Dementia care in Israel: top down and bottom up processes
Abstract Dementia is one of the main causes of disability among older adults and is viewed as one of the most distressing and devastating of conditions. Dementia has a profound impact on those who suffer from the disease and on their family caregivers. In this article, we describe the added benefit...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-02-01
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| Series: | Israel Journal of Health Policy Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13584-019-0290-z |
| _version_ | 1811197571544121344 |
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| author | Netta Bentur Shelley A. Sternberg |
| author_facet | Netta Bentur Shelley A. Sternberg |
| author_sort | Netta Bentur |
| collection | DOAJ |
| description | Abstract Dementia is one of the main causes of disability among older adults and is viewed as one of the most distressing and devastating of conditions. Dementia has a profound impact on those who suffer from the disease and on their family caregivers. In this article, we describe the added benefit of implementing top-down and bottom-up strategies in the process of influencing and developing healthcare services. We use Israel as an example to argue that breakthroughs in care implementation and development of services are more likely to occur when there is a convergence of top-down and bottom-up processes. In the first section of the article, we present the top-down plans, initiated to address the needs of people with dementia and their families. In the second section, we present examples of bottom-up projects that developed in Israel before and after the top-down plans were initiated. In the third section, we contend that it is the combination of these top-down and bottom-up strategies that led to a breakthrough and the expansion of services for people with dementia and their families, and we argue that the Israeli case study is applicable to other health systems. |
| first_indexed | 2024-04-12T01:17:10Z |
| format | Article |
| id | doaj.art-fb646e9b649b44d3b7951e232aa7845d |
| institution | Directory Open Access Journal |
| issn | 2045-4015 |
| language | English |
| last_indexed | 2024-04-12T01:17:10Z |
| publishDate | 2019-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Israel Journal of Health Policy Research |
| spelling | doaj.art-fb646e9b649b44d3b7951e232aa7845d2022-12-22T03:53:56ZengBMCIsrael Journal of Health Policy Research2045-40152019-02-01811610.1186/s13584-019-0290-zDementia care in Israel: top down and bottom up processesNetta Bentur0Shelley A. Sternberg1Stanley Steyer School for Health Professionals, Faculty of Medicine, Tel-Aviv UniversityGeriatric Devision, Ministry of HealthAbstract Dementia is one of the main causes of disability among older adults and is viewed as one of the most distressing and devastating of conditions. Dementia has a profound impact on those who suffer from the disease and on their family caregivers. In this article, we describe the added benefit of implementing top-down and bottom-up strategies in the process of influencing and developing healthcare services. We use Israel as an example to argue that breakthroughs in care implementation and development of services are more likely to occur when there is a convergence of top-down and bottom-up processes. In the first section of the article, we present the top-down plans, initiated to address the needs of people with dementia and their families. In the second section, we present examples of bottom-up projects that developed in Israel before and after the top-down plans were initiated. In the third section, we contend that it is the combination of these top-down and bottom-up strategies that led to a breakthrough and the expansion of services for people with dementia and their families, and we argue that the Israeli case study is applicable to other health systems.http://link.springer.com/article/10.1186/s13584-019-0290-zDementiaServices developmentImplementation |
| spellingShingle | Netta Bentur Shelley A. Sternberg Dementia care in Israel: top down and bottom up processes Israel Journal of Health Policy Research Dementia Services development Implementation |
| title | Dementia care in Israel: top down and bottom up processes |
| title_full | Dementia care in Israel: top down and bottom up processes |
| title_fullStr | Dementia care in Israel: top down and bottom up processes |
| title_full_unstemmed | Dementia care in Israel: top down and bottom up processes |
| title_short | Dementia care in Israel: top down and bottom up processes |
| title_sort | dementia care in israel top down and bottom up processes |
| topic | Dementia Services development Implementation |
| url | http://link.springer.com/article/10.1186/s13584-019-0290-z |
| work_keys_str_mv | AT nettabentur dementiacareinisraeltopdownandbottomupprocesses AT shelleyasternberg dementiacareinisraeltopdownandbottomupprocesses |