We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Reform of Child Immunization Service Delivery in Israel

Gary L. Freed, MD, MPH; Kathleen Abu-Saad, MA; Carmi Z. Margolis, MD
JAMA. 1995;273(24):1909-1912. doi:10.1001/jama.1995.03520480029035.
Text Size: A A A
Published online


Overall immunization rates for 2-year-old children in Israel have consistently been higher than 90%,1 a particularly impressive figure given the country's absorption of millions of immigrants from diverse cultural backgrounds. Historically, Israel has maintained strong government control of immunization delivery. However, despite the success of this system, the country is now moving to limit direct government involvement in this area. Conversely, the uncoordinated mix of public and private sector activity in the United States has yielded low 2-year-old immunization rates, prompting the Clinton administration to call for greater government control of immunization delivery.2 Examining the impetus for, and consequences of, changes in the Israeli system as it moves away from strict government control may provide insight into the implications of health care reform efforts in the United States and other countries.

Current System of Immunization Delivery in Israel  In Israel, children's preventive services and curative care are provided


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.