title: Strengthening the capacities of a national health authority in the effort to mitigate health inequity-the Israeli model.
abstract: The need for a national policy to mitigate health inequity has been recognized in scientific research and policy papers around the world. Despite the moral duty and the social, medical, and economic logic behind this goal, much difficulty surfaces in implementing national policies that propose to attain it. This is mainly due to an implementation gap that originates in the complex interventions that are needed and the lack of practical ability to translate knowledge into practices and policy tools. The article describes the Israeli attempt to design and implement a national strategic plan to mitigate health inequity. It describes the basic assumptions and objectives of the plan, its main components, and various examples of interventions implemented. Limitations of the Israeli policy and future challenges are discussed as well. Based on the Israeli experience, the article then sketches a generic framework for national-level action to mitigate inequalities in health and in the healthcare system. The framework suggests four main focal points as well as an outline of the main stakeholders that a national policy should take into consideration as agents of change. The Israeli policy and the generic framework presented in the article may serve researchers, decision-makers, and health officials as a case study on ways in which prevalent approaches toward the issue of health inequality may be translated into policy practice.
authors.affiliation: Department of Health Systems Management, Guilford Glazer Faculty of Business and Management, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501 Israel.
authors.forename: Tuvia
authors.initials: T
authors.lastname: Horev
authors.affiliation: Strategic and Economic Planning Administration, Israel Ministry of Health, Jerusalem, Israel ; Department of Politics and Government, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
authors.forename: Shlomit
authors.initials: S
authors.lastname: Avni
keywords: Disparities; Health equity; Health inequality; Interventions; National health policy; Public policy