The Cheryl Spencer Institute for Nursing Research
Tel: 04-6647904 | email: nurs_res@univ.haifa.ac.il
Prof. Efrat Shadmi
Research Interests
Higher Education
Recent Publications
Research Interests
- Health Services Research Quality and Outcomes
- Integration of care across care settings
- Multimorbidity and chronic illness
- Equity in health
Higher Education
Degree | Name of Institution and Department | Period of Study |
B.A. in Nursing, registered nurse (RN) Summa Cum Laude | University of Haifa, The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences | 1995 – 1999 |
Ph.D. Phi Beta Kappa | Johns Hopkins University, The Department of Health Policy and Management, Bloomberg School of Public Health | 2000 – 2005 |
Recent Publications
- Zisberg A, Zlotnick C, Gur-Yaish N, Admi H, Sinoff G, Shadmi E. Functional decline and satisfaction with nursing care among older hospitalized adults. Int J Nurs Pract. 2015 Oct;21(5):645-52. doi: 10.1111/ijn.12289. Epub 2014 Apr 1. PMID: 24689552.
- Cohen CJ, Flaks-Manov N, Low M, Balicer RD, Shadmi E. High-risk case identification for use in comprehensive complex care management. Popul Health Manag. 2015 Feb;18(1):15-22. doi: 10.1089/pop.2014.0011. Epub 2014 Jul 30. PMID: 25075954.
- Zaslavsky O, Zisberg A, Shadmi E. Impact of functional change before and during hospitalization on functional recovery 1 month following hospitalization. J Gerontol A Biol Sci Med Sci. 2015 Mar;70(3):381-6. doi: 10.1093/gerona/glu168. Epub 2014 Sep 8. PMID: 25199914.
- Zisberg A, Shadmi E, Gur-Yaish N, Tonkikh O, Sinoff G. Hospital-associated functional decline: the role of hospitalization processes beyond individual risk factors. J Am Geriatr Soc. 2015 Jan;63(1):55-62. doi: 10.1111/jgs.13193. PMID: 25597557.
- Roe D, Gelkopf M, Gornemann MI, Baloush-Kleinman V, Shadmi E. Implementing routine outcome measurement in psychiatric rehabilitation services in Israel. Int Rev Psychiatry. 2015;27(4):345-53. doi: 10.3109/09540261.2015.1025722. Epub 2015 Apr 13. PMID: 25865480.
- Shadmi E, Flaks-Manov N, Hoshen M, Goldman O, Bitterman H, Balicer RD. Predicting 30-day readmissions with preadmission electronic health record data. Med Care. 2015 Mar;53(3):283-9. doi: 10.1097/MLR.0000000000000315. PMID: 25634089.
- Balicer RD, Hoshen M, Cohen-Stavi C, Shohat-Spitzer S, Kay C, Bitterman H, Lieberman N, Jacobson O, Shadmi E. Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention. Health Serv Res. 2015 Dec;50(6):1891-909. doi: 10.1111/1475-6773.12300. Epub 2015 Mar 19. PMID: 25787874; PMCID: PMC4693854.
- Admi H, Shadmi E, Baruch H, Zisberg A. From research to reality: minimizing the effects of hospitalization on older adults. Rambam Maimonides Med J. 2015 Apr 29;6(2):e0017. doi: 10.5041/RMMJ.10201. PMID: 25973269; PMCID: PMC4422456.
- Zlotnick C, Goldblatt H, Shadmi E, Birenbaum-Carmeli D, Taychaw O. A qualitative study assessing cardiovascular risk factors: the accumulative stressors influencing societal integration of teenage African immigrants. BMC Public Health. 2015 Aug 15;15:785. doi: 10.1186/s12889-015-2122-6. PMID: 26276020; PMCID: PMC4536599.
- Flaks-Manov N, Shadmi E, Hoshen M, Balicer RD. Health information exchange systems and length of stay in readmissions to a different hospital. J Hosp Med. 2016 Jun;11(6):401-6. doi: 10.1002/jhm.2535. Epub 2015 Dec 29. PMID: 26714040.
- Bahous MC, Shadmi E. Health information exchange and information gaps in referrals to a pediatric emergency department. Int J Med Inform. 2016 Mar;87:68-74. doi: 10.1016/j.ijmedinf.2015.12.011. Epub 2015 Dec 29. PMID: 26806713.
- Agmon M, Zisberg A, Tonkikh O, Sinoff G, Shadmi E. Anxiety symptoms during hospitalization of elderly are associated with increased risk of post-discharge falls. Int Psychogeriatr. 2016 Jun;28(6):951-8. doi: 10.1017/S1041610215002306. Epub 2016 Feb 1. PMID: 26830520.
- Zaslavsky O, Rillamas-Sun E, LaCroix AZ, Woods NF, Tinker LF, Zisberg A, Shadmi E, Cochrane B, Edward BJ, Kritchevsky S, Stefanick ML, Vitolins MZ, Wactawski-Wende J, Zelber-Sagi S. Association Between Anthropometric Measures and Long-Term Survival in Frail Older Women: Observations from the Women’s Health Initiative Study. J Am Geriatr Soc. 2016 Feb;64(2):277-84. doi: 10.1111/jgs.13930. PMID: 26889837; PMCID: PMC4762186.
- Zisberg A, Sinoff G, Agmon M, Tonkikh O, Gur-Yaish N, Shadmi E. Even a small change can make a big difference: the case of in-hospital cognitive decline and new IADL dependency. Age Ageing. 2016 Jul;45(4):500-4. doi: 10.1093/ageing/afw063. Epub 2016 Apr 15. PMID: 27085179.
- Tonkikh O, Shadmi E, Flaks-Manov N, Hoshen M, Balicer RD, Zisberg A. Functional status before and during acute hospitalization and readmission risk identification. J Hosp Med. 2016 Sep;11(9):636-41. doi: 10.1002/jhm.2595. Epub 2016 Apr 30. PMID: 27130176.
- Srulovici E, Key C, Rotem M, Golfenshtein N, Balicer RD, Shadmi E. Diabetes Conversation Map™ and health outcomes: A systematic literature review. Int J Nurs Stud. 2017 May;70:99-109. doi: 10.1016/j.ijnurstu.2017.02.004. Epub 2017 Feb 10. PMID: 28242506.
- Ruano AL, Shadmi E, Furler J, Rao K, San Sebastián M, Villar Uribe M, Shi L. Looking forward to the next 15 years: innovation and new pathways for research in health equity. Int J Equity Health. 2017 Feb 21;16(1):35. doi: 10.1186/s12939-017-0531-0. PMID: 28222728; PMCID: PMC5320779.
- Steinman MA, Low M, Balicer RD, Shadmi E. Epidemic Use of Benzodiazepines among Older Adults in Israel: Epidemiology and Leverage Points for Improvement. J Gen Intern Med. 2017 Aug;32(8):891-899. doi: 10.1007/s11606-017-4059-1. Epub 2017 May 3. PMID: 28470549; PMCID: PMC5515792.
- Shadmi E, Gelkopf M, Garber-Epstein P, Baloush-Kleinman V, Doudai R, Roe D. Routine patient reported outcomes as predictors of psychiatric rehospitalization. Schizophr Res. 2018 Feb;192:119-123. doi: 10.1016/j.schres.2017.04.049. Epub 2017 May 9. PMID: 28499767.
- Spitzer-Shohat S, Shadmi E, Goldfracht M, Kay C, Hoshen M, Balicer RD. Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel. J Public Health (Oxf). 2017 Jun 1;39(2):395-402. doi: 10.1093/pubmed/fdw037. PMID: 27165669; PMCID: PMC5896611.
- Zlotnick C, Birenbaum-Carmeli D, Goldblatt H, Dishon Y, Taychaw O, Shadmi E. Adolescent immigrants, the impact of gender on health status. Eur J Public Health. 2017 Jun 1;27(3):453-459. doi: 10.1093/eurpub/ckw208. PMID: 27836970.
- Shadmi E, Gelkopf M, Garber-Epstein P, Baloush-Kleinman V, Dudai R, Scialom SL, Roe D. Relationship Between Psychiatric-Service Consumers’ and Providers’ Goal Concordance and Consumers’ Personal Goal Attainment. Psychiatr Serv. 2017 Dec 1;68(12):1312-1314. doi: 10.1176/appi.ps.201600580. Epub 2017 Sep 1. PMID: 28859583.
- Zlotnick C, Birenbaum-Carmeli D, Goldblatt H, Dishon Y, Taychaw O, Shadmi E. Health indicators and social gradient in adolescent immigrants’ health risk and healthcare experiences. Eur J Pediatr. 2018 Feb;177(2):221-228. doi: 10.1007/s00431-017-3052-3. Epub 2017 Dec 5. PMID: 29204853.
- Zisberg A, Tonkikh O, Sinoff G, Admi H, Shapira C, Gur-Yaish N, Shadmi E. [FUNCTIONAL TRAJECTORIES BEFORE, DURING AND AFTER ACUTE HOSPITALIZATION OF OLDER ADULTS IN INTERNAL MEDICINE WARDS]. Harefuah. 2018 Jan;157(1):5-10. Hebrew. PMID: 29374865.
- Rotstein A, Roe D, Gelkopf M, Shadmi E, Levine SZ. Quality of life disparities between persons with schizophrenia and their professional caregivers: Network analysis in a National Cohort. Schizophr Res. 2018 Jul;197:109-115. doi: 10.1016/j.schres.2017.12.017. Epub 2018 Jan 8. PMID: 29325726.
- Spitzer-Shohat S, Shadmi E, Goldfracht M, Key C, Hoshen M, Balicer RD. Evaluating an organization-wide disparity reduction program: Understanding what works for whom and why. PLoS One. 2018 Mar 14;13(3):e0193179. doi: 10.1371/journal.pone.0193179. PMID: 29538389; PMCID: PMC5851553.
- Shadmi E. Healthcare disparities amongst vulnerable populations of Arabs and Jews in Israel. Isr J Health Policy Res. 2018 May 22;7(1):26. doi: 10.1186/s13584-018-0226-z. PMID: 29789022; PMCID: PMC5963169.
- Srulovici E, Feldman B, Reges O, Hoshen M, Balicer RD, Rotem M, Shadmi E, Key C, Curtis B, He X, Rubin G, Strizek A, Leventer-Roberts M. Which patients with Type 2 diabetes will have greater compliance to participation in the Diabetes Conversation Map™ program? A retrospective cohort study. Diabetes Res Clin Pract. 2018 Sep;143:337-347. doi: 10.1016/j.diabres.2018.07.037. Epub 2018 Aug 3. PMID: 30081107.
- Rayan-Gharra N, Tadmor B, Balicer RD, Shadmi E. Multicultural Transitions: Caregiver Presence and Language-Concordance at Discharge. Int J Integr Care. 2018 Aug 8;18(3):9. doi: 10.5334/ijic.3965. PMID: 30220892; PMCID: PMC6137623.
- Steinman MA, Low M, Balicer RD, Shadmi E. Impact of a nurse-based intervention on medication outcomes in vulnerable older adults. BMC Geriatr. 2018 Sep 6;18(1):207. doi: 10.1186/s12877-018-0905-1. PMID: 30189846; PMCID: PMC6127952.
- Cohen Castel O, Dagan E, Keinan-Boker L, Shadmi E. Reliability and validity of the Hebrew version of the Nijmegen Continuity Questionnaire for measuring patients’ perceived continuity of care in oral anticancer therapy. Eur J Cancer Care (Engl). 2018 Nov;27(6):e12913. doi: 10.1111/ecc.12913. Epub 2018 Sep 20. PMID: 30238665.
- Luz S, Shadmi E, Admi H, Peterfreund I, Drach-Zahavy A. Characteristics and behaviours of formal versus informal nurse champions and their relationship to innovation success. J Adv Nurs. 2019 Jan;75(1):85-95. doi: 10.1111/jan.13838. Epub 2018 Sep 24. PMID: 30168170.
- Spitzer-Shohat S, Goldfracht M, Key C, Hoshen M, Balicer RD, Shadmi E. Primary care networks and team effectiveness: the case of a large-scale quality improvement disparity reduction program. J Interprof Care. 2019 Sep-Oct;33(5):472-480. doi: 10.1080/13561820.2018.1538942. Epub 2018 Nov 13. PMID: 30422722.
- Gur-Yaish N, Tonkikh O, Shadmi E, Zisberg A. Informal support for older adults is negatively associated with walking and eating during hospitalization. Geriatr Nurs. 2019 May-Jun;40(3):264-268. doi: 10.1016/j.gerinurse.2018.11.003. Epub 2018 Dec 6. PMID: 30528251.
- Cohen Castel O, Shadmi E, Keinan-Boker L, Granot T, Karkabi K, Dagan E. The association between patients’ perceived continuity of care and beliefs about oral anticancer treatment. Support Care Cancer. 2019 Sep;27(9):3545-3553. doi: 10.1007/s00520-019-04668-6. Epub 2019 Jan 28. PMID: 30689046.
- Luz S, Shadmi E, Drach-Zahavy A. Nursing innovation: The joint effects of championship behaviors, project types, and initiation levels. Nurs Outlook. 2019 Jul-Aug;67(4):404-418. doi: 10.1016/j.outlook.2019.02.001. Epub 2019 Feb 8. PMID: 30878255.
- Rayan-Gharra N, Shadmi E, Tadmor B, Flaks-Manov N, Balicer RD. Patients’ ratings of the in-hospital discharge briefing and post-discharge primary care follow-up: The association with 30-day readmissions. Patient Educ Couns. 2019 Aug;102(8):1513-1519. doi: 10.1016/j.pec.2019.03.018. Epub 2019 Mar 27. PMID: 30987768.
- Rayan-Gharra N, Balicer RD, Tadmor B, Shadmi E. Association between cultural factors and readmissions: the mediating effect of hospital discharge practices and care-transition preparedness. BMJ Qual Saf. 2019 Nov;28(11):866-874. doi: 10.1136/bmjqs-2019-009317. Epub 2019 May 21. PMID: 31113835.
- Zlotnick C, Goldblatt H, Birenbaum-Carmeli D, Dishon Y, Taychaw O, Shadmi E. The impact of adolescents’ racial and ethnic self-identity on hope. Health Soc Care Community. 2019 Sep;27(5):e705-e715. doi: 10.1111/hsc.12795. Epub 2019 Jun PMID: 31206927.
- Flaks-Manov N, Topaz M, Hoshen M, Balicer RD, Shadmi E. Identifying patients at highest-risk: the best timing to apply a readmission predictive model. BMC Med Inform Decis Mak. 2019 Jun 26;19(1):118. doi: 10.1186/s12911-019-0836-6. PMID: 31242886; PMCID: PMC6595564.
- Zeltzer D, Balicer RD, Shir T, Flaks-Manov N, Einav L, Shadmi E. Prediction Accuracy With Electronic Medical Records Versus Administrative Claims. Med Care. 2019 Jul;57(7):551-559. doi: 10.1097/MLR.0000000000001135. PMID: 31135691.
- Tonkikh O, Shadmi E, Zisberg A. Food intake assessment in acutely ill older internal medicine patients. Geriatr Gerontol Int. 2019 Sep;19(9):890-895. doi: 10.1111/ggi.13744. Epub 2019 Jul 22. PMID: 31332926.
- Flaks-Manov N, Srulovici E, Yahalom R, Perry-Mezre H, Balicer R, Shadmi E. Preventing Hospital Readmissions: Healthcare Providers’ Perspectives on “Impactibility” Beyond EHR 30-Day Readmission Risk Prediction. J Gen Intern Med. 2020 May;35(5):1484-1489. doi: 10.1007/s11606-020-05739-9. Epub 2020 Mar 5. PMID: 32141041; PMCID: PMC7210355.
- Tonkikh O, Zisberg A, Shadmi E. Association between continuity of nursing care and older adults’ hospitalization outcomes: A retrospective observational study. J Nurs Manag. 2020 Jul;28(5):1062-1069. doi: 10.1111/jonm.13031. Epub 2020 Jun 16. PMID: 32285500.
- Shadmi E, Chen Y, Dourado I, Faran-Perach I, Furler J, Hangoma P, Hanvoravongchai P, Obando C, Petrosyan V, Rao KD, Ruano AL, Shi L, de Souza LE, Spitzer-Shohat S, Sturgiss E, Suphanchaimat R, Uribe MV, Willems S. Health equity and COVID-19: global perspectives. Int J Equity Health. 2020 Jun 26;19(1):104. doi: 10.1186/s12939-020-01218-z. PMID: 32586388; PMCID: PMC7316580.
- Cohen-Stavi CJ, Key C, Giveon S, Molcho T, Balicer RD, Shadmi E. Assessing guideline-concordant care for patients with multimorbidity treated in a care management setting. Fam Pract. 2020 Sep 5;37(4):479-485. doi: 10.1093/fampra/cmaa024. PMID: 32219299.
- Buck HG, Shadmi E, Topaz M, Sockolow PS. An integrative review and theoretical examination of chronic illness mHealth studies using the Middle-Range Theory of Self-care of Chronic Illness. Res Nurs Health. 2021 Feb;44(1):47-59. doi: 10.1002/nur.22073. Epub 2020 Sep 15. PMID: 32931601.
- Zlotnick C, Nisim U, Roe D, Gelkopf M, Shadmi E. Quality of life of immigrants and nonimmigrants in psychiatric rehabilitation. Psychiatr Rehabil J. 2020 Oct 26. doi: 10.1037/prj0000424. Epub ahead of print. PMID: 33104381.
- Luz S, Drach-Zahavy A, Shadmi E. A personal network approach to the study of nurse champions of innovation and their innovation projects’ spread. J Adv Nurs. 2021 Feb;77(2):775-786. doi: 10.1111/jan.14620. Epub 2020 Nov 4. PMID: 33150626.
- Shulyaev K, Gur-Yaish N, Shadmi E, Zisberg A. Patterns of informal family care during acute hospitalization of older adults from different ethno-cultural groups in Israel. Int J Equity Health. 2020 Nov 23;19(1):208. doi:10.1186/s12939-020-01314-0. PMID: 33225953; PMCID: PMC7682070.
- Cohen-Stavi CJ, Key C, Molcho T, Yacobi M, Balicer RD, Shadmi E. Mixed Methods Evaluation of Reasons Why Care Deviates From Clinical Guidelines Among Patients With Multimorbidity. Med Care Res Rev. 2020 Dec 2:1077558720975543. doi: 10.1177/1077558720975543. Epub ahead of print. PMID: 33267740.
- Kurtz C, Geron R, Shadmi E. Interest and perceived capability of self-care in haemodialysis units. J Clin Nurs. 2021 Mar;30(5-6):645-654. doi:10.1111/jocn.15584. Epub 2020 Dec 17. PMID: 33289199.
- Cohen-Stavi CJ, Giveon S, Key C, Molcho T, Balicer R, Shadmi E. 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. 2021 Jan 11;11(1):e040961. doi: 10.1136/bmjopen-2020-040961. PMID: 33431488; PMCID: PMC7802706.
- Gal G, Shadmi E, Hoter-Ishay G, Gelkopf M, Roe D. Comparing outcome measures of persons with severe mental illness in vocational rehabilitation programs: a dual perspective of consumers and providers. Int J Qual Health Care. 2021 Mar 5;33(1):mzaa030. doi: 10.1093/intqhc/mzaa030. PMID: 32232319.
- Hochman L, Moran GS, Gelkopf M, Roe D, Shadmi E. Prospectively identifying adults with serious mental illness at risk for poor physical health: The role of person reported outcomes. Int J Qual Health Care. 2021 Mar 5;33(1):mzaa033. doi: 10.1093/intqhc/mzaa033. PMID: 32296822.
- Cohen Castel O, Dagan E, Keinan-Boker L, Low M, Shadmi E. Patients’ Perceived Continuity of Care and Adherence to Oral Anticancer Therapy: a Prospective Cohort Mediation Study. J Gen Intern Med. 2021 Mar 25. doi: 10.1007/s11606-021-06704-w. Epub ahead of print. PMID: 33768501.
- Hussein S, Sadeh Y, Dekel R, Shadmi E, Brezner A, Landa J, Silberg T. 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. Int J Equity Health. 2021 Mar 31;20(1):89. doi:10.1186/s12939-021-01429-y. PMID: 33789674; PMCID: PMC8011398.