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      Cross-Cultural Medicine in the Middle East at the Start of the 21st Century: Where East and West Meet

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          Abstract

          The “global village” has resulted in the need to tackle cross-cultural issues in the medical school curriculum. The southern region of Israel (the Negev) provides a unique opportunity to study the interaction between medicine and culture. The Negev population is a multicultural society, with Bedouin Arabs comprising almost a fifth of its population. This imposes tremendous challenges to the medical establishment in the region and serves as a “cross-cultural laboratory” for educating medical students in global health issues. Both the traditional Israeli medical school track, as well as the newly established Medical School for International Medicine, incorporate studies of cross-cultural issues in various forms and to different degrees. Studies suggest that the exposure of students to international medical experiences increases their cross-cultural sensitivity and knowledge. We feel that in a region characterized by such ethnic diversity, all medical schools should adopt cross-cultural studies as an integral part of their curriculum.

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          Most cited references7

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          Coronary heart disease mortality among Arab and Jewish residents of Jerusalem.

          Information on coronary heart disease (CHD) in the Palestinian population is sparse. We compared mortality rates in the largely Palestinian Arab population of Jerusalem with the Jewish population of the district between 1984 and 1997 based on official Israeli statistics. CHD mortality and all-cause mortality rates were significantly higher among Arab residents than among Jewish residents aged 35-74 years. Whether the excess CHD mortality reflects increased incidence of events, higher case fatality, or both remains to be established. Possible explanations include a higher prevalence of conventional risk factors such as diabetes, obesity, and smoking in Palestinians, stress effects related to the complex political situation and socioeconomic inequalities, and suspected differences in medical care.
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            Universal health care? The views of Negev Bedouin Arabs on health services

            J. Borkan (2000)
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              The Jewish-Arab divide in life expectancy in Israel.

              Life expectancy at birth in Israel in 2001 was 77.7 years for males and 81.6 years for females among Jews, and 74.5 and 77.8 years for males and females, respectively, among Israeli Arabs. In spite of vast improvements in health conditions of the two populations since Israel's statehood in 1948, persistent disparities in life expectancy between the two groups have challenged the Israeli socialized health care system. These disparities are influenced primarily by differences between the two population groups in infant and child mortality rates. This early study suggests that the distribution of life expectancy across localities in Israel reflects the distribution of those localities' socio-economic condition index (not including health and medical care), and the distribution of medical services. The positive association between life expectancy and the index is pronounced, however, only within the Jewish population but not among Arabs. While there may be no significant difference in life expectancy among Jews and Arabs living in poorer communities, there are fewer Arabs living in relatively affluent communities. Thus, persistent higher concentration of poverty among Arabs than among Jews has sufficed to maintain the gap in life expectancy between them. In addition, however, there are population-specific effects: wealth and education are more protective among Jews than among Arabs, while medical services are more protective among Arabs.
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                Author and article information

                Journal
                ScientificWorldJournal
                ScientificWorldJournal
                TSWJ
                The Scientific World Journal
                TheScientificWorldJOURNAL
                2356-6140
                1537-744X
                2006
                6 July 2006
                : 6
                : 2170-2176
                Affiliations
                1 Clalit Health Services, Beer-Sheva, Israel
                2 Pediatric Primary Care Unit, Ben Gurion University of the Negev, Beer-Sheva, Israel
                3 Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel
                4 Division of Pediatrics, Soroka University Medical Center, Israel
                5 National Institute of Child Health and Human Development, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel
                6 Center for Multidisciplinary Research in Aging, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel
                7 Office of the Medical Director, Division for Mental Retardation, Ministry of Social Affairs, Jerusalem, Israel
                8 Department of Cardiology, Soroka University Medical Center, Israel
                9 Medical School for International Health in collaboration with Columbia University Medical Center, Beer-Sheva, Israel
                Author notes

                Academic Editor: Søren Ventegodt

                Article
                361520
                10.1100/tsw.2006.346
                5917282
                17370012
                dcaa1f6a-011a-48dc-a40a-209dc110cc37
                Copyright © 2006 Jacob Urkin et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 April 2006
                : 31 May 2006
                : 1 June 2006
                Categories
                Review Article

                Uncategorized
                medicine,culture,international medicine,education,bedouin,israel
                Uncategorized
                medicine, culture, international medicine, education, bedouin, israel

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