{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T04:46:39Z","timestamp":1764305199967,"version":"3.41.2"},"reference-count":6,"publisher":"Emerald","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,6,15]]},"abstract":"\n Purpose<\/jats:title>\n The paper aims to focus on a unique quality control system that was set up ten years ago to evaluate Medical Classification Committee decision-making processes at the Israel Defense Forces (IDF) conscription center.<\/jats:p>\n <\/jats:sec>\n \n Design\/methodology\/approach<\/jats:title>\n Two main approaches were deployed by the control system to assess medical classification committees' performance. The first was direct assessment of the medical committees' clinical work and decision-making processes. The second applied data mining procedures to the computerized medical databases. The functional classification codes (FCCs) \u2013 codes for the most common medical disorders assigned to male recruits from the central computerized central IDF database, the sub-districts comprising the recruitment centers, and the chairmen assigning the FCCs to recruits \u2013 were all analyzed.<\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n A total of 26 FCCs, each indicating a common medical problem and its severity, constituted approximately 90 percent of all FCCs assigned at recruitment centers between 2001 and 2006. Major contributors to medical profiling outcomes were underweight, asthma, chronic headache, mental illness, symptomatic scoliosis, hypnosis, chronic back pain, knee joint disorders, allergic rhinitis and sinusitis. Evaluating the computerized medical database revealed significant differences in: medical profile prevalence; recruitment center FCCs; different sub-districts in a given recruitment center; and profiling by medical committee chairmen.<\/jats:p>\n <\/jats:sec>\n \n Practical implications<\/jats:title>\n Findings indicate disparities between recruitment centers and their chairmen in the medical profiling process owing to variations in recruitment center working methods and medical history taking, physical examinations, interpreting medical information and individual differences in the chairmen's decision-making process. Other reasons include technician and laboratory staff inaccuracies. These significant discrepancies highlighted the need for an intervention program. To minimize variations and create a uniform work platform, an orderly instruction system and training programs for the committee chairmen, technicians and laboratory staff were established. These actions resulted in improved performance in 2007 as confirmed by a decreased variability in the assignment of medical FCCs.<\/jats:p>\n <\/jats:sec>\n \n Originality\/value<\/jats:title>\n The paper highlights methods that can be used to assess disability screening, sports medicine committees and primary care setting procedures.<\/jats:p>\n <\/jats:sec>","DOI":"10.1108\/09526861011050538","type":"journal-article","created":{"date-parts":[[2010,7,3]],"date-time":"2010-07-03T07:12:04Z","timestamp":1278141124000},"page":"507-515","source":"Crossref","is-referenced-by-count":12,"title":["Quality control and quality assurance of medical committee performance in the Israel Defense Forces"],"prefix":"10.1108","volume":"23","author":[{"given":"Yoram","family":"Chaiter","sequence":"first","affiliation":[{"name":"Israel Defense Forces, Medical Corps, Quality Control Committee, Haifa, Israel Yoram Chaiter is the corresponding author and can be contacted at: chaiter@bezeqint.net"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yossy","family":"Machluf","sequence":"additional","affiliation":[{"name":"Weizmann Institute of Science, Rehovot, Israel, and on the Quality Control committee, Israeli Defense Forces"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avinoam","family":"Pirogovsky","sequence":"additional","affiliation":[{"name":"Division of Community Medicine, Ministry of Health, Tel Aviv, Israel, and on the Quality Control committee, Israeli Defense Forces"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elio","family":"Palma","sequence":"additional","affiliation":[{"name":"Quality Control Committee, Israel Defense Forces, Haifa, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avi","family":"Yona","sequence":"additional","affiliation":[{"name":"Quality Control Committee, Israel Defense Forces, Haifa, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamar","family":"Shohat","sequence":"additional","affiliation":[{"name":"Israeli Center for Disease Control, Head, Ministry of Health, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Yitzak","sequence":"additional","affiliation":[{"name":"former head of Conscription Centres department, Medical Assessment Branch, Medical Corps, Tel Aviv, Israel Defense Forces, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orna","family":"Tal","sequence":"additional","affiliation":[{"name":"Israeli Center for Technology Assessment in Health Care, The Gertner Institute for Epidemiology and Health Policy Research, Emerging Technologies Unit, Tel Aviv, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nachman","family":"Ash","sequence":"additional","affiliation":[{"name":"Chief Medical Officer, Medical Corps, Israel Defense Forces, Tel Hashomer, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"issue":"2","key":"2025072818310370900_b1","first-page":"75","article-title":"Medical quality control in conscription centers \u2013 ten years of activity","volume":"5","author":"Chaiter","year":"2008","journal-title":"Journal of Israeli Military Medicine"},{"key":"2025072818310370900_b2","unstructured":"Conscription Administration Data, Israel\n (2006), \u201cBiannual control on medical profiles in recruitment centers\u201d, Personnel Directorate, IDF, Israel."},{"issue":"9","key":"2025072818310370900_b3","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1001\/jama.290.9.1183","article-title":"Physician clinical performance assessment: prospects and barriers","volume":"290","author":"Landon","year":"2003","journal-title":"Journal of the American Medical Association"},{"issue":"11","key":"2025072818310370900_b4","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1093\/milmed\/168.11.890","article-title":"Quality assessment of primary health care in a military setting","volume":"168","author":"Mandel","year":"2003","journal-title":"Milltary Medicine"},{"issue":"4","key":"2025072818310370900_b5","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1034\/j.1399-3003.2000.15d16.x","article-title":"Prevalence of asthma in 13-14 year-old school children across Israel","volume":"15","author":"Shohat","year":"2000","journal-title":"European Respiratory Journal"},{"key":"2025072818310370900_b6","unstructured":"(The) State Comptroller and Ombudsman Office\n (2002), Annual Report 53a, Central Bureau of Statistics, Israel."}],"container-title":["International Journal of Health Care Quality 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