DAVID M MECHANIC

Summary

Affiliation: Rutgers University
Country: USA

Publications

  1. ncbi request reprint The rise and fall of managed care
    David 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
  2. ncbi request reprint Mental health services then and now
    David 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
  3. ncbi request reprint More people than ever before are receiving behavioral health care in the United States, but gaps and challenges remain
    David Mechanic
    David Mechanic is the René Dubos University Professor at the Institute for Health, Health Care Policy, and Aging Research at Rutgers University, in New Brunswick, New Jersey
    Health Aff (Millwood) 33:1416-24. 2014
  4. doi request reprint Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system
    David Mechanic
    Rutgers University, New Brunswick, New Jersey, USA
    Health Aff (Millwood) 31:376-82. 2012
  5. ncbi request reprint Physician discontent: challenges and opportunities
    David 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
  6. ncbi request reprint Policy challenges in improving mental health services: some lessons from the past
    David 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
  7. ncbi request reprint Policy challenges in addressing racial disparities and improving population health
    David Mechanic
    Institute for Health, Health Care Policy, and Aging Research
    Health Aff (Millwood) 24:335-8. 2005
  8. pmc Population health: challenges for science and society
    David Mechanic
    Insitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
    Milbank Q 85:533-59. 2007
  9. ncbi request reprint Vulnerable people, groups, and populations: societal view
    David 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
  10. pmc Rethinking medical professionalism: the role of information technology and practice innovations
    David Mechanic
    Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901, USA
    Milbank Q 86:327-58. 2008

Research Grants

  1. Mental Health Services & Systems Training Program
    David Mechanic; Fiscal Year: 2007

Detail Information

Publications31

  1. ncbi request reprint The rise and fall of managed care
    David 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...
  2. ncbi request reprint Mental health services then and now
    David 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...
  3. ncbi request reprint More people than ever before are receiving behavioral health care in the United States, but gaps and challenges remain
    David Mechanic
    David Mechanic is the René Dubos University Professor at the Institute for Health, Health Care Policy, and Aging Research at Rutgers University, in New Brunswick, New Jersey
    Health Aff (Millwood) 33:1416-24. 2014
    ..Among the many challenges to overcome are organizational and financial realignments and improved training of primary care physicians and the behavioral health workforce. ..
  4. doi request reprint Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system
    David Mechanic
    Rutgers University, New Brunswick, New Jersey, USA
    Health Aff (Millwood) 31:376-82. 2012
    ....
  5. ncbi request reprint Physician discontent: challenges and opportunities
    David 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...
  6. ncbi request reprint Policy challenges in improving mental health services: some lessons from the past
    David 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
  7. ncbi request reprint Policy challenges in addressing racial disparities and improving population health
    David 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...
  8. pmc Population health: challenges for science and society
    David Mechanic
    Insitute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
    Milbank Q 85:533-59. 2007
    ....
  9. ncbi request reprint Vulnerable people, groups, and populations: societal view
    David 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
    ....
  10. pmc Rethinking medical professionalism: the role of information technology and practice innovations
    David 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...
  11. doi request reprint Sociology of health care reform: building on research and analysis to improve health care
    David 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...
  12. pmc Public trust and initiatives for new health care partnerships
    D 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...
  13. ncbi request reprint Commentary: Managing time appropriately in primary care
    David 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
  14. pmc The changing elderly population and future health care needs
    D 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...
  15. pmc Responses of HMO medical directors to trust building in managed care
    D 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
    ....
  16. ncbi request reprint Use of nursing homes in the care of persons with severe mental illness: 1985 to 1995
    D 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...
  17. ncbi request reprint 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...
  18. pmc The managed care backlash: perceptions and rhetoric in health care policy and the potential for health care reform
    D 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; 2 p preceding VI. 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...
  19. pmc Lessons from the unexpected: the importance of data infrastructure, conceptual models, and serendipity in health services research
    D 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
    ....
  20. ncbi request reprint Socio-cultural implications of changing organizational technologies in the provision of care
    David 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...
  21. ncbi request reprint Disadvantage, inequality, and social policy
    David 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...
  22. ncbi request reprint 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...
  23. ncbi request reprint Facilitators and barriers to employment among individuals with psychiatric disabilities: a job coach perspective
    Cynthia 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...
  24. ncbi request reprint 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...
  25. ncbi request reprint Removing barriers to care among persons with psychiatric symptoms
    David Mechanic
    Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, New Jersey, USA
    Health Aff (Millwood) 21:137-47. 2002
    ....
  26. pmc Navigating the disability process: persons with mental disorders applying for and receiving disability benefits
    Scott 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...
  27. ncbi request reprint Treatment of people with mental illness: a decade-long perspective
    David 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...
  28. ncbi request reprint Barriers to help-seeking, detection, and adequate treatment for anxiety and mood disorders: implications for health care policy
    David 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...
  29. ncbi request reprint Employing persons with serious mental illness
    David 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...
  30. ncbi request reprint Improving the quality of health care in the United States of America: the need for a multi-level approach
    David 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...
  31. ncbi request reprint Interventions to improve medication adherence in schizophrenia
    Annette 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 Grants2

  1. Mental Health Services & Systems Training Program
    David Mechanic; Fiscal Year: 2007
    ....