2013
Context-based Strategies for Engaging Consumers with Public Reports about Health Care Providers
Shaller D, Kanouse DE, Schlesinger M. Context-based Strategies for Engaging Consumers with Public Reports about Health Care Providers. Medical Care Research And Review 2013, 71: 17s-37s. PMID: 23819945, PMCID: PMC5494710, DOI: 10.1177/1077558713493118.Peer-Reviewed Original ResearchMeSH KeywordsAccess to InformationCommunity ParticipationConsumer BehaviorHumansQuality of Health CareUnited StatesConceptsChoice contextPublic reportsRich emotional contentNew media strategiesConsumer engagementHealth care provider performanceMedia strategiesReport sponsorsEngagement factorsUse of navigatorsConsumersWeb-based reportingPolicy makersCross-cutting lessonsCare provider performanceSponsorsGreater engagementRealistic opportunitiesEngagementKey factorsProvider performanceSpecific strategiesContext
2010
Choice cuts: parsing policymakers’ pursuit of patient empowerment from an individual perspective
Schlesinger M. Choice cuts: parsing policymakers’ pursuit of patient empowerment from an individual perspective. Health Economics Policy And Law 2010, 5: 365-387. PMID: 20602858, DOI: 10.1017/s174413311000006x.Peer-Reviewed Original ResearchMeSH KeywordsChoice BehaviorDecision MakingEuropeHealth PolicyHumansPatient SatisfactionPower, PsychologicalUnited StatesConceptsChoice-based policiesResponsive health care systemForms of supportPolicy aspirationsPublic officialsSuch initiativesMedical consumerismIndividual perspectiveEmpowermentPolicyCommentary ICrucial distinctionPolicymakersCare systemInitiativesHealth care systemEngagementConsumer choiceOfficialsConsumerismWayPursuitPerspectiveAspirationChoice
2009
Responsive Consumerism: Empowerment in Markets for Health Plans
ELBEL B, SCHLESINGER M. Responsive Consumerism: Empowerment in Markets for Health Plans. Milbank Quarterly 2009, 87: 633-682. PMID: 19751285, PMCID: PMC2881453, DOI: 10.1111/j.1468-0009.2009.00574.x.Peer-Reviewed Original Research
2002
A Loss of Faith: The Sources of Reduced Political Legitimacy for the American Medical Profession
Schlesinger M. A Loss of Faith: The Sources of Reduced Political Legitimacy for the American Medical Profession. Milbank Quarterly 2002, 80: 185-235. PMID: 12101871, PMCID: PMC2690108, DOI: 10.1111/1468-0009.t01-1-00010.Peer-Reviewed Original ResearchConceptsPolicy elitesPolitical legitimacyPolitical influenceProfessional authorityAmerican medical professionLack of altruismLittle empirical researchLoss of faithLegitimacyAmerican publicElitesEmpirical researchMedical professionAuthoritiesDifferent explanationsPublicMedical authoritiesProfessionProfessional competenceLimited confidenceSocietyFaithAttitudesAmerican medicineAmerican SocietyNot Afraid to Blame: The Neglected Role of Blame Attribution in Medical Consumerism and Some Implications for Health Policy
Rosenthal M, Schlesinger M. Not Afraid to Blame: The Neglected Role of Blame Attribution in Medical Consumerism and Some Implications for Health Policy. Milbank Quarterly 2002, 80: 41-95. PMID: 11933793, PMCID: PMC2690101, DOI: 10.1111/1468-0009.00003.Peer-Reviewed Original ResearchConceptsMedical consumerismSubsequent willingnessSerious mental illnessHealth care professionalsPolicy implicationsAdverse eventsWorse outcomesCare professionalsCare practicesMental illnessHealth plansHealth policyBlame allocationExperiences of peopleConsumer attitudesNeglected roleCareConsumer educationAllocationWillingnessIllnessPolicyPolicymakingConsumerism
2001
Depressive Symptoms, Satisfaction With Health Care, and 2-Year Work Outcomes in an Employed Population
Druss B, Schlesinger M, Allen H. Depressive Symptoms, Satisfaction With Health Care, and 2-Year Work Outcomes in an Employed Population. American Journal Of Psychiatry 2001, 158: 731-734. PMID: 11329394, DOI: 10.1176/appi.ajp.158.5.731.Peer-Reviewed Original ResearchThe Social Roles of Medicare: Assessing Medicare's Collateral Benefits
Gusmano M, Schlesinger M. The Social Roles of Medicare: Assessing Medicare's Collateral Benefits. Journal Of Health Politics Policy And Law 2001, 26: 37-80. PMID: 11253454, DOI: 10.1215/03616878-26-1-37.Peer-Reviewed Original Research
2000
Some Distinctive Features of the Impact of Managed Care on Psychiatry
Schlesinger M, Wynia M, Cummins D. Some Distinctive Features of the Impact of Managed Care on Psychiatry. Harvard Review Of Psychiatry 2000, 8: 216-230. PMID: 11118231, DOI: 10.3109/hrp.8.5.216.Peer-Reviewed Original ResearchConceptsPrimary care providersCare providersPrimary care physiciansExperiences of psychiatristsUntreated mental illnessBehavioral health careGreater time commitmentCare physiciansExternal reviewPhysical illnessMental illnessMental disordersHealth plansReview protocolCareHealth careAmerican Medical AssociationMedical specialistsManaged CarePsychiatristsPatientsDifferential effectsIllnessPhysiciansMedical Association
1999
No exit? The effect of health status on dissatisfaction and disenrollment from health plans.
Schlesinger M, Druss B, Thomas T. No exit? The effect of health status on dissatisfaction and disenrollment from health plans. Health Services Research 1999, 34: 547-76. PMID: 10357290, PMCID: PMC1089023.Peer-Reviewed Original ResearchMeSH KeywordsAdultFee-for-Service PlansFemaleGroup Practice, PrepaidHealth Benefit Plans, EmployeeHealth StatusHumansIndependent Practice AssociationsInsurance Selection BiasLogistic ModelsMaleManaged CompetitionPatient SatisfactionPreferred Provider OrganizationsSurveys and QuestionnairesUnited StatesConceptsHealth problemsHealth plansHealth statusSignificant physical health problemsChronic health problemsMental health statusNext open enrollment periodDuration of employmentPhysical health problemsAdequate medical careLogistic regression modelsSerious health problemIndependent practice associationsEnrollment periodResponse rateMedical careOpen enrollment periodSick enrolleesSubstantial enrollmentDisenrollmentEnrolleesService plansService insuranceIll enrolleesMarital statusDelirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care
Inouye S, Schlesinger M, Lydon T. Delirium: a symptom of how hospital care is failing older persons and a window to improve quality of hospital care. The American Journal Of Medicine 1999, 106: 565-573. PMID: 10335730, DOI: 10.1016/s0002-9343(99)00070-4.Peer-Reviewed Original ResearchConceptsHospital careGeriatric careOlder personsHospital-related complicationsRoutine cognitive assessmentAcute confusional stateRecognition of deliriumHigh-quality geriatric careSkilled nursing staffOlder patientsConfusional stateGeriatric expertisePractice patternsClinical pathwayDeliriumNursing staffGreater incidenceClinical implicationsCost-containment practicesCase managementCognitive AssessmentCareHealth careEarly stagesComplications
1998
Risk, motives, and styles of utilization review: A cross-condition comparison
Wolff N, Schlesinger M. Risk, motives, and styles of utilization review: A cross-condition comparison. Social Science & Medicine 1998, 47: 911-926. PMID: 9722111, DOI: 10.1016/s0277-9536(98)00157-9.Peer-Reviewed Original ResearchA broader vision for managed care, Part 2: A typology of community benefits
Schlesinger M, Gray B, Carrino G, Duncan M, Gusmano M, Antonelli V, Stuber J. A broader vision for managed care, Part 2: A typology of community benefits. Health Affairs 1998, 17: 26-49. PMID: 9769570, DOI: 10.1377/hlthaff.17.5.26.Peer-Reviewed Original Research
1997
The determinants of dumping: a national study of economically motivated transfers involving mental health care.
Schlesinger M, Dorwart R, Hoover C, Epstein S. The determinants of dumping: a national study of economically motivated transfers involving mental health care. Health Services Research 1997, 32: 561-90. PMID: 9402901, PMCID: PMC1070215.Peer-Reviewed Original ResearchConceptsCommunity mental health centerMental health centersMental health careHealth centersHealth careMental illnessInpatient mental health careMental health care systemLocal treatment systemsCommunity mental health care systemHealth care systemHospital admissionMeasures of accessPsychiatric patientsHospitalUtilization reviewAspects of accessInpatient capacityCare systemPatient dumpingProfit hospitalsCarePatientsProprietary hospitalsIllnessCompetition, Ownership, and Access to Hospital Services
Schlesinger* †, Dorwart R, Hoover‡ C, Epstein‡ S. Competition, Ownership, and Access to Hospital Services. Medical Care 1997, 35: 974-992. PMID: 9298085, DOI: 10.1097/00005650-199709000-00008.Peer-Reviewed Original ResearchParadigms Lost: The Persisting Search for Community in U.s. Health Policy
Schlesinger M. Paradigms Lost: The Persisting Search for Community in U.s. Health Policy. Journal Of Health Politics Policy And Law 1997, 22: 937-992. PMID: 9334915, DOI: 10.1215/03616878-22-4-937.Peer-Reviewed Original ResearchConceptsConcept of communitySocial policyCommunity-based reformsHealth policyRole of communityIdeological spectrumPolicy makingFederal debatePowerful tensionLocal communitiesCongressional staffSocial needsSocietal problemsPolicyParadoxical natureHealth care reformBroad appealHistorical evolutionReformCommunityLow supportUnited StatesCare reformLong-term careHealth-related concernsCountervailing Agency: A Strategy of Principaled Regulation under Managed Competition
Schlesinger M. Countervailing Agency: A Strategy of Principaled Regulation under Managed Competition. Milbank Quarterly 1997, 75: 35-87. PMID: 9063300, PMCID: PMC2751036, DOI: 10.1111/1468-0009.00044.Peer-Reviewed Original ResearchMedical professionalism Under Managed Care: The Pros And Cons Of Utilization Review
Schlesinger M, Gray B, Perreira K. Medical professionalism Under Managed Care: The Pros And Cons Of Utilization Review. Health Affairs 1997, 16: 106-124. PMID: 9018948, DOI: 10.1377/hlthaff.16.1.106.Peer-Reviewed Original Research
1996
The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians
Mechanic D, Schlesinger M. The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians. JAMA 1996, 275: 1693-1697. PMID: 8637148, DOI: 10.1001/jama.1996.03530450083048.Peer-Reviewed Original ResearchConceptsHealth plan organizationsFinancial riskFinancial arrangementsPublic policySocial trustInterpersonal trustManaged CareTrustImportant wayFinanceIncentivesUtilization reviewPolicyMedical careTrust issuesAppropriate responsibilityDecisionsProfessional normsHealth care organizationsChoiceCare organizationsArrangementHigh priorityImpactOrganizationManaged care constraints on psychiatrists' hospital practices: bargaining power and professional autonomy
Schlesinger M, Dorwart R, Epstein S. Managed care constraints on psychiatrists' hospital practices: bargaining power and professional autonomy. American Journal Of Psychiatry 1996, 153: 256-260. PMID: 8561208, DOI: 10.1176/ajp.153.2.256.Peer-Reviewed Original ResearchMeSH KeywordsFemaleForeign Medical GraduatesHospital-Physician RelationsHospitalizationHumansIncomeInsurance CarriersInsurance, HospitalizationInsurance, PsychiatricLength of StayMaleManaged Care ProgramsMedicaidMedical Staff PrivilegesMental DisordersPractice Patterns, Physicians'PsychiatrySeverity of Illness IndexSex FactorsUnited States
1995
Management of mental health and substance abuse services: state of the art and early results.
Mechanic D, Schlesinger M, McAlpine D. Management of mental health and substance abuse services: state of the art and early results. Milbank Quarterly 1995, 73: 19-55. PMID: 7898406, DOI: 10.2307/3350312.Peer-Reviewed Original Research