This study compares rates of health counseling for women in the United States and Israel and identifies factors affecting counseling rates, based on a weighted sample of 2,257 US and 848 Israeli women. In both countries, fewer than half of the women reported speaking with a physician about any of a set of preventive counseling topics (e.g., smoking, diet, exercise) during the year preceding the survey. However, US women reported significantly higher rates of health counseling than did Israeli women, even among specific risk groups (e.g., smokers). Multivariate analysis revealed that "country" had an independent effect after controlling for demographic factors. This paper highlights structural and functional barriers to counseling that persist in the Israeli system in the absence of financial barriers and discusses ways to overcome them.
Bibliographical noteFunding Information:
Revital Gross is affiliated with the Myers-JDC-Brookdale Institute, Jerusalem, and Bar-Ilan University, Ramat Gan, Israel. Hava Tabenkin is affiliated with the Department of Medicine of Haemek Medical Center and Clalit Health Services, Afula, Israel. Cathy Schoen is affiliated with The Commonwealth Fund, New York, NY. Shuli Brammli-Greenberg is affiliated with the Myers-JDC-Brookdale Institute, Jerusalem, Israel. Elisabeth Simantov is affiliated with Simmons, an Experian Company, Deerfield Beach, FL. Address correspondence to: Revital Gross, PhD, Senior Researcher, Health Policy Research Unit, Myers-JDC-Brookdale Institute, POB 3886, Jerusalem 91037, Israel, (E-mail: firstname.lastname@example.org). The authors wish to thank the anonymous reviewers for their helpful comments and Marsha Weinstein for her skillful editing of this manuscript. This study was funded by a grant from The Commonwealth Fund, New York.
- Preventive care
- Primary care physicians
- Women's health
ASJC Scopus subject areas
- Medicine (all)