תחילת דף אינטרנט, לחץ אנטר כדי לעבור לאזור תוכן מרכזי

Associate Professor Efrat Shadmi (PhD)

Vice Dean of Research Affairs

Nursing

My general research area is health services research quality and outcomes, studying the most effective ways to organize, manage, finance, and deliver high quality care with a special focus of nursing care models.  Overall, my research addresses one of the main challenges of current health care organization and delivery globally – the need for an integrative approach that streamlines care across providers and care settings, providing an all-inclusive approach to the care for multiple health conditions, while comprehensively addressing a wide range of socio-cultural determinants for inequity in health. To advance current knowledge and practice in this integrative field and as it relates to nursing care in particular, I am developing and employing health information technology and nursing care management models that address patients’, families’ and healthcare systems’ needs across the care continuum.

 

  • Research Areas
  • Health services research
  • Quality of care and outcomes
  • Nursing care management models
  • Equity in health and health care
  • Chronic illness and multi-morbidity
  • Risk adjustment and predictive modeling
  • Integration of care across care settings

  1. Zaslavsky, O., Zisberg, A. & Shadmi, E. (2015). Impact of functional change before and during hospitalization on functional recovery 1 month following hospitalization. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 70(3), 381-6.
  2. Zisberg, A., Zlotnick, C., Gur-Yaish, N., Admi, H., Sinoff, G. & Shadmi E. (2015). Functional decline and satisfaction with nursing care among older hospitalized adults. International Journal of Nursing Prac 21(5), 645-52.
  3. Zisberg, A.,= Shadmi, E.=, Gur-Yaish, N., Tonkikh, O. & Sinoff, G. (2015). Hospital associated functional decline: the role of hospitalization processes beyond individual risk factors. Journal of the American Geriatrics Society. 63(1), 55-62.
  4. Shadmi, E., Flaks-Manov, N., Hoshen, M., Goldman, O., Bitterman, H. & Balicer R.D. (2015). Predicting 30-day readmissions with preadmission electronic health record data. Medical Care. 53(3), 283-9.
  1. Balicer, R.D., Hoshen, M., Cohen, C., Shohat-Spitzer, S., Kay, C., Bitterman, H. Lieberman, N., Jacobson, O. & Shadmi, E. (2015). Sustained reduction in health disparities achieved through targeted quality improvement: one-year follow-up on a three-year intervention. Health Services Researc 50(6), 1891-909.
  2. Roe, D., Gelkopf, M., Gornemann, M., Baloush-Kleinman, V. & Shadmi, E. (2015). Implementing ROM in psychiatric rehabilitation services in Israel. International Review of Psychiatry. 27(4), 345-53.
  3. Zlotnick, C., Goldblatt, H., Shadmi, E., Birenbaum-Carmeli, D. & Taychaw, O. (2015). A qualitative study assessing cardiovascular risk factors: the accumulative stressors influencing societal integration of teenage African immigrants. BMC Public Health. 15(1), 785. doi: 10.1186/s12889-015-2122-6.
  4. Admi H., Shadmi E., Baruch H. & Zisberg A. (2015). From research to reality: minimizing the effects of hospitalization on older adults. Rambam Maimonides Med J 6(2), e0017. doi: 10.5041/RMMJ.10201. eCollection 2015. [Ranking: N/A].
  5. Flaks-Manov, N. , Shadmi, E., Hoshen, M. & Balicer, R.D. (2016). Health information exchange systems and length of stay in readmissions to a different hospital. Journal of Hospital Medicine. 11(6), 401-406. doi: 10.1002/jhm.2535.
  6. Zaslavsky, O., Rillamas-Sun, E., LaCroix, A.Z., Woods, N.F., Tinker, L.S., Zisberg, A., Shadmi, E., Cochrane, B., Edward, B.J., Kritchevsky, S., Stefanick, M.L., Vitolins, M.Z., Wactawski-Wende, J. & Zelber-Sagi, S. (2016). Association between anthropometric measures and long-term survival in frail older women: observations from the women's health initiative study. Journal of the American Geriatrics Society. 64(2), 277-84.
  7. Agmon, M., Zisberg, A., Tonkikh, O., Sinoff, G. & Shadmi, E. (2016). Anxiety symptoms during hospitalization of elderly are associated with increased risk of post-discharge falls. International Psychogeriatrics. (6):1-8
  8. Chacour Bahous, M.# & Shadmi, E. (2016). Health information exchange and information gaps in referrals to a pediatric emergency department. International Journal of Medical Informatics. 87, 68-74.
  9. Tonkikh, O.#, Shadmi, E., Flaks-Manov, N., Hoshen, M., Balicer, R.D. & Zisberg, A. (2016). Functional status before and during acute hospitalization and readmission risk identification. Journal of Hospital Medicine. 11(9):636-41
  10. Zisberg, A., Sinoff, G., Agmon, M., Shadmi, E. & Gur-Yaish, N. (2016). Even a small change can make a big difference: the case of in-hospital cognitive decline and new IADL dependency. Age & Aging. 45:500-504.
  11. Spitzer-Shohat, S.#, Shadmi, E., Goldfracht, M., Key, C., Hoshen, M. & Balicer, R.D. (2017). Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel. Journal of Public Health. 39(2):395-402.
  12. Zlotnick, C., Birenbaum-Carmeli, D., Goldblatt, H., Dishon, Y., Taychaw, O. & Shadmi, E. (2017). Adolescent Immigrants, the Impact of Gender on Health Behavior. European Journal of Public Health.
  13. Srulovici, E., Kay, C., Rotem, M., Golfenshtein, N., Balicer, R. & Shadmi E. (2017). Diabetes conversation maps and health outcomes: a systematic literature review. International Journal of Nursing Studies. 70:99-109. https://doi.org/10.1016/j.ijnurstu.2017.02.004.
  14. Steinman, M., Low, M., Balicer, R.D., Shadmi, E., (2017). Epidemic use of benzodiazepines among older adults in Israel: Epidemiology and leverage points for improvement. Journal of General Internal Medicine. 32(8):891-899. https://doi.org/10.1007/s11606-017-4059-1.
  15. Shadmi, E., Gelkopf, M., Garber Epstein, , Baloush-Kleinman, V., Dudai, R., & Roe, D. (2017). Relationship between Psychiatric-Service Consumers' and Providers' Goal Concordance and Consumers' Personal Goal Attainment. 68(12):1312-1314. Psychiatric Services. https://doi.org/10.1176/appi.ps.201600580.
  16. Steinman, M.A., Low, M., Balicer, R.D., & Shadmi, E. (2017). Impact of a nurse-based intervention on medication outcomes in vulnerable older adults. BMC Geriatrics. 18(1):207. https://doi.org/10.1186/s12877-018-0905-1.
  17. Roe, D., Baloush-Kleinman, V., Dudai, R., Garber Epstein, P., Telem, A., Uliel-Mirkin, R., Rohana, A., Rayan-Gharra, N., Shadmi, E., and Gelkopf, M. (2018). The development and implementation of the Psychiatric Rehabilitation Routine Outcome Measurement (PR-ROM) Project in Israel. Society and Welfare [Hebrew: "Chevrha and Revacha"].
  18. Zisberg, A., Sinoff, G., Agmon, M., Shadmi, E. & Gur-Yaish, N. (2018). Functional trajectories before, during and after acute hospitalization of older adults in internal medicine wards. Harefua [Hebrew]. 157(1):5-10. [Ranking: N/A]
  19. Shadmi, E., Gelkopf, M., Garber Epstein, , Baloush-Kleinman, V., Dudai, R., Scialom, S. & Roe, D. (2018). Routine Patient Reported Outcomes and Psychiatric Rehospitalization. Schizophrenia Research. 192:119-123. https://doi.org/10.1016/j.schres.2017.04.049.
  20. Zlotnick, C., Birenbaum-Carmeli, D., Goldblatt , H., Dishon, Y., Taychaw, O. & Shadmi, E. (2018). Health indicators and social gradient in adolescent immigrants' health risk and healthcare experiences. European Journal of Pediatrics. 177(2):221-228. https://doi.org/10.1007/s00431-017-3052-3.
  21. Hudon, C., Chouinard, M.C., E., S., Senn, N., & Shadmi, E., (2018). Challenges and Next steps for Primary Care Research: Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs. Annals of Family Medicine. 16:85-86. https://doi.org/10.3390/ijerph17228437.
  22. Spitzer-Shohat, S. #, Shadmi, E., Goldfracht, M., Key, C., Hoshen, M. & Balicer, R.D. (2018). Evaluating an organization-wide disparity reduction program: Understanding what works for whom and why. Plos One. 14;13(3):e0193179. https://doi.org/10.1371/journal.pone.0193179.
  23. Srulovici, E., Feldman, B., Reges, O., Hoshen, M., Balicer, R.D., Rotem, M., Shadmi, E., Key, C., Curtis, B., He, X., Rubin, G., Strizek, A., & Leventer-Roberts, M. (2018). Which patients with Type 2 diabetes will have greater compliance to participation in the Diabetes Conversation Map™ program? A retrospective cohort study. Diabetes Research and Clinical Practice. 143:337-347. https://doi.org/10.1016/j.diabres.2018.07.037.
  24. Rayan-Gharra N#, Tadmor B, Balicer RD, & Shadmi E. (2018). Multicultural Transitions: Caregiver Presence and Language-Concordance at Discharge. International Journal of Integrated Care. 18(3):9. https://doi.org/10.5334/ijic.3965
  25. Rotstein, A., Roe, D., Gelkopf, M., Shadmi, E. & Levine , S.Z. (2018). Quality of Life Disparities between Persons with Schizophrenia and their Professional Caregivers: Network Analysis in a National Cohort. Schizophrenia Research. 197:109-115. https://doi.org/10.1016/j.schres.2017.12.01.
  26. Cohen Castel, O#, Dagan E, Keinan-Boker L, & Shadmi E. (2018). Reliability and validity of the Hebrew version of the Nijmegen Continuity Questionnaire for measuring patients' perceived continuity of care in oral anticancer therapy. European Journal of Cancer Care. 27(6):e12913.
  27. Spitzer-Shohat, S. #, Goldfracht, M., Key, C., Hoshen, M., and Balicer, R.D., & Shadmi, E. (2019). Primary Care Networks and Team Effectiveness in a Large-Scale Disparity Reduction Intervention. Journal of Interprofessional Care. 13:1-9. https://doi.org/10.1080/13561820.2018.1538942.
  28. Luz, S.#, Shadmi, E., Admi, H., Peterfreund, I., & Drach-Zahavy, A. (2019). Characteristics and behaviours of formal versus informal nurse champions and their relationship to innovation success. Journal of Advanced Nursing. 75(1):85-95 https://doi.org/10.1111/jan.13838. Gur-Yaish, N., Tonkikh, O., Shadmi, E., Zisberg, A. (2019). Informal Support for Older Adults is Negatively Associated with Walking and Eating during Hospitalization. Geriatric Nursing. 40(3):264-268. https://doi.org/10.1016/j.gerinurse.2018.11.003.
  29. Cohen Castel, O.#, Shadmi, E., Keinan-Boker, L., Granot, T., Karkabi, K., Dagan, E. (2019). The association between patients' perceived continuity of care and beliefs about oral anticancer treatment. Support Care Cancer. 27(9):3545-3553. https://doi.org/10.1007/s00520-019-04668-6.
  30. Luz, S.#, Drach-Zahavy A. & Shadmi E. (2019). Nursing innovation: The joint effects of championship behaviors, project types, and initiation levels. Nursing Outlook. 67(4):404-418 . https://doi.org/10.1007/s00520-019-04668-6.
  31. Rayan-Gharra, N. #, Shadmi, E. , Tadmor, B., Flaks-Manov, N., Balicer, R.D. (2019). Patients' ratings of the in-hospital discharge briefing and post-discharge primary care follow-up: The association with 30-day readmissions. Patient Education and Counseling. 102(8):1513–1519. https://doi.org/10.1016/j.pec.2019.03.018.
  32. Zeltzer, D.=, Balicer, R.D., Shir, T., Flaks-Manov, N., Einav, L., Shadmi, E.= (2019). Prediction Accuracy with Electronic Medical Records versus Administrative Claims. Medical Care. 57(7):551-559. https://doi.org/10.1097/MLR.0000000000001135.
  33. Rayan-Gharra, N.#, Tadmor, B., Balicer, R.D., & Shadmi E. (2019). Association between cultural factors and readmissions: the mediating effect of hospital discharge practices and care-transition preparedness. British Medical Journal Quality & Safety. 28(11):866-874. https://doi.org/10.1136/bmjqs-2019-009317.
  34. Zlotnick, C., Birenbaum-Carmeli, D., Goldblatt , H., Dishon, Y., Taychaw, O. & Shadmi, E. (2019). The Impact of Adolescents' Racial and Ethnic Self-Identity on Hope. Health & Social Care in the Community. 27(5):e705-e715. https://doi.org/10.1111/hsc.12795.
  1. Flaks-Manov, N.#, Shadmi, E., Hoshen, M., Balicer, R.D., & Topaz, M. (2019). Identifying patients at highest-risk: the best timing to apply a readmission predictive model. BMC Medical Informatics and Decision Making. 19(1):118-127. https://doi.org/10.1186/s12911-019-0836-6.
  2. Tonkikh, O.# & Shadmi, E. & Zisberg, A. (2019). Food-intake assessment in acutely ill older internal medicine patients. Geriatrics & Gerontology International. (9):890-895. https://doi.org/10.1111/ggi.13744.  
  3. Flaks-Manov, N.#, Srulovici, E., Yahalom, R., Pera-Mazra, H., Balicer, R.D. Shadmi, E. (2020). Preventing hospital readmissions: healthcare providers perspectives on impactibility beyond EHR 30-day readmission risk prediction. Journal of General Internal Medicine. 35(5):1484-1489. https://doi.org/10.1007/s11606-020-05739-9
  4. Tonkikh, O. #, Zisberg, A., Shadmi, E. (2020). Association between continuity of nursing care and functional outcomes in hospitalized older adults: retrospective observational study. Journal of Nursing Management. 28(5):1062-1069. https://doi.org/10.1111/jonm.13031.
  5. Shadmi, E., Chen, Y., Dourado, I., Faran-Perach, I., Furler, J., Hangoma, P., Hanvoravongchai, P., Obando, C., Petrosyan, V., Rao, K. D., Ruano, A. L., Shi, L., de Souza, L. E., Spitzer-Shohat, S., Sturgiss, E., Suphanchaimat, R., Uribe, M. V., & Willems, S. (2020). Health equity and COVID-19: global perspectives. International Journal for Equity in Health, 19(1), 104. https://doi.org/10.1186/s12939-020-01218-z.
  6. Gal, G., Shadmi, E., Hoter-Ishay, G., Gelkopf, M., & Roe, D. (2021). Comparing outcome measures of persons with severe mental illness in vocational rehabilitation programs: a dual perspective of consumers and providers. International Journal for Quality in Health Care, 33(1), mzaa030. https://doi.org/10.1093/intqhc/mzaa030.
  7. Cohen-Stavi, C. J. #, Key, C., Giveon, S., Molcho, T., Balicer, R. D., & Shadmi, E. (2020). Assessing guideline-concordant care for patients with multimorbidity treated in a care management setting. Family Practice, 37(4), 479–485. https://doi.org/10.1093/fampra/cmaa024.
  8. Hochman, L.#, Moran, G. S., Gelkopf, M., Roe, D., & Shadmi, E. (2021). Prospectively identifying adults with serious mental illness at risk for poor physical health: The role of person reported outcomes. International Journal for Quality in Health Care, 33(1), mzaa033. https://doi.org/10.1093/intqhc/mzaa033.
  9. Shadmi, E.,= Zelzer, D.,= Balicer, R.D., Shir, T., & Einav, L. (2020). Can targeting high-risk patients reduce readmission rates? Evidence from Israel. Journal of Applied Economics, 23(1), 729-745, https://doi.org/10.1080/15140326.2020.1798194
  10. Zlotnick, C., Nisim, U., Roe, D., Gelkopf, M., & Shadmi, E. (2020). Quality of life of immigrants and nonimmigrants in psychiatric rehabilitation. Psychiatric Rehabilitation Journal, 10.1037/prj0000424. [EPub ahead of print]. https://doi.org/10.1037/prj0000424
  11. Buck, H. G., Shadmi, E., Topaz, M., & Sockolow, P. S. (2021). An integrative review and theoretical examination of chronic illness mHealth studies using the Middle-Range Theory of Self-care of Chronic Illness. Research in Nursing & Health, 44(1), 47–59. https://doi.org/10.1002/nur.22073.
  12. Luz, S. #, Drach-Zahavy, A., & Shadmi, E. (2021). A personal network approach to the study of nurse champions of innovation and their innovation projects' spread. Journal of Advanced Nursing, 77(2), 775–786. https://doi.org/10.1111/jan.14620.
  13. Cohen-Stavi, C.J.#, Key, C., Molcho, T., Yacobi, M., Balicer, R. D., & Shadmi, E. (2020). Mixed Methods Evaluation of Reasons Why Care Deviates From Clinical Guidelines Among Patients With Multimorbidity. Medical Care Research and Review: MCRR, 1077558720975543. [EPub ahead of print]. https://doi.org/10.1177/1077558720975543.
  14. Shulyaev, K.,# Gur-Yaish, N., Shadmi, E., & Zisberg, A. (2020). Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel. International Journal for Equity in Health, 19(1), 208. https://doi.org/10.1186/s12939-020-01314-0.
  15. Kurtz, C.#, Geron, R., & Shadmi, E. (2021). Interest and perceived capability of self-care in haemodialysis units. Journal of Clinical Nursing, 30(5-6), 645–654. https://doi.org/10.1111/jocn.15584.
  16. Cohen-Stavi, C.,# Giveon, S., Key, C., Molcho, T., Balicer, R., & Shadmi, E. (2021). Guideline deviation and its association with specific chronic diseases among patients with multimorbidity: a cross-sectional cohort study in a care management setting. BMJ Open, 11(1), e040961. https://doi.org/10.1136/bmjopen-2020-040961.
  17. Cohen Castel, O. #, Dagan, E., Keinan-Boker, L., Low, M., & Shadmi, E. (2021). Patients' Perceived Continuity of Care and Adherence to Oral Anticancer Therapy: a Prospective Cohort Mediation Study. Journal of General Internal Medicine, 36(6), 1525–1532. https://doi.org/10.1007/s11606-021-06704-w.
  18. Tonkikh, O., Zisberg, A., & Shadmi, E. (2021). The role of nurse staffing in the performance of function-preserving processes during acute hospitalization: A cross-sectional study. International Journal of Nursing Studies, 121, 103999. [EPub ahead of print]. https://doi.org/10.1016/j.ijnurstu.2021.103999.
  19. Hussein, S., Sadeh, Y., Dekel, R., Shadmi, E., Brezner, A., Landa, J., & Silberg, T. (2021). Using a biopsychosocial approach to examine differences in post-traumatic stress symptoms between Arab and Jewish Israeli mothers following a child's traumatic medical event. International Journal for Equity In Health, 20(1), 89. https://doi.org/10.1186/s12939-021-01429-y.
  20. Gur-Yaish, N., Shulyaev, K., Bathish, M., Shadmi, E., & Zisberg, A. Perception of staff and family responsibility to provide hospitalized older adults with basic activities care and emotional support‏. Geriatric Nursing. 42(6), 1247–1252. Advance online publication. https://doi.org/10.1016/j.gerinurse.2021.05.003
  21. Sockolow, P. S., Buck, H.G., & Shadmi, E. (2021). An integrative review of chronic illness mHealth self-care interventions: Mapping technology features to patient outcomes. Health Informatics Journal, 27(3), 14604582211043914. https://doi.org/10.1177/14604582211043914
  22. Flaks-Manov, N.#, Shadmi, E., Yahalom, R., Pera-Mazra, H., Balicer, R.D. Srulovici, E. Identification of patients at-risk for 30-day readmission: . clinical insight beyond big data prediction. Journal of Nursing Management. [E-Pub ahead of print]. https://doi.org/10.1111/jonm.13495