2024
“Nothing Is More Powerful than Words:” How Patient Experience Narratives Enable Improvement
Grob R, Lee Y, Shaller D, Warne E, Matta S, Schlesinger M, Nembhard I. “Nothing Is More Powerful than Words:” How Patient Experience Narratives Enable Improvement. Quality Management In Health Care 2024, 33: 149-159. PMID: 38941581, DOI: 10.1097/qmh.0000000000000477.Peer-Reviewed Original ResearchConceptsPatient experience scoresExperience scoresPatient experience assessmentQuality improvement projectResponsive service provisionThematic analysis techniqueImprove careImprovement projectQualitative studyMax QDAImprovement effortsQualitative interviewsOutpatient settingOutpatient clinicCoding reportsStaff strengthImprovement workTraining needsNarrative dataDay-to-day workService provisionStaffPositive practiceInterviewsExperience assessment
2023
How exposure to patient narratives affects stereotyped choices of primary care clinicians
Bhaumik D, Schlesinger M. How exposure to patient narratives affects stereotyped choices of primary care clinicians. PLOS ONE 2023, 18: e0295243. PMID: 38060553, PMCID: PMC10703228, DOI: 10.1371/journal.pone.0295243.Peer-Reviewed Original ResearchLearning from patients: The impact of using patients’ narratives on patient experience scores
Nembhard I, Matta S, Shaller D, Lee Y, Grob R, Schlesinger M. Learning from patients: The impact of using patients’ narratives on patient experience scores. Health Care Management Review 2023, 49: 2-13. PMID: 38019459, PMCID: PMC10873528, DOI: 10.1097/hmr.0000000000000386.Peer-Reviewed Original ResearchEvaluation of a protocol for eliciting narrative accounts of pediatric inpatient experiences of care
Martino S, Reynolds K, Grob R, Palimaru A, Zelazny S, Slaughter M, Rybowski L, Parker A, Toomey S, Schuster M, Schlesinger M. Evaluation of a protocol for eliciting narrative accounts of pediatric inpatient experiences of care. Health Services Research 2023, 58: 271-281. PMID: 36645204, PMCID: PMC10012224, DOI: 10.1111/1475-6773.14134.Peer-Reviewed Original Research
2016
Breaking Narrative Ground: Innovative Methods for Rigorously Eliciting and Assessing Patient Narratives
Grob R, Schlesinger M, Parker AM, Shaller D, Barre LR, Martino SC, Finucane ML, Rybowski L, Cerully JL. Breaking Narrative Ground: Innovative Methods for Rigorously Eliciting and Assessing Patient Narratives. Health Services Research 2016, 51: 1248-1272. PMID: 27126144, PMCID: PMC4874935, DOI: 10.1111/1475-6773.12503.Peer-Reviewed Original Research
2015
Taking Patients’ Narratives about Clinicians from Anecdote to Science
Schlesinger M, Grob R, Shaller D, Martino SC, Parker AM, Finucane ML, Cerully JL, Rybowski L. Taking Patients’ Narratives about Clinicians from Anecdote to Science. New England Journal Of Medicine 2015, 373: 675-679. PMID: 26267629, DOI: 10.1056/nejmsb1502361.Peer-Reviewed Original Research
2013
Complexity, Public Reporting, and Choice of Doctors
Schlesinger M, Kanouse DE, Martino SC, Shaller D, Rybowski L. Complexity, Public Reporting, and Choice of Doctors. Medical Care Research And Review 2013, 71: 38s-64s. PMID: 23999489, PMCID: PMC5444655, DOI: 10.1177/1077558713496321.Peer-Reviewed Original ResearchConceptsConsumer choiceChoice of doctorChoice setsDecision-making stylesPolicy makersHealth care consumersQuality of decisionsConsumer empowermentReport designerDecision qualityMore performance metricsCare consumersConsumersChoiceBlack boxConsumer skillsHealth care qualityPast researchPublic reportingMakersPreferencesDecisionsPerformance metricsSponsorsResearchContext-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 ResearchConceptsChoice 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 ResearchConceptsChoice-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
2004
Public Expectations Of Nonprofit And For-Profit Ownership In American Medicine: Clarifications And Implications
Schlesinger M, Mitchell S, Gray BH. Public Expectations Of Nonprofit And For-Profit Ownership In American Medicine: Clarifications And Implications. Health Affairs 2004, 23: 181-191. PMID: 15537597, DOI: 10.1377/hlthaff.23.6.181.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 AssociationChronic illness and plan satisfaction under managed care
Druss B, Schlesinger M, Thomas T, Allen H. Chronic illness and plan satisfaction under managed care. Health Affairs 2000, 19: 203-209. PMID: 10645088, DOI: 10.1377/hlthaff.19.1.203.Peer-Reviewed Original Research
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 statusDepressive Symptoms and Plan Switching Under Managed Care
Druss B, Schlesinger M, Thomas T, Allen H. Depressive Symptoms and Plan Switching Under Managed Care. American Journal Of Psychiatry 1999, 156: 697-701. PMID: 10327901, DOI: 10.1176/ajp.156.5.697.Peer-Reviewed Original ResearchDelirium: 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