May 2008

Aging in IsraelAging in Israel

Israel and the Israel and the MediterraneanMediterranean

Israel at a Glance Israel at a Glance

IDID: Official name: The State of Israel: Official name: The State of Israel

GovernmentGovernment: Parliamentary democracy: Parliamentary democracy

CapitalCapital: Jerusalem: Jerusalem

AreaArea: 21,643 sq.km (8,367 miles): 21,643 sq.km (8,367 miles)

Official languageOfficial language: Hebrew, Arabic: Hebrew, Arabic

Currency Currency : New shekel: New shekel

Internet endingInternet ending: il: il

PopulationPopulation: 7.15 Million: 7.15 Million

GDP/CapitaGDP/Capita:: $19,890$19,890

55 years average Inflation rate years average Inflation rate: 1.2%: 1.2%

IsraelIsraelThe Promised LandThe Promised Land

19481948

806,000806,000

20072007

7,150,0007,150,000

Senior citizens

In 1948 85,000 over the age of 65.

Less than 5 percent of the population.

After 2000After 2000640,000 Israeli citizens are over 65

Almost 10 percent of the population

Whereas the number aged 65 and over doubled between 1970 and

1990,

the number of over-75 years old tripled,

and the sector which grew most quickly during this period was the

over-80 years old

Older Seniors Older Seniors age 75 and aboveage 75 and above

Life ExpectancyLife Expectancyin Israelin Israel

In 1965In 1965::

Males- 70.5 females- 73.2Males- 70.5 females- 73.2

In 2002:In 2002:

Males- 77.9 females- 81.9Males- 77.9 females- 81.9

Life expectancy had risen by almost 10 Life expectancy had risen by almost 10 percent percent

The aging services are The aging services are composed of:composed of:

Welfare SystemWelfare System

Health SystemHealth System

Pensions Pensions SystemSystem

TaxesTaxes

Welfare System Welfare System

The policy is to enable elderly people to stay The policy is to enable elderly people to stay in their community.in their community.

It is manifested in two ways:It is manifested in two ways:

Developing set of services within the Developing set of services within the community.community.

Nursing Insurance Law-Nursing Insurance Law- in order to finance in order to finance treatment in elder’s home. (15.5 hours per treatment in elder’s home. (15.5 hours per week)week)

Most of the services are supplied by the Third Most of the services are supplied by the Third Sector (non profit) but also by the private Sector (non profit) but also by the private sector.sector.

The government Welfare Ministry finance and The government Welfare Ministry finance and supervised.supervised.

Nursing Insurance LawNursing Insurance Law

According the national insurance According the national insurance law the Nursing Pensions will pay law the Nursing Pensions will pay to:to:

Elder who lives in his/her home and need help Elder who lives in his/her home and need help in daily activities (dressing, bathing …) in daily activities (dressing, bathing …)

The National Insurance Institute pays directly to The National Insurance Institute pays directly to the services suppliers.the services suppliers.

In June 2006 120,360 seniors got this pensionIn June 2006 120,360 seniors got this pension (17.5%). (17.5%).

Welfare Services Welfare Services

Consultation to ElderlyConsultation to Elderly

The National Insurance Institute established a The National Insurance Institute established a Consultants Department to fill the needs Consultants Department to fill the needs which are not supplied by the law.which are not supplied by the law.

21 branches all over Israel21 branches all over Israel

111,256 seniors used the service in 2005111,256 seniors used the service in 2005

4,094 volunteers provide the services4,094 volunteers provide the services

Day CentersDay Centers

The Day Centers are a place for daily activities The Day Centers are a place for daily activities in order to provide a treatment to disabled in order to provide a treatment to disabled seniors in their own community, to postpone or seniors in their own community, to postpone or avoid the transition to institutes.avoid the transition to institutes.

Welfare Ministry, National Insurance Institute Welfare Ministry, National Insurance Institute and the Municipalities finance the service.and the Municipalities finance the service.

Non Profit Organizations (77%), volunteers Non Profit Organizations (77%), volunteers (18%) and private organizations (5%) provide it. (18%) and private organizations (5%) provide it.

Support CommunitySupport Community

The goal is to develop support environment for The goal is to develop support environment for seniors by creating personal connection. seniors by creating personal connection.

This group of seniors can receive services at their This group of seniors can receive services at their home and be a volunteer in helping other seniors.home and be a volunteer in helping other seniors.

In 2006 there were 190 programs In 2006 there were 190 programs

30,000 seniors took part30,000 seniors took part

Social ClubsSocial Clubs

The social clubs provide social, cultural and The social clubs provide social, cultural and employment activities (lectures, fiscal employment activities (lectures, fiscal activity, courses etc…) activity, courses etc…)

The municipalities operate the serviceThe municipalities operate the service

The welfare ministry finance them .The welfare ministry finance them .

In 2003 there were active 840 clubs In 2003 there were active 840 clubs

75,900 seniors participated (12.4%). 75,900 seniors participated (12.4%).

A house who consists of more than 3 A house who consists of more than 3 independent seniors. Each one lives in independent seniors. Each one lives in his own unit. his own unit.

Basic services are includedBasic services are included::

maintenance,maintenance,

social worker social worker

and housekeeping.and housekeeping.

In 2006 about 30,000 seniors are living In 2006 about 30,000 seniors are living in this program.in this program.

Protected AccommodationProtected Accommodation

Senior Citizens' HomesSenior Citizens' Homes

Institute for long term treatment Institute for long term treatment withwith supervision of Welfare supervision of Welfare Ministry Ministry

1. For independent seniors citizens1. For independent seniors citizens

2. For those who need nursing car 2. For those who need nursing car services.services.

Healthcare ServicesHealthcare Services

Important Legal Important Legal DevelopmentDevelopment during the 1990sduring the 1990s

The enactment of theThe enactment of the

1994- National Health Insurance 1994- National Health Insurance ActAct

1996- Patient’s Rights Act 1996- Patient’s Rights Act

Health Insurance Law Health Insurance Law

The law afforded universal health care insurance coverage to all the senior citizens of Israel on a universal coverage plan, and eliminated the possibility of seniors citizens being completely without health insurance or unable to obtain treatment for ill health.

According to the LawAccording to the LawThe HMO givesThe HMO gives

Discount in health insurance feeDiscount in health insurance feeThey pay less than the entire population per their They pay less than the entire population per their

income.income.

Nursing care insuranceNursing care insuranceThe HMO offer special insurance for nursing care The HMO offer special insurance for nursing care

hospitalization.hospitalization.

Health treatmentHealth treatment

The HMO is responsible to supply the health treatment in The HMO is responsible to supply the health treatment in the community and refer them to experts and hospital. the community and refer them to experts and hospital.

Health Management Health Management OrganizationOrganization

KLALIT (general) Health ServicesKLALIT (general) Health Services

MACABI Health ServicesMACABI Health Services

LEUMIT (national)LEUMIT (national)

MEUCHEDET (united)MEUCHEDET (united)

Geriatrics Geriatrics

HMOHMO is responsible for is responsible for acute acute patients, rehabilitation and patients, rehabilitation and complex nursing patientscomplex nursing patients

The Ministry of Health take care The Ministry of Health take care of the nursing care patient and of the nursing care patient and mentally mentally frail personfrail person

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