Mark D Fleming
Datos Biográficos
| ID | 172867 |
|---|---|
| NOMBRE | Mark D Fleming |
| NOMBRES | Mark D |
| APELLIDO | Fleming |
| FIRMA | FLEMING M D |
| AFILIACIONES | University of California, Berkeley |
| ORCID | 0000-0002-3037-704X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAS | 107 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2016 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 7 |
How an inter-organizational network hub orchestrates collective leadership to advance population health
Family Caregiver Experiences with Mobile Behavioral Health Crisis Services
Mobile behavioral health crisis response services, staffed by clinicians and specialists, can support individuals experiencing urgent mental health or substance use issues. While Medicaid coverage for these services since 2021 has supported growth in their availability, research on family caregivers’ experiences with mobile crisis services remains limited. Family caregivers often participate in encounters with crisis services when the person in c…
Policing and care in mental health crisis response
I’m doing it willingly’
Research on sexualised drug use often emphasises adverse health outcomes and risk management with limited exploration of the social and ethical dimensions of moral agency and harm reduction practices. This study examined the interplay between moral agency, empathy, and stigma. Participants (age >18 years and California residents) who engaged in drug use during sex within the past six months, excluding alcohol-only use, were recruited through mobi…
Rental Housing Deposits and Health Care Use
In this cohort study, compared to case management only, housing deposits with case management were not associated with short-term changes in health care use. There may be other unmeasured health benefits or downstream benefits from greater case management engagement. States considering housing deposits as an expanded Medicaid benefit may need to temper expectations about short-term health care use impacts
Intensity of Social Needs Case Management Services and Changes in Hospital and Emergency Department Use Among Adult Medicaid Beneficiaries
OBJECTIVES: We identify the association between high- and low-intensity case management services on hospital and emergency department (ED) use among CommunityConnect patients. BACKGROUND: Social needs case management services vary in intensity, including the modality, workforce specialization, and maximum caseload. CommunityConnect is a social needs case management program implemented by Contra Costa Health, a county safety-net health system in C…
Medical neutrality and structural competency in conflict zones
This article explores the meaning, manifestations, and ramifications of medical neutrality in conflict zones. We analyse how Israeli healthcare institutions and leaders responded to the escalation of the Israeli-Palestinian conflict in May 2021 and how they represented the role of the healthcare system in society and during conflict. Based on content analysis of documents, we found that healthcare institutions and leaders called for cessation of …
How work impacts health and smoking practices among sexuality and gender minority young adults
While work has been established as an important social determinant of health, it remains understudied in health inequities research. Although work has the potential to both promote and harm health, this analysis focuses on the health-compromising elements of work in a sample of sexuality and gender minority (SGM) young adults in the San Francisco Bay Area who participated in a study investigating nicotine and tobacco (NT) use practices. Survey an…
Biomedicine and the treatment of difference in a Jerusalem emergency department
Between health care and social services
Health care systems throughout the United States are initiating collaborations with social services agencies. These cross-sector collaborations aim to address patients' social needs-such as housing, food, income, and transportation-in health care settings. However, such collaborations can be challenging as health care and social service sectors are composed of distinct missions, institutions, professional roles, and modes of distributing resource…
Globalizing transit worker stress
Health scientists have claimed that urban transit workers suffer from higher rates of stress-related disease than workers in most other occupations. This paper examines how a network of scientists and labor organizers constructed the problem of transit worker stress as a global phenomenon. According to study participants, transit workers worldwide are subject to a similar set of stress-related risks, which can serve as a basis for worker solidari…
Social prescribing and the search for value in health care
Health care systems throughout the United States are developing programmes to address patients’ ‘social determinants of health’ – such as housing, food, income and transportation. I investigate the concepts, technologies and infrastructures through which health care systems are turning towards ‘the social’ as an object of clinical knowledge and intervention. Proponents of this movement suggest that developing the clinical capacity to prescribe so…
Neutrality, conflict, and structural determinants of health in a Jerusalem emergency department
The normative demand for neutrality works to exclude discussion of the conflict from clinical spaces. The normative exclusion of politics is a vital but under-appreciated aspect of how political conflict operates as a structural determinant of health. Healthcare personnel, especially in the ED, should be trained in structural competency. This training may challenge the neglect of issues that need to be solved at the political level and enhance he…
Chaplaincy and Scottish women’s football
As an emerging sport, élite Scottish women’s football faces many of the obstacles that have traditionally blighted women’s sport in general. As a result, players contend with a number of lifestyle challenges which manifest themselves in relation to issues of self-worth, self-confidence, and personal value. The present small-scale qualitative study examines the effect of these circumstances on the emotional wellbeing of female players and the way …
Housing Is Health Care
As medicine integrates social and structural determinants into health care, some health workers redefinehousingas medical treatment. This article discusses how health workers in two U.S. urban safety-net hospitals worked with patients without stable housing. We observed ethnographically how health workers helped patients seek housing in a sharply stratified housing economy. Analyzing in-depth interviews and observations, we show how health worker…
Social Literacy
We share findings from a larger ethnographic study of two urban complex care management programs in the Western United States. The data presented stem from in-depth interviews conducted with 17 complex care management RNs and participant observations of home visits. We advance the concept of social literacy as a nursing attribute that comprises an RN's recognition and responses to the varied types of hinderances to self-management with which pati…
Patient Engagement, Chronic Illness, and the Subject of Health Care Reform
In the United States, in the wake of health care reform, health care systems have been subject to intensifying demands to increase patient engagement , a term that refers broadly to participation in care. We draw from ethnographic research in urban health care safety-net settings in California to examine efforts to increase patient engagement among chronically ill, marginalized patients who have long been disconnected from outpatient care. We sug…
"Managing the "hot spots
Health care systems in the United States are experimenting with a form of surveillance and intervention known as "hot spotting," which targets high-cost patients-the so-called "super-utilizers" of emergency departments-with intensive health and social services. Through a calculative deployment of resources to the costliest patients, health care hot spotting promises to simultaneously improve population health and decrease financial expenditures o…
"Caring for "Super-utilizers
Hospitals throughout the United States are implementing new forms of care delivery meant to address social needs for structurally vulnerable patients as a strategy to prevent emergency department visits and hospitalizations and to thereby reduce costs. This article examines how the deployment of social assistance within a neoliberal institutional logic involves the negotiation and alignment of economistic values with ethics of care. We focus on c…
Stratified citizenship, stratified health
Complex care and contradictions of choice in the safety net
This article explores the complicated and often-contradictory notions of choice at play in complex care management (CCM) programmes in the US healthcare safety net. Drawing from longitudinal data collected over two years of ethnographic fieldwork at urban safety-net clinics, our study examines the CCM goal of transforming frequent emergency department (ED) utilisers into 'active' patients who will reduce their service utilisation and thereby cont…
Response to commentary, “Trauma and the structuring of complex care
Patient engagement at the margins
Defining trauma in complex care management
Citizenship in Question
aCknowl EdgmEntSThis volume reflects impor tant collaborations beyond those of the coeditors, Benjamin Lawrance and Jacqueline Stevens, who first conceived of the project at a dinner party in Berkeley, California, in 2009.Comparing experiences outside academia, Lawrance as an expert witness and Stevens as an investigative journalist, they noted similarities in their encounters with people struggling to prove their identity and citizenship.Convers…
Stratified citizenship, stratified health
Patient engagement at the margins
"Caring for "Super-utilizers
Hospitals throughout the United States are implementing new forms of care delivery meant to address social needs for structurally vulnerable patients as a strategy to prevent emergency department visits and hospitalizations and to thereby reduce costs. This article examines how the deployment of social assistance within a neoliberal institutional logic involves the negotiation and alignment of economistic values with ethics of care. We focus on c…
Between health care and social services
Health care systems throughout the United States are initiating collaborations with social services agencies. These cross-sector collaborations aim to address patients' social needs-such as housing, food, income, and transportation-in health care settings. However, such collaborations can be challenging as health care and social service sectors are composed of distinct missions, institutions, professional roles, and modes of distributing resource…
Complex care and contradictions of choice in the safety net
This article explores the complicated and often-contradictory notions of choice at play in complex care management (CCM) programmes in the US healthcare safety net. Drawing from longitudinal data collected over two years of ethnographic fieldwork at urban safety-net clinics, our study examines the CCM goal of transforming frequent emergency department (ED) utilisers into 'active' patients who will reduce their service utilisation and thereby cont…
Defining trauma in complex care management
Citizenship in Question
aCknowl EdgmEntSThis volume reflects impor tant collaborations beyond those of the coeditors, Benjamin Lawrance and Jacqueline Stevens, who first conceived of the project at a dinner party in Berkeley, California, in 2009.Comparing experiences outside academia, Lawrance as an expert witness and Stevens as an investigative journalist, they noted similarities in their encounters with people struggling to prove their identity and citizenship.Convers…
Mass Transit Workers and Neoliberal Time Discipline in San Francisco
San Francisco's public transportation system is the slowest major urban transit system in the United States and has one of the worst on-time performance rates. In this article, I examine how these problems with time-slowness and lateness-are blamed on "unproductive" workers and mobilized as part of neoliberal restructuring strategies in San Francisco. Demands for faster-moving and more timely transit lead to the implementation and enforcement of …
Social prescribing and the search for value in health care
Health care systems throughout the United States are developing programmes to address patients’ ‘social determinants of health’ – such as housing, food, income and transportation. I investigate the concepts, technologies and infrastructures through which health care systems are turning towards ‘the social’ as an object of clinical knowledge and intervention. Proponents of this movement suggest that developing the clinical capacity to prescribe so…
Housing Is Health Care
As medicine integrates social and structural determinants into health care, some health workers redefinehousingas medical treatment. This article discusses how health workers in two U.S. urban safety-net hospitals worked with patients without stable housing. We observed ethnographically how health workers helped patients seek housing in a sharply stratified housing economy. Analyzing in-depth interviews and observations, we show how health worker…
"Managing the "hot spots
Health care systems in the United States are experimenting with a form of surveillance and intervention known as "hot spotting," which targets high-cost patients-the so-called "super-utilizers" of emergency departments-with intensive health and social services. Through a calculative deployment of resources to the costliest patients, health care hot spotting promises to simultaneously improve population health and decrease financial expenditures o…
Biomedicine and the treatment of difference in a Jerusalem emergency department
Patient Engagement, Chronic Illness, and the Subject of Health Care Reform
In the United States, in the wake of health care reform, health care systems have been subject to intensifying demands to increase patient engagement , a term that refers broadly to participation in care. We draw from ethnographic research in urban health care safety-net settings in California to examine efforts to increase patient engagement among chronically ill, marginalized patients who have long been disconnected from outpatient care. We sug…
Citizenship in Question
aCknowl EdgmEntSThis volume reflects impor tant collaborations beyond those of the coeditors, Benjamin Lawrance and Jacqueline Stevens, who first conceived of the project at a dinner party in Berkeley, California, in 2009.Comparing experiences outside academia, Lawrance as an expert witness and Stevens as an investigative journalist, they noted similarities in their encounters with people struggling to prove their identity and citizenship.Convers…
Mass Transit Workers and Neoliberal Time Discipline in San Francisco
San Francisco's public transportation system is the slowest major urban transit system in the United States and has one of the worst on-time performance rates. In this article, I examine how these problems with time-slowness and lateness-are blamed on "unproductive" workers and mobilized as part of neoliberal restructuring strategies in San Francisco. Demands for faster-moving and more timely transit lead to the implementation and enforcement of …
Response to commentary, “Trauma and the structuring of complex care
Patient engagement at the margins
Defining trauma in complex care management
Stratified citizenship, stratified health
Complex care and contradictions of choice in the safety net
This article explores the complicated and often-contradictory notions of choice at play in complex care management (CCM) programmes in the US healthcare safety net. Drawing from longitudinal data collected over two years of ethnographic fieldwork at urban safety-net clinics, our study examines the CCM goal of transforming frequent emergency department (ED) utilisers into 'active' patients who will reduce their service utilisation and thereby cont…
"Caring for "Super-utilizers
Hospitals throughout the United States are implementing new forms of care delivery meant to address social needs for structurally vulnerable patients as a strategy to prevent emergency department visits and hospitalizations and to thereby reduce costs. This article examines how the deployment of social assistance within a neoliberal institutional logic involves the negotiation and alignment of economistic values with ethics of care. We focus on c…
Social Literacy
We share findings from a larger ethnographic study of two urban complex care management programs in the Western United States. The data presented stem from in-depth interviews conducted with 17 complex care management RNs and participant observations of home visits. We advance the concept of social literacy as a nursing attribute that comprises an RN's recognition and responses to the varied types of hinderances to self-management with which pati…
Patient Engagement, Chronic Illness, and the Subject of Health Care Reform
In the United States, in the wake of health care reform, health care systems have been subject to intensifying demands to increase patient engagement , a term that refers broadly to participation in care. We draw from ethnographic research in urban health care safety-net settings in California to examine efforts to increase patient engagement among chronically ill, marginalized patients who have long been disconnected from outpatient care. We sug…
"Managing the "hot spots
Health care systems in the United States are experimenting with a form of surveillance and intervention known as "hot spotting," which targets high-cost patients-the so-called "super-utilizers" of emergency departments-with intensive health and social services. Through a calculative deployment of resources to the costliest patients, health care hot spotting promises to simultaneously improve population health and decrease financial expenditures o…
Neutrality, conflict, and structural determinants of health in a Jerusalem emergency department
The normative demand for neutrality works to exclude discussion of the conflict from clinical spaces. The normative exclusion of politics is a vital but under-appreciated aspect of how political conflict operates as a structural determinant of health. Healthcare personnel, especially in the ED, should be trained in structural competency. This training may challenge the neglect of issues that need to be solved at the political level and enhance he…
Chaplaincy and Scottish women’s football
As an emerging sport, élite Scottish women’s football faces many of the obstacles that have traditionally blighted women’s sport in general. As a result, players contend with a number of lifestyle challenges which manifest themselves in relation to issues of self-worth, self-confidence, and personal value. The present small-scale qualitative study examines the effect of these circumstances on the emotional wellbeing of female players and the way …
Housing Is Health Care
As medicine integrates social and structural determinants into health care, some health workers redefinehousingas medical treatment. This article discusses how health workers in two U.S. urban safety-net hospitals worked with patients without stable housing. We observed ethnographically how health workers helped patients seek housing in a sharply stratified housing economy. Analyzing in-depth interviews and observations, we show how health worker…
Medical neutrality and structural competency in conflict zones
This article explores the meaning, manifestations, and ramifications of medical neutrality in conflict zones. We analyse how Israeli healthcare institutions and leaders responded to the escalation of the Israeli-Palestinian conflict in May 2021 and how they represented the role of the healthcare system in society and during conflict. Based on content analysis of documents, we found that healthcare institutions and leaders called for cessation of …
How work impacts health and smoking practices among sexuality and gender minority young adults
While work has been established as an important social determinant of health, it remains understudied in health inequities research. Although work has the potential to both promote and harm health, this analysis focuses on the health-compromising elements of work in a sample of sexuality and gender minority (SGM) young adults in the San Francisco Bay Area who participated in a study investigating nicotine and tobacco (NT) use practices. Survey an…
Biomedicine and the treatment of difference in a Jerusalem emergency department
Between health care and social services
Health care systems throughout the United States are initiating collaborations with social services agencies. These cross-sector collaborations aim to address patients' social needs-such as housing, food, income, and transportation-in health care settings. However, such collaborations can be challenging as health care and social service sectors are composed of distinct missions, institutions, professional roles, and modes of distributing resource…
Globalizing transit worker stress
Health scientists have claimed that urban transit workers suffer from higher rates of stress-related disease than workers in most other occupations. This paper examines how a network of scientists and labor organizers constructed the problem of transit worker stress as a global phenomenon. According to study participants, transit workers worldwide are subject to a similar set of stress-related risks, which can serve as a basis for worker solidari…
Social prescribing and the search for value in health care
Health care systems throughout the United States are developing programmes to address patients’ ‘social determinants of health’ – such as housing, food, income and transportation. I investigate the concepts, technologies and infrastructures through which health care systems are turning towards ‘the social’ as an object of clinical knowledge and intervention. Proponents of this movement suggest that developing the clinical capacity to prescribe so…
Rental Housing Deposits and Health Care Use
In this cohort study, compared to case management only, housing deposits with case management were not associated with short-term changes in health care use. There may be other unmeasured health benefits or downstream benefits from greater case management engagement. States considering housing deposits as an expanded Medicaid benefit may need to temper expectations about short-term health care use impacts
Intensity of Social Needs Case Management Services and Changes in Hospital and Emergency Department Use Among Adult Medicaid Beneficiaries
OBJECTIVES: We identify the association between high- and low-intensity case management services on hospital and emergency department (ED) use among CommunityConnect patients. BACKGROUND: Social needs case management services vary in intensity, including the modality, workforce specialization, and maximum caseload. CommunityConnect is a social needs case management program implemented by Contra Costa Health, a county safety-net health system in C…
How an inter-organizational network hub orchestrates collective leadership to advance population health
Family Caregiver Experiences with Mobile Behavioral Health Crisis Services
Mobile behavioral health crisis response services, staffed by clinicians and specialists, can support individuals experiencing urgent mental health or substance use issues. While Medicaid coverage for these services since 2021 has supported growth in their availability, research on family caregivers’ experiences with mobile crisis services remains limited. Family caregivers often participate in encounters with crisis services when the person in c…
Policing and care in mental health crisis response
Medicine (17 obras) · Political science (16 obras) · Health care (15 obras) · Sociology (14 obras) · Nursing (13 obras) · Public relations (10 obras) · Economic growth (9 obras) · Law (9 obras) · Psychology (9 obras) · Business (8 obras)