PMID: 11933793Apr 6, 2002Paper

Not afraid to blame: the neglected role of blame attribution in medical consumerism and some implications for health policy

The Milbank Quarterly
Marsha Rosenthal, Mark Schlesinger

Abstract

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.

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Citations

Jan 21, 2003·The Milbank Quarterly·Mark SchlesingerBrian Elbel
Nov 18, 2015·Health Services Research·Mark SchlesingerDale Shaller
Sep 8, 2009·Research in Social & Administrative Pharmacy : RSAP·Suvapun BunniranAlicia S Bouldin
Sep 16, 2009·The Milbank Quarterly·Brian Elbel, Mark Schlesinger
Jul 4, 2013·Medical Care Research and Review : MCRR·Dale ShallerMark Schlesinger
Aug 2, 2003·Health Affairs·William M Sage
Mar 19, 2019·The Milbank Quarterly·Rachel GrobAlina Palimaru
Feb 1, 2012·Violence and Victims·Aaron J KivistoDeborah L Rhatigan
Oct 9, 2018·Medical Care Research and Review : MCRR·Mark SchlesingerJennifer L Cerully

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