Research Topics
| DAVID M MECHANICSummaryAffiliation: Rutgers University Country: USA Publications
Research Grants
| Collaborators |
Detail Information
Publications
The rise and fall of managed careDavid Mechanic
Rutgers, The State University of New Jersey, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901 1293, USA
J Health Soc Behav 45:76-86. 2004..These attacks and regulatory initiatives succeeded in diluting strong utilization management controls contributing to current difficulties of containing large health cost increases...- Mental health services then and nowDavid Mechanic
nstitute for Health, Health Care Policy, and Aging Research, State University of New Jersey, New Brunswick, USA
Health Aff (Millwood) 26:1548-50. 2007..Failures in community care lead to arrest; jail diversion and treatment are required. Despite progress, implementing an effective, patient-centered care system remains a formidable challenge... 
Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health systemDavid Mechanic
Rutgers University, New Brunswick, New Jersey, USA
Health Aff (Millwood) 31:376-82. 2012....
Public trust and initiatives for new health care partnershipsD Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08903, USA
Milbank Q 76:281-302. 1998..All these tools promise to be useful, but they require careful development and evaluation...- Physician discontent: challenges and opportunitiesDavid Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA
JAMA 290:941-6. 2003..Use of such strategies, combined with leadership and a clear sense of direction, can empower physicians, provide them with expanded knowledge and expert systems, and relieve some practice burdens and frustrations... - Policy challenges in improving mental health services: some lessons from the pastDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research at Rutgers University, 30 College Avenue, New Brunswick, NJ 08901-1293, USA
Psychiatr Serv 54:1227-32. 2003 - Policy challenges in addressing racial disparities and improving population healthDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research
Health Aff (Millwood) 24:335-8. 2005..Better health and reduced mortality should be the key policy criteria, but these criteria should be linked with consideration of careful targeting to level the playing field and close disparities... - Population health: challenges for science and societyDavid Mechanic
Insitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
Milbank Q 85:533-59. 2007.... - Vulnerable people, groups, and populations: societal viewDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
Health Aff (Millwood) 26:1220-30. 2007.... - Rethinking medical professionalism: the role of information technology and practice innovationsDavid Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901, USA
Milbank Q 86:327-58. 2008..Information technology (IT), electronic health records (EHRs), improved models of disease management, and new ways of relating to and sharing responsibility for patients' care can contribute to both professionalism and quality of care... - Sociology of health care reform: building on research and analysis to improve health careDavid Mechanic
Rutgers, The State University of New Jersey, Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA
J Health Soc Behav 51:S147-59. 2010..Consensus about health reform requires trust. The traditional trust patients have in physicians provides an important base on which to build... - Commentary: Managing time appropriately in primary careDavid Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901-1293, USA
BMJ 325:687. 2002 - Lessons from the unexpected: the importance of data infrastructure, conceptual models, and serendipity in health services researchD Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers, State University, 30 College Avenue, New Brunswick, NJ 08901 1293, USA
Milbank Q 79:459-77, V. 2001.... - The changing elderly population and future health care needsD Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers, State University, New Brunswick, NJ 08901 1293, USA
J Urban Health 76:24-38. 1999..Such policies, however, transcend health care and require a broad range of community initiatives... - Responses of HMO medical directors to trust building in managed careD Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
Milbank Q 77:283-303, 273. 1999.... - Use of nursing homes in the care of persons with severe mental illness: 1985 to 1995D Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
Psychiatr Serv 51:354-8. 2000..During that period resident populations in public mental hospitals declined, and legislation aimed at diverting psychiatric patients from nursing homes was enacted... - Are patients' office visits with physicians getting shorter?D Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08901, USA
N Engl J Med 344:198-204. 2001..Many believe that managed care creates pressure on physicians to increase productivity, see more patients, and spend less time with each patient... - The managed care backlash: perceptions and rhetoric in health care policy and the potential for health care reformD Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901 1293, USA
Milbank Q 79:35-54, III-IV. 2001..Inevitable errors are now readily attributed to managed care practices and organizations. Some procedural consumer protections may help restore the eroding trust and refocus public discussion on more central issues... - Socio-cultural implications of changing organizational technologies in the provision of careDavid Mechanic
Institute for Health, Health Care Policy and Aging Research Rutgers, State University, New Brunswick, NJ 08901 1293, USA
Soc Sci Med 54:459-67. 2002..In short, the competition between new preventive and treatment technologies and managed care technologies is at its heart a culture war... - Disadvantage, inequality, and social policyDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, USA
Health Aff (Millwood) 21:48-59. 2002..Enhancement of educational attainment and access to health services and income support for those in greatest need appear to be particularly important pathways to improved population health... - Who shall lead: is there a future for population health?David Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, USA
J Health Polit Policy Law 28:421-42. 2003..Among these are a clear definition of the boundaries of the field, a continuing flow of resources for development, and attractive career structures for new recruits and future leaders... - Facilitators and barriers to employment among individuals with psychiatric disabilities: a job coach perspectiveCynthia L Blitz
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA
Work 26:407-19. 2006..Factors that influence successful job placement and research and policy implications are discussed... - Is the prevalence of mental disorders a good measure of the need for services?David Mechanic
Rutgers University, Institute for Health, Health Care Policy, and Aging Research, USA
Health Aff (Millwood) 22:8-20. 2003..Demand may be promoted inappropriately by clinicians and drug manufacturers who profit from expansion of demand. Future assessments of need must be based on evidence and take into account priorities for care and cost-effectiveness... - Removing barriers to care among persons with psychiatric symptomsDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey, USA
Health Aff (Millwood) 21:137-47. 2002.... - Navigating the disability process: persons with mental disorders applying for and receiving disability benefitsScott Bilder
Institute for Health, Health Care Policy and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901, USA
Milbank Q 81:75-106, table of contents. 2003..Navigating the disability process is associated with the extent of impairment, economic and social disadvantage, and linkage to the disability determination process... - Treatment of people with mental illness: a decade-long perspectiveDavid Mechanic
Rutgers University, Institute for Health, Health Care Policy, and Aging Research, USA
Health Aff (Millwood) 23:84-95. 2004..Further, once people enter specialty care, the number of visits appears unrelated to need. The data highlight the urgent need for a greater focus on the quality of care and patient outcomes... - Barriers to help-seeking, detection, and adequate treatment for anxiety and mood disorders: implications for health care policyDavid Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University of New Jersey, New Brunswick 08901, USA
J Clin Psychiatry 68:20-6. 2007..An important aspect of the challenge is to incorporate these efforts within the realistic constraints of primary care... - Employing persons with serious mental illnessDavid Mechanic
Institute for Health, Health Care Policy, and Aging Research, Rutgers, State University, New Brunswick, New Jersey, USA
Health Aff (Millwood) 21:242-53. 2002..Educational attainment is the strongest predictor of employment in high-ranking occupations among both the general population and persons with mental disorders... - Improving the quality of health care in the United States of America: the need for a multi-level approachDavid Mechanic
Institute for Health, Health Care Policy and Aging Research, Rutgers, The State University, New Jersey 08901-1293, USA
J Health Serv Res Policy 7:S35-9. 2002..System integration is admittedly difficult, and always incomplete, but movement toward this goal is an essential strategic objective... - Interventions to improve medication adherence in schizophreniaAnnette Zygmunt
Institute for Health, Health Care Policy, and Aging Research, Center for Research on the Organization and Funding of Care for the Severely Mentally Ill, 30 College Avenue, New Brunswick, NJ 08901 1293, USA
Am J Psychiatry 159:1653-64. 2002....
Research Grants
- Mental Health Services & Systems Training ProgramDavid Mechanic; Fiscal Year: 2007....