title: Medical navigation in Israel: description, advantages and ethical considerations.
abstract: Throughout history religious figures have been intimately involved in caring for the sick. Not only have they prayed for the welfare of the sick and arranged for their care but in many instances provided medical care as well. With the advent of scientific medicine, the responsibility for medical care was transferred to trained physicians. A new phenomenon has recently emerged in Israel that has threatened this 'division of labor' between physicians and rabbis, namely, the establishment of medical navigation organizations. Medical navigation can improve access to highly specialized care and help build trust between doctors and patients. However, this system is accompanied by numerous ethical and professional difficulties. For example, it is not clear how referrals are made and to what extent the system should be regulated. The phenomenon needs to be further studied to determine its prevalence in Israeli society as well as its impact on the practice of medicine from the perspective of both physicians and patients.
authors.affiliation: Jakobovits Center for Jewish Medical Ethics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. ajotkowitz@hotmail.com
authors.forename: Alan
authors.initials: A
authors.lastname: Jotkowitz
mesh_terms: D004992:Ethics, Medical; D006291:Health Policy; D006297:Health Services Accessibility / Q000941:ethics; D054625:Healthcare Disparities; D006801:Humans; D007557:Israel; D010344:Patient Advocacy; D010817:Physician-Patient Relations / Q000941:ethics; D012017:Referral and Consultation / Q000941:ethics; D012068:Religion and Medicine; D035502:Trust