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Joint Eshel, a non-governmental organization, was working alongside Israel’s Ministries of Treasury and of Health to reform the industry of elderly care in Israel. The non-profit wanted to investigate why Israel has the highest rate of elderly people receiving nursing benefits and how Israel's nursing system fares compared to those regarded as best performing. Additionally, they sought a systematic outline for how to focus more on rehabilitation and prevention in elderly care, in order to support the elderly population with the best care possible while achieving cost efficiency. They also wanted to know which measures are best suited to compare and monitor the performance of different parties involved in elderly care.


This project was presented to representatives of different stakeholders of the nursing sector in Israel including Joint Eshel, Joint Tevet, the National Insurance Institute, the Ministry of Health, the Ministry of Welfare and Social Affairs, Ministry of Labor, and the Ministry of Treasury. The findings were incorporated in the elderly care reform in Israel, with the aim of providing quality care based on the most advanced methods of administering and evaluating cost-efficient care.


To create a systematic review for Joint Eshel, we conducted literature review and collected research from official government websites, international reports, and other relevant sources. We studied the attributes affecting the behavior and motivations of the care providers as well as the elderly themselves, to gain a comprehensive view of the nursing system and the way its various parts integrate. For our comparative study, we chose Denmark, the Netherlands, and Germany to determine what components make their elderly care systems work so well. To determine why Israel has such a large population of people seeking assisted care, we reviewed international reports and Bituach Leumi (the National Insurance Institute of Israel) reports. We raised different hypotheses, and searched for evidence to either support or disprove them.

From the research process, we presented two detailed deliverables to Joint Eshel, including:

  1. A written report
  2. A visual presentation (outlining how each country’s system is built; services, budget statistics, quality measures, etc.)

We also provided Joint Eshel with a list of ten possible factors that could explain Israel's high proportion of elderly people receiving nursing benefits and evaluated those based on existing data.

"Q’s team accompanied us through a long process that included several literature reviews and collecting data from the field. They were attentive to our needs and made the necessary adjustments. The relationship with the researcher, Eyal Ophir, became a real partnership. He asked the right questions and conducted in-depth reviews. The deliverables we received from Q helped us in generating valuable insights that were eventually translated into recommendations for operative measures in the nursing care sector."

Orit Shahar, Director of Knowledge Management, Joint Eshel