BMJ Case Reports 2017; doi:10.1136/bcr-2017-219941
  • Global health

Social considerations of inflammatory bowel disease in Southern Israel

  1. Chase Neff
  1. Department of Medical School for International Health, Ben-Gurion University of the Negev Faculty of Health Sciences, Beer Sheva, Israel
  1. Correspondence to Chase Neff, neff{at}
  • Accepted 25 June 2017
  • Published 17 July 2017


Chronic diseases pose unique social challenges beyond traditional health considerations that require specific attention. In this report, we examine the case of a middle-aged woman with ulcerative colitis, living in Southern Israel. Trust between the patient and physician is shown to positively influence a variety of therapeutic outcomes and should be considered a fundamental component of successful care. In context of the military conflict between Israel and Gaza, the needs of patients with chronic diseases cannot be forgotten. The work environment is also identified as an area of particular concern, as a supportive work environment is essential in order to maintain satisfaction in the workplace and sustain a high quality of life. Out-of-pocket costs for medications are confirmed to be a significant barrier to adherence. Better understanding of patients’ financial capabilities, along with affordable therapeutic interventions, will alleviate healthcare-related financial burdens and improve health outcomes.


  • Contributors The authors take full responsibility for planning, conducting and reporting the work. They also attest having access to all the study data, take responsibility for the accuracy of the analysis and had authority over manuscript preparation and the decision to submit the manuscript for publication. Both authors approve the manuscript and agree to adhere to all terms outlined in BMJ Case Reports information for authors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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