Health?

Boaz Lev (Israel) - Healthy Israel 2020: Visionary Health Promotion & Disease Prevention Policy for the 21th Century