Systems Research Group Leader and Director of the Smokler Center for Health Policy Research
Arab Population | Economics Service | Employment | Health Policy
Systems Research Group leader and Director of the Smokler Center for Health Policy Research, the Myers-JDC-Brookdale Institute (MJB), Israel’s leading center for applied social research.
Prof. Bruce Rosen has worked at MJB since 1986. His primary research areas are: the reform in mental health, the private-public mix, the impact of quality measurement systems and changes in large organizations in the health system. He is highly involved in the promotion of linkage between research and policy, and of international learning. He serves as the co-editor of the Israel Journal of Health Policy Research.
Prof. Rosen holds a BA in economics from Harvard University, and an MSc and DSc in health policy and management from the Harvard School of Public Health.
He can be contacted at [email protected] or by telephone at 972-2-655-7430.
Eligibility for Unemployment Benefits in the Post-Retirement Age Group in Selected OECD Countries and in Selected United States Countries
This review examines the eligibility for unemployment benefits in the post-retirement age group in selected OECD countries. The review further examines the eligibility criteria and the nature and scope of the benefits granted in those countries where people who are beyond the retirement age are eligible for unemployment benefits.
Changes in the Number of Health Plan Members, 1994-2019
In this presentation, presented in 2022 at the annual conference of the Israel National Institute for Health Policy and Health Services Research, we document how the number of members of each health plan was affected by births, deaths, immigration to Israel and transitions across plans. This is highly unique analysis in terms of the length of the period under study (25 years) and the use of a very wide variety of databases. The presentation is accompanied by narration by the lead researcher.
Estimating the Impact of Maccabi’s Transitional Care Program
The objectives of the study were to assess the impact of MTCP on promptness of post-discharge access to primary care physicians, the number of re-admissions over the ensuing 30 days, emergency department visits, the use of community-based health services, and health care expenditures.
Monitoring Quality in Primary Care: How have the perspectives of health plan managers and front-line physicians changed between 2010 and 2020?
The goals of this study were to examine the perceptions of managers and primary care physicians at the health plans and senior personnel in the healthcare system and the National Program regarding the program and the changes it has undergone, and to compare the findings with those of the previous survey.
Organizational Aspects of Israel’s National Health Information Exchange
Israel is a pioneer in the nationwide implementation of health information exchanges (HIEs), which facilitate the sharing across organizations of patient-level data on symptoms, diagnostic test results, diagnoses, and treatments. An HIE system was implemented in all hospitals and clinics belonging to the Clalit health plan over a decade ago, and recently this has been […]
The Changing Role of Community Nurses
The nursing profession is an important component of the provision of community healthcare, and nearly a third of the nurses in Israel are employed in the community. The role of community nurses has altered significantly in recent years due to the following changes: the aging population and increase in chronic morbidity; activities and changes within […]
Attracting Medical Residents to the Periphery and to Medical Specialties in Crisis following the 2011 Collective Agreement
In 2011, a collective agreement was signed between representatives of the physicians and the main employers of physicians. The agreement established financial incentives that were intended to address two problems: the shortage of physicians in the periphery and the shortage of physicians in the “specialties in crisis.” The incentives included one-time grants and an increase […]
Guiding Hand – Program Evaluation
The evaluation report summarizes the activities of Guiding Hand - Assistance Centers which offer claimants free guidance in exercising their rights when applying to Medical Committees at the National Insurance Institute at the first stage. The program started operating in Haifa at the end of 2013 via the Femi Premium Company which deals with managing projects.
How are the Health Plans Preparing to Provide Mental Health Services?
With the legislation of the 1994 National Health Insurance Law, it was decided that responsibility for mental health services would be transferred from the Ministry of Health to Israel’s four health plans, after a “brief delay.” The operative date was repeatedly postponed until May 2012 when the government issued a directive calling for the implementation […]
Immigrant Physicians:Healthcare Perceptions and Experiences of American Physicians Following Aliyah to Israel
Approximately 180 physicians made aliyah from the US, Canada and England from 2002-2010, the majority of them (approximately 90%), American. In 2011, the Myers-JDC-Brookdale Institute carried out a qualitative survey of American physicians who had immigrated during that period, to learn about their experiences of the aliyah process and of working as physicians in both […]
Cost-Utility Analyses of Interventions to Increase Physical Activity in Israeli Adults
Physical inactivity (or sedentariness) is a serious and expensive risk factor for many chronic diseases. In this study, cost-utility ratios of interventional modalities for increasing physical activity were calculated by incorporating local Israel epidemiologic, economic and demographic parameters into published international analyses.
From Quality Information to Quality Improvements — Interim Report: Summary and Analysis of Interviews with Health-Plan Managers
This study explores the extent and nature of the organizational and behavioral changes made within the health plans subsequent to the initiation of the quality-measurement program.
Cost-Utility Analyses of Interventions to Prevent and Treat Obesity in Israel
Cost-utility ratios were calculated by building a model using primary Israeli data for dietary interventions, as well as by converting results from the published literature to the epidemiological and economic conditions in Israel.
Mapping of Arab Food Aid Organizations in Israel
The Forum to Address Food Insecurity and Poverty in Israel asked the Myers-JDC-Brookdale Institute and the Massar Institute for Research, Planning, and Social Counseling to conduct a comprehensive study of Arab food aid organizations in Israel.
Mental Distress and Patterns of Getting Help Prior to the Transfer of Responsibility for Mental Health to the Health Plans: A Service Consumers’ Perspective
In light of the planned reform of mental-health services, including transferring service provision to the health plans, the Institute added a section on mental health to its periodic survey of the public opinion on health-care services.
Health Systems in Transition: Israel Health System Review
This monograph provides a comprehensive, analytical description of the Israeli health care system and an analysis of recent reform efforts. It was prepared in a format that facilitates comparisons between Israel and other countries.
Health Promotion Activities in the Israeli Arab Population: To What Extent Are They Culturally Appropriate and What Can Be Done to Make Them More So?
The study aimed to develop criteria for assessing the cultural appropriateness of health promotion programs for the Arab population, and to identify ways to enhance it.
Project for the Advancement of Women’s Health in Israel (ISHA) Evaluation of the Program to Develop Women’s Lay Leadership — Summary Report
The ISHA project was developed jointly by the Jewish Community Federation of Cleveland, the Jewish Agency for Israel, and the Myers-JDC-Brookdale Institute, with the aim of promoting women’s health in Israel. The unique, multifaceted project, which was initiated in 2001, includes the development of a new program to foster women’s lay leadership in the community. […]
Responsiveness of the Health Care System: Findings from the Israeli Component of the World Health Survey
This paper describes the results of a 2003 study of the responsiveness of the Israeli health care system, including an analysis of key differences among population subgroups and selected comparisons with European countries.
Children and Youth
Key Findings from a National Survey of Mothers Regarding Preventive Health Services for Children in the “Tipat Halav” Framework
At the request of the Ministries of Health and Finance, the Institute initiated a multi-dimensional evaluation of a planned pilot in which the responsibility for preventive maternal and child health services would be transferred from the Ministry of Health and the municipalities to the health plans.
Quality Forum: Strategies for Promoting Quality of Care in Israel
This book presents a series of papers on strategies for promoting quality of care by leading figures in Israeli health care. The papers were commissioned by the Israel Quality Forum. The book also contains summaries of the Forum's discussions of these papers.
Reducing Health Inequality and Health Inequity in Israel: Towards a National Policy and Action Program – Summary Report
The overall objective of this study was to explore the significance and place of health inequalities in the thinking and action of leaders of the Israeli health system and related social systems, and to identify policies and actions that could reduce health inequality in Israel.
Food Security in Israel in 2003 and Its Implications for Patterns of Nutrition
This study is the first to provide national estimates of the prevalence and severity of food insecurity in Israel, and to examine the implications of food insecurity for actual patterns of consumption and consumption of nutrients.
Information and Decisionmaking – Public Commission on the Publicly Financed Health Care System and the Status of Physicians (Amorai Commission): Analysis of a Case Study
This report is a case study analyzing the use of data in the work of the Public Commission on the Publicly Financed Health Care System and the Status of Physicians (known popularly as the "Amorai Commission").
Data Use in Major Governmental Decisions Related to National Health Insurance
The Myers-JDC-Brookdale Institute is carrying out a multi-year study of the role that data and research have played in key governmental decisions related to the implementation of the National Health Insurance (NHI) law since its inception in January, 1995.
Use of the Central Bureau of Statistics’ Health Survey in Decisionmaking in the Health System
The analysis presented in this report is part of a multi-year study of the role of data and research in significant government decisionmaking related to implementation of the National Health Insurance Law.
Trends in the Employment of Medical and Nursing Manpower under the National Health Insurance Law
The study provides a comprehensive picture of trends in the employment of physicians and nurses over time. The timing and composition of these changes are examined in depth. This study also examines several possible explanations for the changes in employment levels.
Households, Health Plans, and Expenditures for Medication
This report offers a valuable opportunity to present policymakers and senior health officials with a broad picture of household and health plan expenditure on medications, and raises a number of policy issues that deserve attention.
Hospital Utilization and Expenditure by Israeli Health Plans in an Era of Health Care Reform
The Institute carried out a multi-year investigation of trends in the health plans’ hospital utilization and expenditures in light of government-initiated health care reforms and the health plans’ efforts to contain their spending on hospital services.
Gaps between Low Income and Middle to High Income Individuals following the Implementation of the National Health Insurance Law, 1995-1997
One of the main goals of the National Health Insurance (NHI) Law was to make Israel’s health services system more equitable. Although low income groups are now more attractive to health plans than they were in the past, it is not clear whether NHI provides enough of an incentive for insurers to seek them out or, […]
Towards the Inclusion of a Health Status Parameter in the Israeli Capitation Formula
This study explores how data from the Health Survey fielded periodically by the Central Bureau of Statistics and the Ministry of Health might be used as the basis for adding health status to the capitation formula.
Rosen, B., Davidovitch, N., Chodick, G., & Israeli, A. (2022). The role of Israeli researchers in the scientific literature regarding COVID-19 vaccines. Israel Journal of Health Policy Research, 11, 39. doi.org/10.1186/s13584-022-00548-3
Sela, Y., Artom, T., Rosen, B., & Nissanholtz-Gannot, R. (2022). Primary Care Physicians’ Perceptions on Nurses’ Shared Responsibility for Quality of Patient Care: A Survey. International Journal of Environmental Research and Public Health, 19(17), 10730. doi.org/10.3390/ijerph191710730
Rosen, B., Waitzberg, R., Israeli, A., Hartal, M., & Davidovitch, N. (2021). Addressing vaccine hesitancy and access barriers to achieve persistent progress in Israel’s COVID-19 vaccination program. Israel Journal of Health Policy Research, 10, 43. doi.org/10.1186/s13584-021-00481-x
Rosen, B., Waitzberg, R., & Israeli, A. (2021). Israel’s rapid rollout of vaccinations for COVID-19. Israel Journal of Health Policy Research 10, 6. doi.org/10.1186/s13584-021-00440-6
Rosen, B., Schoenbaum, S.C., & Israeli, A. (2020). Opportunities for diversifying and enriching our article mix. Israel Journal of Health Policy Research 9,74. doi.org/10.1186/s13584-020-00427-9
Gefen D., Ben-Assuli O., Stehr M., Rosen B., & Delekamp, Y. (2019). Governmental intervention in Hospital Information Exchange (HIE) Diffusion: A Quasi-experimental ARIMA interrupted time series analysis of monthly HIE patient penetration rates. European Journal of Information Systems, 28(6), 627-645. doi:10.1080/0960085X.2019.1666038
Rosen B., Israeli, A., & Schoenbaum, S. (2019). Innovation and The Israel Journal of Health Policy Research. Israel Journal of Health Policy Research, 8, 83. doi:10.1186/s13584-019-0353-1
Ashkenazi, Y., Gordon, M., & Rosen, B. (2019). Using financial incentives to attract medical residents to the periphery: The Israeli experience. Health Policy, 123(1), 80-86. doi:10.1016/j.healthpol.2018.10.006
Rosen, B. (2018). Expanding Canadian medicare to include a national pharmaceutical benefit while controlling expenditures: Possible lessons from Israel. Health Economics, Policy and Law, 13(3-4), 323-343. doi:10.1017/S174413311700041X
Rosen, B., Schoenbaum, S. C., & Israeli, A. (2018). The IJHPR’s growing scientific impact. Israel Journal of Health Policy Research, 7(1), 72. doi:10.1186/s13584-018-0269-1
Schuster, M., Elroy, I., & Rosen, B. (2018). How culturally competent are hospitals in Israel? Israel Journal of Health Policy Research, 7(1), 61. doi:10.1186/s13584-018-0255-7
Schwartzberg, E., Nathan, J. P., Rosen, B., & Marom, E. (2018). Pharmacy in Israel. American Journal of Health-System Pharmacy, 75(1), e61. doi:10.2146/ajhp160986
Nissanholtz-Gannot, R., Rosen, B., Hirschfeld, M., & Community Nursing Study Group (2017). The changing roles of community nurses: The case of health plan nurses in Israel. Israel Journal of Health Policy Research, 6(1), 69. doi:10.1186/s13584-017-0197-5
Rosen, B., & Israeli, A. (2017). Updates and reflections about the IJHPR, on the eve of its seventh year. Israel Journal of Health Policy Research, 6(1), 70. doi:10.1186/s13584-017-0196-6
Nissanholtz-Gannot, R., Goldman, D., Rosen, B., Kay, C., & Wilf-Miron, R. (2016). How do primary care physicians perceive the role of nurses in quality measurement and improvement? The Israeli story. Frontiers in Public Health, 4, 124.
Rosen, B., & Israeli, A. (2016). The IJHPR celebrates five years of quality publication. Israel Journal of Health Policy Research, 5(1), 65. doi:10.1186/s13584-016-0126-z
Rosen, B., Waitzberg, R., & Merkur, S. (2015). Israel: Health system review. Health Systems in Transition, 17(6), 1-212.
Rosen, B., & Israeli, A. (2014). IJHPR comes of age. Israel Journal of Health Policy Research, 3(1), 45. doi:10.1186/2045-4015-3-45
Rosen, B., & Israeli, A. (2013). The IJHPR publishes its 100th article, and other momentous milestones. Israel Journal of Health Policy Research, 2(1), 48. doi:10.1186/2045-4015-2-48
Israeli, A., & Rosen, B. (2012). The journal’s first year of publication and the challenges ahead. Israel Journal of Health Policy Research, 1(1), 52. doi:10.1186/2045-4015-1-52
Nissanholtz-Gannot, R., & Rosen, B. (2012). Monitoring quality in Israeli primary care: The primary care physicians’ perspective. Israel Journal of Health Policy Research, 1(1), 26.
Rosen, B., & Israeli, A. (2012). Launching the Israel journal of health policy research: Why a new journal? Why now? Why open access? Israel Journal of Health Policy Research, 1(1), 1. doi:10.1186/2045-4015-1-1
Nirel, N., Rosen, B., Sharon, A., Blondheim, O., Sherf, M., & Cohen, A. D. (2011). OFEK virtual medical records: An evaluation of an integrated hospital-community system. Harefuah, 150(2), 72-78.
Nirel, N., Rosen, B., Sharon, A., Samuel, H., & Cohen, A. D. (2011). The impact of an integrated hospital-community medical information system on quality of care and medical service utilisation in primary-care clinics. Informatics for Health and Social Care, 36(2), 63-74. doi:10.3109/17538157.2010.535130
Rosen, B., Brammli-Greenberg, S., Gross, R., & Feldman, R. (2011). When co-payments for physician visits can affect supply as well as demand: Findings from a natural experiment in Israel’s national health insurance system. International Journal of Health Planning and Management, 26(2), e37. doi:10.1002/hpm.1039
Rosen, B., Pawlson, L. G., Nissenholtz, R., Benbassa, J., Porath, A., Chassin, M. R., & Landon, B. E. (2011). What the United States could learn from Israel about improving the quality of health care. Health Affairs, 30(4), 764-772. doi:10.1377/hlthaff.2011.0061
Rosen, B., Porath, A., Pawlson, L. G., Chassin, M. R., & Benbassat, J. (2011). Adherence to standards of care by health maintenance organizations in Israel and the USA. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 23(1), 15-25. doi:10.1093/intqhc/mzq065
Rosen, L. J., Zucker, D. M., Rosen, B. J., & Connolly, G. N. (2011). Second-hand smoke levels in Israeli bars, pubs and cafes before and after implementation of smoke-free legislation. European Journal of Public Health, 21(1), 15-20. doi:10.1093/eurpub/ckp243
Nirel, N., Rosen, B., Sharon, A., Blondheim, O., Sherf, M., Samuel, H., & Cohen, A. D. (2010). The impact of an integrated hospital-community medical information system on quality and service utilization in hospital departments. International Journal of Medical Informatics, 79(9), 649-657. doi:10.1016/j.ijmedinf.2010.06.005
Rosen, B., Porath, A., Pawlson, L. G., Chassin, M. R., & Benbassat, J. (2010). Adherence to standards of care by health maintenance organizations in Israel and the USA. International Journal for Quality in Health Care, 23(1), 15-25.
Rosen, L., Brody, D., Zucker, D., Manor, O., Meier, M., Rosen, B., … Engelhard, D. (2010). Spreading the handwashing message: An alternative to traditional media campaigns. American Journal of Infection Control, 38(7), 562-564. doi:10.1016/j.ajic.2009.12.013
Rosen, B., Nirel, N., Gross, R., & Brammli-Greenberg, S. (2009). The Israeli mental health insurance reform: A framework for a systematic and coordinated evaluation effort. Journal of Mental Health Policy and Economics, 12, S37.
Rosen, B., Nirel, N., Gross, R., Bramali, S., & Ecker, N. (2008). The Israeli mental health insurance reform. Journal of Mental Health Policy and Economics, 11(4), 201-208.
Gross, R., Brammli-Greenberg, S., & Rosen Bruce. (2007). Co-payments: The implications for service accessibility and equity. Law and Business, 6, 197-224.
Ofer, G., Greenstein, M., & Rosen, B. (2006). Selecting your surgeon: The private-public mix in public hospitals in Jerusalem; Considerations of efficiency and equity. CESifo Economic Studies, 52(3), 513-547. doi:10.1093/cesifo/ifl008
Ofer, G., Rosen, B., Greenstein, M., Benbassat, J., Halevy, J., & Shapira, S. (2006). Public and private patients in Jerusalem hospitals: Who operates on whom? The Israel Medical Association Journal, 8(4), 270-276.
Rosen, L., Manor, O., Engelhard, D., Brody, D., Rosen, B., Peleg, H., … Zucker, D. (2006). Can a handwashing intervention make a difference? Results from a randomized controlled trial in Jerusalem preschools. Preventive Medicine, 42(1), 27-32. doi:10.1016/j.ypmed.2005.09.012
Schwartz, R., & Rosen, B. (2004). The politics of evidence-based health policy-making. Public Money and Management, 24(2), 121-127. doi:10.1111/j.1467-9302.2004.00404.x
Gross, R., Rosen, B., & Shirom, A. (2001). Reforming the Israeli health system: Findings of a 3-year evaluation. Health Policy, 56(1), 1-20. doi:10.1016/S0168-8510(00)00147-0
Rabinowitz, J., Bromet, E. J., Lavelle, J., Hornak, K. J., & Rosen, B. (2001). Changes in insurance coverage and extent of care during the two years after first hospitalization for a psychotic disorder. Psychiatric Services, 52(1), 87-91. doi:10.1176/appi.ps.52.1.87
Gross, R., Rosen, B., & Chinitz, D. (1998). Evaluating the Israeli health care reform: Strategy, challenges and lessons. Health Policy, 45(2), 99-117. doi:10.1016/S0168-8510(98)00030-X
Rabinowitz, J., Bromet, E. J., Lavelle, J., Severance, K. J., Zariello, S. L., & Rosen, B. (1998). Relationship between type of insurance and care during the early course of psychosis. American Journal of Psychiatry, 155(10), 1392-1397. doi:10.1176/ajp.155.10.1392
Craig, T. J., Bromet, E. J., Jandorf, L., Fennig, S., Tanenberg-Karant, M., Ram, R., & Rosen, B. (1997). Diagnosis, treatment, and six-month outcome status in first-admission psychosis. Annals of Clinical Psychiatry, 9(2), 89-97. doi:1026205319204
Gross, R., & Rosen, B. (1996). Decentralization in a sick fund: Lessons from an evaluation. Journal of Management in Medicine, 10(1), 67-80. doi:10.1108/02689239610113531
Fennig, S., Craig, T. J., Tanenberg-Karant, M., Jandorf, L., Rosen, B., & Bromet, E. J. (1995). Medication treatment in first-admission patients with psychotic affective disorders: Preliminary findings on research-facility diagnostic agreement and rehospitalization. Annals of Clinical Psychiatry, 7(2), 87-90. doi:10.3109/10401239509149032
Nirel, N., Rosen, B., Ben-Nun, G., Shemesh, A., & Vardi, P. (1993). Stages in the licensing process for immigrant physicians in Israel. Harefuah, 125(1-2), 19-22.
Shemesh, A., Yellin, N., Kaminer, H., & Rosen, B. (1993). Visits to emergency rooms and hospital ownership categories. Harefuah, 125(10), 342-347.
Rosen, B. (1989). Professional reimbursement and professional behavior: Emerging issues and research challenges. Social Science and Medicine, 29(3), 455-462. doi:10.1016/0277-9536(89)90294-3
Rosen, B., & Waitzberg, R. (2018). Advancing universal health coverage: What developing countries can learn from the Israeli experience? Washington, DC.: World Bank.
Waitzberg, R. & Rosen, B. (2020). Israel healthcare system. In R. Tikkanen, R. Osborn, E. Mossialos, A. Djordjevic, & G. A. Wharton (Eds.), International Health Care System Profiles. New York: The Commonwealth Fund.
Rosen, B., & Waitzberg, R. (2017). The Israeli health care system. In E. Mossialos, A. Djordjevic, R. Osborn & D. Sarnak (Eds.), International profiles of health care systems (pp. 85-93). New York: The Commonwealth Fund.
Almog, Y., Rosen, B., & Habib, J. (2016). Accountability and shared measurement in health care: Examples from Israel. In P. Mattei (Ed.), Public accountability and health care governance: Public management reforms between austerity and democracy (pp. 193-216). London: Palgrave Macmillan.
Zemach-Marom, T. (2007). The relationship between research and practice in implementing the RAF method for quality assurance in residential settings for children in Israel. In R. J. Chaskin, & J. M. Rosenfeld (Eds.), Research for action: Cross-national perspectives on connecting knowledge, policy, and practice for children (pp. 67-87). New York: Oxford University Press Oxford.
Rosen, B. & Goldwag, R. (2003). Health care systems in transition: Israel. In Thomson, S., & Mossialos, E. (Eds.), European observatory on health care systems, vol. 5(1). Copenhagen: The European Observatory on Health Care Systems.