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Division of Community Division of Community Health Health Ben-Gurion University of the Ben-Gurion University of the Negev Negev Family Medicine Department Family Medicine Department Division of Community Health Division of Community Health

Division of Community Health Ben-Gurion University of the Negev Family Medicine Department Division of Community Health

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Division of Community Division of Community HealthHealth

Ben-Gurion University of the NegevBen-Gurion University of the NegevFamily Medicine DepartmentFamily Medicine DepartmentDivision of Community HealthDivision of Community Health

Health Promotion Unit – 5 years Health Promotion Unit – 5 years ObjectivesObjectives::

To expand the exposure of the healthy To expand the exposure of the healthy living projectliving project2/3 of all kindergarten schools in Rahat 2/3 of all kindergarten schools in Rahat have undergone the intervention together have undergone the intervention together with an additional 30 kindergartens in other with an additional 30 kindergartens in other Bedouin settlements. Post intervention Bedouin settlements. Post intervention analysis depicts changes in behavior as analysis depicts changes in behavior as well as upkeep of these changes. As new well as upkeep of these changes. As new population enters the kindergartens a new population enters the kindergartens a new cycle of the intervention program is needed.cycle of the intervention program is needed.

Health Promotion Unit – 5 years Health Promotion Unit – 5 years Objectives – ContObjectives – Cont:.:.

To expand the healthy living style project to To expand the healthy living style project to 10% additional workplaces in the region 10% additional workplaces in the region To date the project was undertaken in the To date the project was undertaken in the University with participation of 200 University with participation of 200 employees. Pre-post analysis show change employees. Pre-post analysis show change in knowledge, attitudes and behavior of in knowledge, attitudes and behavior of employees. employees. Regardless of efforts, project was not Regardless of efforts, project was not adopted by other workplaces and the adopted by other workplaces and the University has not expanded the project.University has not expanded the project.

Health Promotion Unit – 5 years Health Promotion Unit – 5 years Objectives – ContObjectives – Cont:.:.

To further develop areas of health To further develop areas of health promotion within the curriculum of the promotion within the curriculum of the FOHS FOHS

Health promotion is currently taught in Health promotion is currently taught in nursing school, emergency medicine and nursing school, emergency medicine and occupational therapy; medical students are occupational therapy; medical students are taught the smoking cessation brief taught the smoking cessation brief intervention.intervention.

The Center for Smoking The Center for Smoking Prevention and CessationPrevention and Cessation

5-Year Objectives5-Year ObjectivesTo consolidate the coordinated efforts in To consolidate the coordinated efforts in the Negev regarding prevention and the Negev regarding prevention and smoking cessation: regarding staff, smoking cessation: regarding staff, funding, opening of smoking cessation funding, opening of smoking cessation groups groups

All participating organizations have All participating organizations have agreed to fund the operations of the agreed to fund the operations of the Center (Israel Cancer Association, Clalit Center (Israel Cancer Association, Clalit Health Services, Maccabi Health Health Services, Maccabi Health Services, Meuhedet, Ministry of Health).Services, Meuhedet, Ministry of Health).

5-Year Objectives – Cont.5-Year Objectives – Cont.Increase number of groups to at least Increase number of groups to at least 6/year6/year

Number of groups 8-12/year.Number of groups 8-12/year.

Personal consultation service Personal consultation service

Operational at CHS, and Meuhedet.Operational at CHS, and Meuhedet.

5-Year Objectives – Cont.5-Year Objectives – Cont.

To establish a student initiated program for To establish a student initiated program for smoking cessation consultation in smoking cessation consultation in hospitalized patients – Brief Intervention hospitalized patients – Brief Intervention Program:Program:– 55thth year medical students, FOHS, BGU year medical students, FOHS, BGU– Family medicine clerkshipFamily medicine clerkship– 3 hrs workshop – group discussions, 3 hrs workshop – group discussions,

simulations, patient-guided interviewsimulations, patient-guided interview– ““Real intervention” in clinics during roundsReal intervention” in clinics during rounds– More practice- intervention for hospitalize More practice- intervention for hospitalize

patients (6patients (6thth year, internal med round). year, internal med round).

5-Year Objectives – Cont.5-Year Objectives – Cont.

To promote awareness to the center’s To promote awareness to the center’s activities by aggressive marketing and activities by aggressive marketing and promotion – increase marketing budget by promotion – increase marketing budget by 30%:30%:– Radio + TV interviews to increase awareness Radio + TV interviews to increase awareness – All calls for new groups are delivered by email All calls for new groups are delivered by email

to all primary care physicians, posters in all to all primary care physicians, posters in all languages at the clinics, the center’s cards are languages at the clinics, the center’s cards are distributed throughout the primary care clinics distributed throughout the primary care clinics (in all languages).(in all languages).

OBJECTIVEOBJECTIVE

To reduce morbidity and To reduce morbidity and mortality attributed to mortality attributed to cigarette smoking in the cigarette smoking in the Negev region.Negev region.

Our VisionOur Vision

Cessation facility in every clinic or Cessation facility in every clinic or factory in the communityfactory in the community

Students take an active roleStudents take an active role

The four sick funds ongoing The four sick funds ongoing cooperation with the universitycooperation with the university

Formal smoking prevention Formal smoking prevention programs for school-aged childrenprograms for school-aged children

Operation to DateOperation to DateMonthly update meetings and workshops for Monthly update meetings and workshops for smoking cessation instructors.smoking cessation instructors.Establishment of a national support web forum Establishment of a national support web forum for smoking cessation instructors.for smoking cessation instructors.Teaching of brief intervention to medical Teaching of brief intervention to medical students and residents.students and residents.Smoking cessation groups throughout the Smoking cessation groups throughout the Negev.Negev.Establishment of the Israeli Medical Association Establishment of the Israeli Medical Association for Tobacco Control.for Tobacco Control.

Smoking Cessation GroupsSmoking Cessation Groups2003-20072003-2007

Who?Who?

Where?Where?

CLALIT29%

MACABBI67%

MEUHEDET1%

LEUMIT3%

IDF0%

CLALIT

MACABBI

MEUHEDET

LEUMIT

IDF

Ofakim4%

Arad11%

IDF7%

Meytar4%

Netivot4%

Beer-Sheva38%

Ashkelon17%

Kiryat-Gat7%

Lehavim4%

Nachal-Oz4%

28 groups,364 participants28 groups,364 participants

144130

143

43

66

92

29.9

50.864.3

0

50

100

150

200

2003-520062007

Participants Stopped Smoking %

Smoking Cessation GroupsSmoking Cessation Groups2003-20072003-2007

Evaluation after 6 months Evaluation after 6 months 2002-20062002-2006

מעקב חצי שנה 2002-2006

36.60%

52.30%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

אחוז לא מעשנים

2002-20052006

Teaching Centers – 5 years Teaching Centers – 5 years ObjectivesObjectives::

To continue and develop innovative models for To continue and develop innovative models for community teaching community teaching Teaching in the community continues to develop Teaching in the community continues to develop with new programs introduced (such as the brief with new programs introduced (such as the brief intervention for smoking cessation).intervention for smoking cessation).To expand the “academic HMO district” initiative To expand the “academic HMO district” initiative to include additional community clinics of all to include additional community clinics of all HMOs in the region HMOs in the region CHS clinics are included and negotiations with CHS clinics are included and negotiations with Maccabi are ongoing.Maccabi are ongoing.

Siaal Family Medicine and Siaal Family Medicine and Primary Care Research Primary Care Research

CenterCenterBen-Gurion University of the NegevBen-Gurion University of the Negev

Family Medicine DepartmentFamily Medicine DepartmentDivision of Community HealthDivision of Community Health

55 Year ObjectivesYear Objectives::

To expand Sial’s research activities by 10% To expand Sial’s research activities by 10% yearly – number of funded projectsyearly – number of funded projects

Number of funded projects have remained stable, Number of funded projects have remained stable, though increase in amount of funding by over though increase in amount of funding by over 10% is noted.10% is noted.

To increase Sial’s involvement in audits of HMO’s To increase Sial’s involvement in audits of HMO’s activities and population health status – 2-4 activities and population health status – 2-4 projects annuallyprojects annually

Examples: Audit of cardiovascular disease Examples: Audit of cardiovascular disease prevention in the Bedouin population, INRprevention in the Bedouin population, INR management by referrant nurses.management by referrant nurses.

55 Year Objectives – ContYear Objectives – Cont:.:.

To obtain in perpetuity funding for Sial’s To obtain in perpetuity funding for Sial’s infrastructureinfrastructure

Main funding for Sial’s infrastructure is from Main funding for Sial’s infrastructure is from Goldman funds, though recently temporary Goldman funds, though recently temporary funding from the University for personnel funding from the University for personnel has been secured.has been secured.

Route 3:Researcher

with a funded proposal

Route 2:Researcher

with anidea

Route 1:A proposalInitiated bythe Center

The Center is interested in the proposal

The study is not of interest to

the Center

Management of theStudy within Siaal both operations

and budget

Writing of research proposal and submitting for

funding

Fundingaccepted

Routes 1 & 2:

Total number of research proposals Total number of research proposals submitted and accepted for funding by yearsubmitted and accepted for funding by year

7

24 24

29

40

18

29

24

5

11

6

1316

6 6 7

0

5

10

15

20

25

30

35

40

2000 2001 2002 2003 2004 2005 2006 2007

Year

Nu

mb

er

of

pro

po

sa

ls

submitted accepted

Total number of papers written through Total number of papers written through Sial and were accepted for publication Sial and were accepted for publication

by yearby year

11 11 11 1110

15 15 15

1

3

5

7

9

11

13

15

2000 2001 2002 2003 2004 2005 2006 2007

Year

Nu

mb

er o

f p

aper

s

Community Research – Community Research – Interventions – 5 year objectivesInterventions – 5 year objectives::

To encourage primary care research as a To encourage primary care research as a whole with emphasis on previously whole with emphasis on previously identified clinical, educational, and identified clinical, educational, and organizational issues – 5-10% increase organizational issues – 5-10% increase To solicit specific outreach educational To solicit specific outreach educational and preventive intervention programs with and preventive intervention programs with emphasis on the Bedouin population and emphasis on the Bedouin population and other at-risk population of the Negev – other at-risk population of the Negev – increase by 5-10%increase by 5-10%