Abstract：
OBJECTIVE: Following an injury or disease, physical medicine and rehabilitation (PM&R) services are often necessary to help patients recover function, activity, and community participation. Ten years ago, there was a significant gap between PM&R services in central Israel and those in the rural north of the country in terms of quality, quantity, and layout. The purpose of this administrative case report is to outline the gap in PM&R services between regions in Israel, as portrayed above; to describe a decade of civil action; and to describe civil action administrative approaches and actions that contributed to changes in the PM&R services now available in northern Israel.
METHODS: A decade of civil action to promote PM&R services is reviewed, illustrating the main administrative steps, including initiating and organizing meetings with key partners, lobbying, testifying in front of parliament and government committees, garnering media attention to promote public awareness, and filing a case with the Supreme Court of Israel. The encountered challenges and the subsequent actions are also described.
RESULTS: Awareness of the significance of PM&R services and of the inadequacy of such services in the northern part of Israel rose due to our actions, with practical field results, including an 180-bed government rehabilitation center that plans to open during 2024, and 5 daycare rehabilitation clinics and a private inpatient center that opened between 2020 and 2023. Data-driven research will aid in understanding the current gaps and tracking improvements with the opening of the new rehabilitation facility.
CONCLUSIONS: When inequality is brought to light, and legislation for equality exists, civil action can promote change to reduce these gaps.
UNASSIGNED: Others can follow the steps taken in this administrative case report to achieve success in struggles aiming to correct comparative inequality.
METHODS: A decade of civil action to promote PM&R services is reviewed, illustrating the main administrative steps, including initiating and organizing meetings with key partners, lobbying, testifying in front of parliament and government committees, garnering media attention to promote public awareness, and filing a case with the Supreme Court of Israel. The encountered challenges and the subsequent actions are also described.
RESULTS: Awareness of the significance of PM&R services and of the inadequacy of such services in the northern part of Israel rose due to our actions, with practical field results, including an 180-bed government rehabilitation center that plans to open during 2024, and 5 daycare rehabilitation clinics and a private inpatient center that opened between 2020 and 2023. Data-driven research will aid in understanding the current gaps and tracking improvements with the opening of the new rehabilitation facility.
CONCLUSIONS: When inequality is brought to light, and legislation for equality exists, civil action can promote change to reduce these gaps.
UNASSIGNED: Others can follow the steps taken in this administrative case report to achieve success in struggles aiming to correct comparative inequality.
摘要：
目标：受伤或疾病后，物理医学和康复(PM&R)服务通常是帮助患者恢复功能所必需的，活动,和社区参与。十年前,在质量方面，以色列中部的PM&R服务与该国北部农村的PM&R服务之间存在显著差距，数量,和布局。本行政案例报告的目的是概述以色列各地区之间的PM＆R服务差距，如上所述；描述十年的民事诉讼；并描述民事诉讼行政方法和行动，这些方法和行动促成了以色列北部现在可用的PM＆R服务的变化。
方法：回顾了十年来促进PM&R服务的民事诉讼，说明了主要的行政步骤，包括发起和组织与主要合作伙伴的会议，游说,在议会和政府委员会面前作证，引起媒体的关注，以提高公众意识，并向以色列最高法院提起诉讼。还描述了遇到的挑战和随后的行动。
结果：由于我们的行动，人们意识到以色列北部PM＆R服务的重要性以及此类服务的不足，有了实际的现场结果，包括计划在2024年开放的180张床位的政府康复中心，以及2020年至2023年开放的5个日托康复诊所和一个私人住院中心。数据驱动的研究将有助于了解当前的差距，并随着新康复设施的开放而跟踪改进。
结论：当不平等被揭露时，平等立法存在，民事诉讼可以促进变革，以减少这些差距。
■其他人可以遵循本行政案例报告中采取的步骤，以在旨在纠正比较不平等的斗争中取得成功。
方法：回顾了十年来促进PM&R服务的民事诉讼，说明了主要的行政步骤，包括发起和组织与主要合作伙伴的会议，游说,在议会和政府委员会面前作证，引起媒体的关注，以提高公众意识，并向以色列最高法院提起诉讼。还描述了遇到的挑战和随后的行动。
结果：由于我们的行动，人们意识到以色列北部PM＆R服务的重要性以及此类服务的不足，有了实际的现场结果，包括计划在2024年开放的180张床位的政府康复中心，以及2020年至2023年开放的5个日托康复诊所和一个私人住院中心。数据驱动的研究将有助于了解当前的差距，并随着新康复设施的开放而跟踪改进。
结论：当不平等被揭露时，平等立法存在，民事诉讼可以促进变革，以减少这些差距。
■其他人可以遵循本行政案例报告中采取的步骤，以在旨在纠正比较不平等的斗争中取得成功。
