Report by the State Comptroller on Imaging Tests in Israel

The report highlights the number of imaging devices in Israel, showing an increase in the number of MRI, CT, and PETCT devices since 2015. However, the devices still do not meet the demand caused by population growth. Discrepancies are noted between Israel and other countries in terms of devices per million people, with Israel having fewer devices compared to OECD countries. Despite the large number of tests conducted in Israel, waiting times, especially for morning appointments, have increased. Geographical distribution of devices also shows gaps between regions, with some districts not meeting regulations for device allocation.

The small number of imaging devices is partly due to a policy of limiting device availability to reduce demand. Licensing for operating devices is a lengthy bureaucratic process, further contributing to delays in obtaining tests. The waiting times for MRI examinations have extended in some centers, with discrepancies between morning and afternoon/evening appointments. The report also highlights delays in decoding imaging tests, potentially leading to errors in diagnosis and treatment delays.

The shortage of radiologists who interpret MRI and CT tests has led to some tests being interpreted by non-specialist physicians, affecting the accuracy of interpretations. The report calls for quality control mechanisms for decoding tests, as errors could have serious consequences. The radiologists’ association has raised concerns about the shortage of radiologists and calls for immediate action to address the issue. The report also touches on the challenges faced during times of conflict, emphasizing the importance of protected facilities for critical diagnostic tests.

Efforts to correct deficiencies in the imaging services system over the years are noted, but further action is recommended. The Ministry of Health is urged to develop a work plan to address deficiencies identified in the report, including establishing standards for waiting times and manpower regulations. The response from the Ministry of Health acknowledges the efforts to improve the availability of services but emphasizes the ongoing challenges faced by the system.

In conclusion, the report underlines the need for immediate action to address the deficiencies in the imaging services system in Israel. Issues related to device allocation, waiting times, quality of interpretations, and manpower shortages require urgent attention to ensure quality healthcare services for all citizens.