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References
1
World Factbook: http://www.cia.gov/cia/publications/factbook/geos/ug.html
2

World Factbook July 2004 est. http://www.cia.gov/cia/publications/factbook/geos/ug.html.
In August 2005, the Israeli government withdrew its settlers from the Gaza Strip.

3
Report of the United Nations Development Programme 2004 (HDI 2002). Launched by the United Nations in 1990, the Human Development Index measures a country's achievements in three aspects of human development: longevity, knowledge, and a decent standard of living. It was created to re-emphasize that people and their lives should be the ultimate criteria for assessing the development of a country, not economic growth. Current values range from 0.956 (Norway, 1/177 countries) to 0.273 (Sierra Leone, 177/177 countries). Countries fall into one of three groups: countries1-55=high development; 56-141=medium development; 142-177=low development.
See: http://hdr.undp.org/statistics/data/indic/indic_8_1_1.html
4
For history and discussion see Rennert, G. (1990-1991) Considerations in planning a national cancer control programme – the case of Israel, Public Health Review, 18 (2), 117-128
5
Israel’s National Cancer Control Program (NCCP) policy guidelines follow WHO recommendations see WHO (2002) National Cancer Control Programmes: policies and managerial guidelines, World Health Organisation: Geneva  http://www.who.int/cancer/media/en/408.pdf
6
For example of early discussion of developing AIDS policy see: Ben-Ishai, Z. 1996. National AIDS Policy of Israel, In I. Schenker et al. (eds.) AIDS Education, New York: Plenum Press, 81-85
7

Robinson, E. (2002) The Israel National Cancer Control Program http://www.asco.org/ac/1,1003,_12-002521-00_18-0030470-00_19-0030471-00_20-001,00.asp

8

IOELC interview: Dr Alexander Waller - Tel Hashomer - 7 May 2005

9
Waller, A. (1997) ‘Hospice and palliative care services in Israel,’ In Dame C. Saunders and R. Kastenbaum, Hospice care on the international scene New York: Springer Publishing, 235-241
10
Waller, A. (1997) ‘Hospice and palliative care services in Israel’. In Saunders, Dame C. & Kastenbaum, R. Hospice care on the international scene. New York: Springer Publishing, pp.235-241
11
IOELC interview: Dr Alexander Waller - Tel Hashomer - 7 May 2005
12
IOELC interview: Dr Michaela Bercovitch - Tel Hashomer– 1 May 2005
13
IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran – 4 May 2005
14
IOELC questionnaire: Ruth Gassner – 8 March 2005
15

 IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran – 4 May 2005

16
Levin, M. (1997) It takes a dream: the story of Hadassah, Jerusalem: The Women’s Zionist Organization of America
17

IOELC interview: Dr Nathan Cherny - Sha’are Zedek– 4 May 2005

18
IOELC interview: Jonathan Rudnick – Sha’are Zedek – 4 May 2005
19
IOELC interview: Dr Yoram Singer – Negev Palliative Care Services - 5 May 2005
20
IOELC interview: Professor Pesach Shvartzman, Negev Palliative Care Services - 5 May 2005
21
Delbar, V. (1999) From the desert: transcultural aspects of cancer nursing care in Israel, Cancer Nursing 22:1, 45-51
22
Beersheva – hospitals information: Soroka Medical Centre www.soroka.org this is the site of the medical school for Ben-Gurion University of the Negev, Faculty of Health Sciences.
23
IOELC interview: Dr Yoram Singer - medical director, Negev Palliative Care Services - 5 May 2005
24
Shibli, J., Oberman, A., Szlaifer, M. (2003) a) Dying, death and bereavement: rituals of Islam b) End of life ethics in Islam  Poster presentations EAPC 2003 The Hague
25
Nechustan, G., Oberman, A., Szlaifer, M. (2003) a) A volunteer? Yes, but only a good one b) Is volunteer pre-selection process required?  Poster presentations EAPC 2003 The Hague
26
Szleifer, M. (2002) Making a difference: palliative care in Israel Presentation at the 2002 Cancer Nursing conference, Wembley, London, UK
27
IOELC interview: Mali Szlaifer – Nazareth - 8 May 2005
28
Clalit Health Services (Kupat Holim Clalit) was one of the original, and largest, non governmental, not for profit, voluntary health plan insurance schemes. A health plan insurer is also referred to generically as a Health Maintenance Organisation (HMO). Clalit used to be known as the General Sick Fund or ‘Kupat Holim’ (which literally translates as ‘health plan’).
29
IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling – 3 May 2005
30

IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling – 3 May 2005

31
Brandon, N. (1999) The hospice volunteer Support: Bulletin of the Israel Association of Palliative Care 12: July 1999  (see also IOELC interview: Dr Ora Cibulski, - 13 May 2005)
32

French Hospital, St Louis Mission, information posted Rev R. Adam Forno
 www.al-bushra.org/Truth/living.htm 26 June 1997

33
IOELC interview: Dr Nathan Cherny - Sha’are Zedek– 4 May 2005
34
IOELC questionnaire and email communication: Kassim Baddarni – 21 September 2005
35

IOELC interview: Professor Michael Silbermann - Haifa – 9 May 2005

36
The Embassy of Italy (2005) Italy in Israel – Special Issue, June 2 2005 www.ambtelaviv.esteri.it/NR/rdonlyres/29223106-D173-43B1-AB23-CCDCD87A8521/0/italy_in_israel.pdf
37
IOELC interview: Professor Michael Silbermann, Executive Director MECC – Haifa - 10 May 2005
38
IOELC Field notes: conversation with Reiki healer - 8 May 2005
39
Information provided by Dr Amitai Oberman – 21 July 2005
40
 IOELC interview: Dr Shlomith Perry, psycho-oncologist, Beilinson Oncology Unit, Rabin Medical Centre, Tel Aviv – 1 May 2005
41
IOELC interview: Dr Netta Bentur – 3 May 2005. See also Bentur, N. & Resnitsky, S. (2004) An Overview of Palliative Care Services in Israel, presentation from Myers-JDC, Brookdale Institute, Jerusalem
42
IOELC interview: Dr Yoram Singer, medical director – Negev Palliative Care Services - 5 May 2005
43

IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005

44
IOELC interview: Dr Shlomith Perry, psycho-oncologist, Beilinson Oncology Unit, Rabin Medical Centre, Tel Aviv – 1 May 2005
45
For more details of the history of the Israeli health system see Rosen et al. (2003)
46
Rosen, B., Goldwag, R. in Thomson, S. & Mossialos, E.(eds.) (2003) Health Care Systems in Transition: Israel, Copenhagen: European Observatory on Health Care Systems, 5 (1)
47
IOELC interview: Dr Yoram Singer, medical director – Negev Palliative Care Services - 5 May 2005
48
IOELC interview: Dr Nathan Cherny, medical director - Sha’are Zedek– 4 May 2005
49

IOELC interview: Dr Jim Shalom, Dr Eyal Goldberger, Yael Bleich and Yaniv Ben-Shoshan, HUG – 9 May 2005

50
IOELC interviews: Dr Michaela Bercovitch at Tel Hashomer – 1 May 2005; Dr Jeremy Jacobs, Jerusalem Home Hospital – 3 May 2005; Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005; Mali Szleifer, Milton & Lois Shiffman Home Hospice of the Valleys – 9 May 2005
51
IOELC interviews: Ruth Gassner, Ina & Jack Kay Hospice – 4 May 2005; Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005; Dr Jim Shalom, HUG – 9 May 2005
52

International Narcotics Control Board (2004) Narcotic Drugs: estimated world requirements for 2004. Statistics for 2002. New York: United Nations, 2004.
International Narcotics Control Board (2005) Report of the International Narcotics Control Board 2004, United Nations:New York http://www.incb.org/incb/en/annual_report_2004.html

53
Selva, C. (1997) International control of opioids for medical use European Journal of Palliative Care 4(6), 194-198
54
‘The term defined daily doses for statistical purposes (S-DDD) replaces the term defined daily doses previously used by the Board. The S-DDDs are technical units of measurement for the purposes of statistical analysis and are not recommended prescription doses. Certain narcotic drugs may be used in certain countries for different treatments or in accordance with different medical practices, and therefore a different daily dose could be more appropriate.’ International Narcotics Control Board (2004) Narcotic Drugs: estimated world requirements for 2004. Statistics for 2002. New York: United Nations, 2004
55

IOELC interviews: Dr Alexander Waller, Tel Hashomer, Tel Aviv – 8 May 2005;
Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005;
Dr Amitai Oberman, Home Hospice in the Valleys, Nazareth – 10 May 2005.

56

The Middle East Cancer Consortium (MECC) was established in 1996 with the aim of setting up population-based cancer registries for member countries in order to monitor cancer incidence, mortality and epidemiology, promote preventative health policy and encourage research and educational links (see also Silbermann, M. (2001) Perspectives for cancer epidemiology research in the Middle East Gastrointestinal Oncology, 4(2-3), 181-181).

This country report was commissioned by MECC through the National Cancer Institute, Bethesda, following the MECC conference in Larnaca, 2 – 3 February 2004.
The member countries of MECC (in July 2005) are Cyprus, Egypt, Israel, Jordan, Palestinian Authority and Turkey. Israel joined MECC at its inception in May 1996. (see Freedman, L.S., Al-Kayed, S., Barchana, M., Boyiadzis, M., El-Najjar, K., Ibrahim, A.S., Salhab, A.R., Young, J.L., Roffers, S., Kahan, E., Qasem, M.B., Harford, J., Silbermann, M. Cancer Registration in the Middle East. Epidemiology 12:1, 131-133.) http://mecc.cancer.gov/registry.html

57

IOELC interview: Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005;
Dr Amitai Oberman, Home Hospice in the Valleys, Nazareth – 10 May 2005

58
IOELC interview: Professor Pesach Shvartzman, Negev Palliative Care Services - 5 May 2005
59
IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005; IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran – 4 May 2005;
60
IOELC interview: Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005
61
IOELC interview: Dr Amitai Oberman, Home Hospice in the Valleys, Nazareth – 10 May 2005
62

See for example Azoulay et al. (2000) for discussion of the dilemmas faced by palliative care teams when there is conflict between the team and the patient’s family about opioid prescriptions:
Azoulay, D., Brajtman, S., Yehezkel, M., Shahal-Gassner, R., Cohen, A. (2000) When the family demands the discontinuation of morphine, European Journal of Palliative Care, 7:4, 138-140

63
IOELC interview: Dr Jim Shalom, HUG – 9 May 2005
64
IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005
65
Cibulski, O. (1999) Israel Association of Palliative Care Definitions and Objectives Support: Bulletin of the Israel Association of Palliative Care 12: July 1999  (see also IOELC interview: Mali Szlaifer - 8 May 2005)
66
IOELC interview: Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 8 May 2005
67
Email communication Amitai Oberman and Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 10 November 2005
68
Israel Cancer Association web page  www.cancer.org.il/home.asp
69

IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005

70
Israel Cancer Association web page  www.cancer.org.il/home.asp
71
IOELC interview: Dr Michaela Bercovitch - Tel Hashomer– 1 May 2005
72

 IAPHC website  http://www.hospicecare.com/yp/index.php?cat=9&subcat=105

73
Dr Nathan Cherny: discussion at the MECC meeting 2-3 February 2004, Larnaca Cyprus.
74
Population figures http://www.citypopulation.de/Israel.html
75
IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005
76

IOELC interview: Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 8 May 2005

77
IOELC interview: Dr Jim Shalom, Dr Eyal Goldberger, Yael Bleich and Yaniv Ben-Shoshan, HUG – 9 May 2005
78

IOELC interview: Dr Ilene Ora Cibulski, Home Care Hospice of Kiryat Tivon – 13 May 2005

79
See: Link
80

IOELC interview: Dr Netta Bentur – 3 May 2005. See also Bentur, N. & Resnitsky, S. (2004) An Overview of Palliative Care Services in Israel, presentation from Myers-JDC, Brookdale Institute

81

IOELC interview: Dr Amitai Oberman, Home Hospice of the Valleys, Nazareth - 10 May 2005

82
IOELC interview: Dr Nathan Cherny, Director Cancer Pain and Palliative Medicine Service, Sha’are Zedek Medical Centre – 4 May 2005
83
IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005
84

IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005

85
Singer, Y. and Shvartzman, P. (1998) The feasibility and advisability of administering home blood transfusions to the terminally ill patient, Journal of Palliative Care 14: 3, 46-48
86

The Middle East Cancer Consortium (MECC) was established in 1996 with the aim of setting up population-based cancer registries for member countries in order to monitor cancer incidence, mortality and epidemiology, promote preventative health policy and encourage research and educational links (see also Silbermann, M. (2001) Perspectives for cancer epidemiology research in the Middle East Gastrointestinal Oncology, 4(2-3), 181-181).

87
 IOELC interview: Professor Michael Silbermann, Executive Director MECC – Haifa - 10 May 2005
88

See for example sociological study by  Shimson Rubin, S., Malkinson, R., Witztum, E. (2003) Trauma and bereavement: conceptual and clinical issues revolving around relationships, Death Studies 27, 667 – 690
Also for clinical/sociological research studies see  Loven, D., Goldberg, E., Hart, Y., Klein, B. (1990) Place of death of cancer patients in Israel: the experience of a ‘home-care programme Palliative Medicine 4, 299 – 304
Yaniv, H. (1995) Sexuality of cancer patients: a palliative approach, European Journal of Palliative Care, 2 (2), 69-72

89

Cherny, N.I. (2003) The problem of suffering. In D. Doyle, G. Hanks, N. Cherny, K. Calman (eds.) Oxford Textbook of Palliative Medicine. Oxford: Oxford University Press, 7-14
Cherny, N.I. (1996) ‘Israel, status of cancer pain and palliative care’ Journal of Pain and Symptom Management 12: 2 pp. 116-117.
Also see extensive references listed on the Research website for the Cancer Pain and Palliative Medicine Unit, Sha’are Zedek Hospital, Jerusalem  http://www.szmc.org.il/index.asp?id=104&top=2&page_id=306

90

Bercovitch, M., Waller, A. (2003) Transcutaneous electrical nerve stimulation (TENS). In D. Doyle, G. Hanks, N. Cherny, K. Calman (eds.) Oxford Textbook of Palliative Medicine. Oxford: Oxford University Press, 405-410

91

Waller, A. (1999) Enigma of terminal dehydration, American Journal of Hospice and Palliative Care, 16 (2), 442

92

Bercovitch, M., Adunsky, A. (2004) Patterns of high-dose morphine use in a home-care hospice service: should we be afraid of it? Cancer 101,1473–7

93

Bercovitch, M., Waller, A., Adunsky, A. (1996) High dose morphine use in the hospice setting: A database survey of patient characteristics and effect on life expectancy, Cancer 86, 871–7

94

Livneh, J., Garber, Shaevich, E. (1998) Assessment and documentation of pain in oncology patients, International Journal of Palliative Nursing 4 (4), 169-175.
Sapir, R., Catane, R., Strauss-Liviatan, N., Cherny, N.I. (1999) Cancer pain: knowledge and attitudes of physicians in Israel, Journal of pain and symptom management, 17 (4), 266-272

95
Delbar, V. (1999) From the desert: transcultural aspects of cancer nursing care in Israel, Cancer Nursing, 22 (1), 45-51
96

See Shibli, J., Oberman, A., Szlaifer, M. (2003) a) Dying, death and bereavement: rituals of Islam b) End of life ethics in Islam  Poster presentations EAPC 2003 The Hague

97

Gilbar, I. (1999) Length of cancer patients’ stay at a hospice: does it affect psychological adjustment to the loss of the spouse, Journal of Palliative Care, 14 (4), 16-20

98
IOELC interview: Dr Michaela Bercovitch, Tel Hashomer, Tel Aviv – 1 May 2005
99

IOELC interview: Dr Alexander Waller, Tel Hashomer, Tel Aviv – 8 May 2005
See also Waller, A. (1997) ‘Hospice and palliative care services in Israel’. In Saunders, Dame C. & Kastenbaum, R. Hospice care on the international scene. New York: Springer Publishing, pp.235-241

100

IOELC interview: Shulamith Werner, physiotherapist Tel Hashomer, Tel Aviv – 1 May 2005

101
 IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005
102

IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005

103
IOELC interview: Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 8 May 2005
104

 IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling, Jerusalem Home Hospital – 3 May 2005

105

IOELC interview: Dr Jim Shalom, Dr Eyal Goldberger, Yael Bleich and Yaniv Ben-Shoshan, HUG – 9 May 2005

106

IOELC interview: Dr Ilene Ora Cibulski, Home Care Hospice of Kiryat Tivon – 13 May 2005

107

Waller, A. (1997) ‘Hospice and palliative care services in Israel’. In Saunders, Dame C. & Kastenbaum, R. Hospice care on the international scene. New York: Springer Publishing, pp.235-241

108
IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005
109

IOELC interview: Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005

110
 IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association – 13 May 2005
111

Waller, A. (1997) ‘Hospice and palliative care services in Israel’. In Saunders, Dame C. & Kastenbaum, R. Hospice care on the international scene. New York: Springer Publishing, pp.235-241
IOELC interview: Dr Alexander Waller, Tel Hashomer, Tel Aviv – 8 May 2005
IOELC interview: Dr Michaela Bercovitch, Tel Hashomer, Tel Aviv – 1 May 2005

112

IOELC interview: Tamie Goan, hospice home care nurse, Tel Hashomer, Tel Aviv – 1 May 2005

113
 IOELC interview: Dr Ilene Ora Cibulski, Home Care Hospice of Kiryat Tivon – 13 May 2005
114

Malka Yehezhel in IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

115

Malka Yehezhel in IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

116

IOELC interview: Dr Jim Shalom, Dr Eyal Goldberger, Yael Bleich and Yaniv Ben-Shoshan, HUG – 9 May 2005

117
 IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005
118
IOELC interview: Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005
119
IOELC interview: Rabbi Jonathan Rudnick, Sha’are Zedek, Jerusalem – 4 May 2005
120
IOELC interview: Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 8 May 2005
121

IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling, Jerusalem Home Hospital – 3 May 2005

122

IOELC interview: Sarah Rimer, social worker, Tel Hashomer, Tel Aviv – 1 May 2005

123

Musgrave, C. (1995) ‘Rituals of death and dying in Israeli Jewish culture’ European Journal of Palliative Care Vol.2 (2) pp.83-86

124

Malka Yehezhel in IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

125

IOELC interview: Dr Ilene Ora Cibulski, Home Care Hospice of Kiryat Tivon – 13 May 2005

126

Ruth Gassner in IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

127
 IOELC interview: Professor Pesach Shvartzman, Negev Palliative Care Services – 5 May 2005
128
IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005
129
Email communication: Dr Amitai Oberman – 18 August 2005
130

IOELC questionnaire and email communication: Kassim Baddarni – 21 September 2005

131
Waller, A. (1997) ‘Hospice and palliative care services in Israel’. In Saunders, Dame C. & Kastenbaum, R. Hospice care on the international scene. New York: Springer Publishing, pp.235-241
132

 IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

133
 IOELC interview: Dr Nathan Cherny, Sha’are Zedek, Jerusalem – 4 May 2005
134

IOELC interviews: Dr Yoram Singer, Negev Palliative Care Services – 5 May 2005

135
IOELC interview: Mali Szlaifer, Home Hospice of the Valleys, Nazareth - 8 May 2005
136

IOELC interview: Dr Amitai Oberman, Home Hospice of the Valleys, Nazareth - 10 May 2005

137

IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling, Jerusalem Home Hospital – 3 May 2005

138
IOELC interview: Dr Jim Shalom, Dr Eyal Goldberger, Yael Bleich and Yaniv Ben-Shoshan, HUG – 9 May 2005
139

IOELC interview: Dr Ilene Ora Cibulski, Home Care Hospice of Kiryat Tivon – 13 May 2005

140

IOELC interview: Aliza Yaffe, Head Nurse, Israeli Cancer Association - 13 May 2005

141

IOELC interview: Dr Amitai Obermann, Home Hospice of the Valleys, Nazareth - 10 May 2005

142
Bentur, N. & Resnitsky, S. (2004) An Overview of Palliative Care Services in Israel, presentation from Myers-JDC, Brookdale Institute, Jerusalem
143

World Factbook: http://www.cia.gov/cia/publications/factbook/geos/ug.html

144
This refers to adult mortality risk, which is defined as the probability of dying between 15 and 59 years.
145
World Factbook http://www.cia.gov/cia/publications/factbook/geos/ug.html
146

See: WHO statistics for Israel at: http://www.who.int/countries/en/

147
This entry gives the average annual number of deaths during a year per 1,000 population at midyear; also known as crude death rate. The death rate, while only a rough indicator of the mortality situation in a country, accurately indicates the current mortality impact on population growth. This indicator is significantly affected by age distribution, and most countries will eventually show a rise in the overall death rate, in spite of continued decline in mortality at all ages, as declining fertility results in an aging population. http://www.cia.gov/cia/publications/factbook/geos/ug.html
148

All figures in this section have been calculated from returns by Israel Ministry of Health Statistics 2002 http://www.health.gov.il/english/

149

‘In 2003 and during the first quarter of 2004, UNAIDS and WHO worked closely with national governments and research institutions to recalculate current estimates on people living with HIV/AIDS. These calculations are based on the previously published estimates for 1999 and 2001 and recent trends in HIV/AIDS surveillance in various populations.’ http://www.unaids.org

150
UNAIDS Epidemiological Fact Sheet on HIV/AIDS and sexually transmitted diseases - Update 2004: Israel http://www.unaids.org
151
Chemtob, D. and Grossman, Z. (2004) Epidemiology of adult and adolescent HIV infection in Israel: a country of immigration, International Journal of STD & AIDS, 15, 691-696
152
Schenker, I. (1997) HIV/AIDS in the Middle East and Israel: The Jerusalem AIDS Project, Shalom Magazine 2 http://www.jewishvirtuallibrary.org/jsource/Health/HIV.html
153
Total health expenditure per capita is the per capita amount of the sum of Public Health Expenditure (PHE) and Private Expenditure on Health (PvtHE). The international dollar is a common currency unit that takes into account differences in the relative purchasing power of various currencies. Figures expressed in international dollars are calculated using purchasing power parities (PPP), which are rates of currency conversion constructed to account for differences in price level between countries.
See: Link
154
Tandon A, Murray C.L.J, Lauer J.A, Evans D.B. Measuring overall health system performance for 191 Countries, GPE Discussion Paper Series: No 30; WHO
155
For full details of the health care history and structure in Israel see Rosen, B. (2003), In S.Thomson and E. Mossialos (eds.) Health care systems in transition: Israel, Copenhagen: European Observatory on Health Care Systems 5 (1)
156

http://www.cia.gov/cia/publications/factbook/geos/ug.html

157

IOELC interview: Professor Pesach Shvartzman, Negev Palliative Care Services – 5 May 2005

158

IOELC interview: Dr Amitai Oberman, Home Hospice of the Valleys, Nazareth - 10 May 2005

159

IOELC interview: Dr Shlomith Perry, Beilinson Unit, Rabin Medical Centre
 – 1 May 2005

160

IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005

161
IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005
162
Kapp, M.B. (1993) Living and dying in the Jewish way: secular rights and religious duties, Death Studies, 17 (3), 267-276
163

Sonnenblick, M. (2002) Advanced medical directives, Harefuah 141 (2), 181-188.
Also see Gross, M. (2002) Treating competent patients by force: the limits and lessons of Israel’s Patient’s Rights Act ,Journal of Medical Ethics  www.jmedethics.com

164
IOELC interview: Professor Abraham Steinberg, Sha’are Zedek Medical Centre, Jerusalem – 4 May 2005
165
IOELC interview: Dr Jeremy Jacobs, Dr Ora Rosengarten, Yonat Lamed, Timna Zistling, Jerusalem Home Hospital – 3 May 2005
166
Azoulay, D., Brajtman, S., Yehezkel, M., Shahal-Gassner, R., Cohen, A. (2000) When the family demands the discontinuation of morphine, European Journal of Palliative Care, 7:4, 138-140
167
IOELC interview: Dr Amitai Oberman, Home Hospice of the Valleys, Nazareth - 10 May 2005
168
IOELC interview: Ruth Gassner, Dr Azoulay Daniel, Malka Yehezkel, Helen Englesberg and Judy Yoran, Hadassah, Mt Scopus – 4 May 2005
Further Reading

http://www.who.int/cancer/palliative/en/

Azoulay, D., Brajtman, S., Yehezkel, M., Shahal-Gassner, R., Cohen, A. (2000) When the family demands the discontinuation of morphine, European Journal of Palliative Care, 7:4, 138-140

Anson, J. & Anson, O. (2001) ‘Death rests a while: holy day and Sabbath effects on Jewish mortality in Israel’ Social Science and Medicine Vol. 52 pp. 83-97

Carmel, S., Mutran, E. (1997) Wishes regarding the use of life-sustaining treatments among elderly persons in Israel: an explanatory model, Social Science & Medicine, 45 (11), 1715-1727

Cherny, N.I. (1996) ‘Israel, status of cancer pain and palliative care’ Journal of Pain and Symptom Management 12: 2 pp. 116-117

Cohen, M.Z., Musgrave, C.F., McGuire, D.B., Strumpf, N.E., Munsell, M.F., Mendoza, T.R., Gips, M. (2005) The cancer pain experience of Israeli adults 65 years and older: the influence of pain interference, symptom severity and knowledge and attitudes on pain and pain control, Supportive Care in Cancer, 13 (9): 708-714

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