Poor health

Individuals suffering from: Chronic illness (such as diabetes, cardiovascular diseases, respiratory diseases, arthritis, etc.). Risk factors for chronic diseases include (but are not limited to) hypertension, high blood lipid levels, obesity, lack of exercise, smoking, and poor dietary habits. People suffering from multimorbidity require constant treatment and maintenance.
Impeding factor

Relation to social mobility

In the absence of appropriate treatment, chronic morbidity leads to difficulties in functioning, recurrent hospitalizations, and negative results in the field of employment. For example, individuals with chronic diseases work between 4% and 6% fewer weekly hours than healthy individuals and earn between 6% and 9% less. Chronic morbidity is also a risk factor for unemployment and job loss.


Van Rijn, R., et al., (2014), “Influence of poor health on exit from paid employment: a systematic review.” Occupation and environmental medicine, Vol. 71, No. 4, pp. 295-301. Schuring M., Burdorf L., Kunst A. and J. Mackenbach, (2007), “The effects of ill health on entering and maintaining paid employment: evidence in European countries”, Journal of Epidemiology & Community Health. Vol. 6, No. 7, pp. 597–604 Schunck, R. and B.G. Rogge (2012), "Unemployment and Smoking: Causation, Selection, or Common Cause? Evidence from Longitudinal Data. SOEP Paper 491", The German Socio-Economic Panel Study at DIW Berlin available at: Sassi, F. et al. (2009), "Improving Lifestyles, Tackling Obesity: The Health and Economic Impact of Prevention Strategies", OECD Health Working Papers, No. 48. Paris, OECD Publishing, 2009 אמה אברבוך, שלומית אבני (עורכות) (2014). אי שוויון בבריאות וההתמודדות אתו. משרד הבריאות, מינהל תכנון אסטרטגי וכלכלי, 2014 המרכז לבקרת מחלות. (2013) דוח שרת הבריאות על העישון בישראל. ירושלים 2013

Desirable achievements

Ages 18-25
Ages 26-35
  • Accountability mechanisms

    Reduction in the number of errors, malfunctions and safety problems through clear accountability mechanisms.

    Intervention examples

  • Increased engagement and improved communication

    Deepening the patient’s understanding of his/her condition and increasing his involvement in the treatment.

    Intervention examples

  • Partnership with patients

    Creating active partnerships with patients to empower and increase engagement.

    Intervention examples

  • Preventive treatment and proactivity

    Exchanging passive waiting for patients, to actively identifying individuals in risk groups and taking active initiative.

    Intervention examples

  • Therapeutic continuum

    Creating mechanisms for increasing the therapeutic continuum between services, clinics and between hospitalization and the community.

    Intervention examples

Key population

  • Individuals from disadvantaged backgrounds
  • All groups of society
Chronic morbidity is more common among individuals of low socioeconomic status, as are its risk factors, such as smoking, poor diet, and lack of physical activity.