We focus on a number of topic areas identified by state health policy leaders as important to population health.
Keep up with news and updates from the Milbank Memorial Fund. Get the latest from thought leaders, including Christopher F. Koller, president of the Fund.
We publish The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to population health.
The Center for Evidence-based Policy at Oregon Health & Science University is a national leader in evidence-based decision making and policy design.
The Milbank Memorial Fund is an endowed operating foundation that publishes The Milbank Quarterly, commissions projects, and convenes state health policy decision makers on issues they identify as important to population health.
March 2002 (Volume 80)
March 2002 | Marsha Rosenthal, Mark Schlesinger
A crucial aspect of medical consumerism has been overlooked in past research and policymaking: how consumers decide whom to “blame” for bad outcomes. This study explores how, in a system increasingly dominated by managed care, these attributions affect consumers’ attitudes and behavior. Using data from the experiences of people with serious mental illness, hypotheses are tested regarding the origins and consequences of blaming for medical consumerism, Blame was allocated to health plans in a manner similar, but not identical, to the way in which blame was allocated to health care professionals. Both allocations are shaped by enrollment in managed care, with blame allocation affecting consumers’ subsequent willingness to talk about adverse events. Policy implications include the need for more finely tuned grievance procedures and better consumer education about managed care practices.
Author(s): Marsha Rosenthal; Mark Schlesinger
Read on Wiley Online Library
Read on JSTOR
Volume 80, Issue 1 (pages 41–95) DOI: 10.1111/1468-0009.00003 Published in 2002
Performance-Based Contracting in Wisconsin Public Health: Transforming State-Local Relations
Pluralism, Public Choice, and the State in the Emerging Paradigm in Health Systems
Get the Latest from the Milbank Memorial Fund