{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:58:14Z","timestamp":1767164294754,"version":"build-2238731810"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T00:00:00Z","timestamp":1512950400000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Milbank Quarterly"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Policy Points:<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long\u2010term medical support.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow\u2010up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long\u2010term medical support. Based on an 18\u2010month follow\u2010up of the Israeli civilian population following the 2014 war in Gaza, we describe and analyze the medical costs associated with rocket attacks and review the demography of the victims who filed claims for disability compensation. We then propose practical lessons to help health care authorities prepare for future confrontations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using the National Insurance Institute of Israel's (NII) database, we conducted descriptive and comparative analyses using statistical tests (Fisher's Exact Test, chi\u2010square test, and students\u2019 t\u2010tests). The costs were updated until March 30, 2016, and are presented in US dollars. We included only civilian expenses in our analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>We identified 5,189 victims, 3,236 of whom presented with acute stress reactions during the conflict. Eighteen months after the conflict, the victims\u2019 total medical costs reached $4.4 million. The NII reimbursed $2,541,053 for associated medical costs and $1,921,792 for associated mental health costs. A total of 709 victims filed claims with the NII for further support, including rehabilitation, medical devices, and disability pensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow\u2010up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1468-0009.12299","type":"journal-article","created":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T00:30:48Z","timestamp":1512952248000},"page":"783-800","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Lessons From Analyzing the Medical Costs of Civilian Terror Victims: Planning Resources Allocation for a New Era of Confrontations"],"prefix":"10.1111","volume":"95","author":[{"given":"EYTAN","family":"ELLENBERG","sequence":"first","affiliation":[{"name":"National Insurance Institute of Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARK I.","family":"TARAGIN","sequence":"additional","affiliation":[{"name":"National Insurance Institute of Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JAY R.","family":"HOFFMAN","sequence":"additional","affiliation":[{"name":"University of Central Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OSNAT","family":"COHEN","sequence":"additional","affiliation":[{"name":"National Insurance Institute of Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DANIELLA","family":"LUFT\u2010AFIK","sequence":"additional","affiliation":[{"name":"Medintec"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ZVIA","family":"BAR\u2010ON","sequence":"additional","affiliation":[{"name":"National Insurance Institute of Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ISHAY","family":"OSTFELD","sequence":"additional","affiliation":[{"name":"National Insurance Institute of Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,11]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Institute for Economics and Peace.Global Terrorism Index.2015;14.http:\/\/economicsandpeace.org\/wp-content\/uploads\/2015\/11\/Global-Terrorism-Index-2015.pdf. 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