Stephen L Fielding
Biographic Data
| ID | 245492 |
|---|---|
| NAME | Stephen L Fielding |
| GIVEN NAMES | Stephen L |
| FAMILY NAME | Fielding |
| SIGNATURE | FIELDING S L |
| AFFILIATIONS | University of Rochester |
| VERIFIED | No |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 36 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1984 |
| LATEST PUBLICATION YEAR | 2014 |
| H-INDEX | 4 |
Empowerment Evaluation, Postprofessionalization, and Oligarchy: A Retrospective
Here, I venture into the sociology of the professions to discuss the impact of empowerment evaluation on the autonomy of its practitioners. I do so because I found the process of conducting an empowerment evaluation to be challenging during the first four years of a Substances and Mental Health Services Administration (SAMHSA) system-of-care (SOC) mental health services transformation for youth with serious emotional disturbance (SED). My goal is…
Mediating Program Evaluations: The Role of Funding Agencies
Organizations conduct external evaluations for several reasons. They might want an independent assessment showing that their program is effective to garner community support, favorably influence public policy related to their mission, support their future bids for financial support, provide critical information for continuous quality assessment (although much of the latter is conducted internally by the organizations themselves), or because an ex…
Strain Among Caregivers of Youth Designated as Seriously Emotionally Disturbed: Do Place of Residence and Race Matter
To what extent might race and where one lives at service start in Monroe County, New York, influence three dimensions of caregiver strain among those caring for a youth designated as having serious emotional disturbance? We used the Caregiver Strain Questionnaire to measure our outcomes: subjective internalizing strain—negative feelings of guilt and worry associated with having a child with behavioral and emotional problems; subjective externaliz…
Disparity of SED Recovery: Community Initiatives to Enhance a System of Care Mental Health Transformation
How do youth from various community groups designated as having a serious emotional disturbance (SED) recover over time? We conducted an evaluation of a Substance Abuse and Mental Health Services Administration System of Care grant initiative for Monroe County, New York, to answer this and other questions. We looked at outcome differences over time using the Behavioral and Emotional Ratings Scale’s (2nd ed.) overall strength scores among youth li…
Social Context and the Experience of a Sample of U.S. Women Taking RU-486 (Mifepristone) for Early Abortion
Of 50 women seeking an abortion in Rochester, New York, between November 1999 and January 2001, 35 went on to complete an in-depth interview from 1 to 6 weeks after their followup clinical visit. Ahigher proportion of women who defined their pregnancy as a baby indicated emotional distress during their in-depth interview compared to those who saw their pregnancy as only having the potential to become a baby. The authors conclude that abortion mig…
Protecting american health care consumers
Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences
Learning whether women are concerned about personal control may help clinicians identify appropriate candidates for medical abortion. In addition, clinicians could help allay women's anxiety at their first abortion visit by explaining that the uncertainties posed by any medical procedure create similar feelings. Clinicians also should reemphasize at the follow-up visit that there are no long-term health effects related to abortion
Recent Health Policy Innovations in Social Security
The debate about health care reform has gone on for many years. The debate has generated often innovative ideas for reform that transcend national boundaries. For example, proposals have been made for an extension of health insurance with a framework of social protection; progressive development of funding methods; controls on expenditure; bringing benefits into line with what is actually needed; and the application of technological advances. The…
Books in review
Changing Medical Practice and Medical Malpractice Claims
I use statistical data to describe the populations of malpractice claims in New York and Massachusetts, and in-depth interviews with physicians and claimants to explore the human side of medical malpractice claims. I argue that medical malpractice claims are associated with tertiary medical care delivered within a business setting. Several major themes emerge from my analysis. There is a strong distinction between physicians' and claimants' defin…
Case studies: A case of egalitarianism
The psychosocial work environment: Work organization, democratization and health
Delayed Access to Health Care: Risk Factors, Reasons, and Consequences
OBJECTIVE: To determine characteristics of patients reporting delays in care before hospitalization and the reasons for those delays. DESIGN: Survey; personal interviews. SETTING: Five hospitals in Massachusetts. PATIENTS: Subjects were drawn from a consecutive sample of all adult patients (excluding obstetrics or psychiatry patients) hospitalized during the first 6 months of 1987 as part of a larger study of hospital costs. For the current study…
The social construction of the medical malpractice crisis: A case study of Massachusetts physicians
Physician Reactions to Malpractice Suits and Cost Containment in Massachusetts
Three medical specialties are examined in this study: obstetrics, thoracic surgery, and general pediatrics. The findings reveal three features of medical practice. First, physicians distinguish technical from clinical autonomy. Second, cost containment reduces the clinical autonomy of physicians by pressuring them to utilize fewer resources. Third, the threat of being sued reduces clinical autonomy since physicians feel the need to run more diagn…
Organizational impact on medicine: The HMO concept
The psychosocial work environment: Work organization, democratization and health
Physician Reactions to Malpractice Suits and Cost Containment in Massachusetts
Three medical specialties are examined in this study: obstetrics, thoracic surgery, and general pediatrics. The findings reveal three features of medical practice. First, physicians distinguish technical from clinical autonomy. Second, cost containment reduces the clinical autonomy of physicians by pressuring them to utilize fewer resources. Third, the threat of being sued reduces clinical autonomy since physicians feel the need to run more diagn…
Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences
Learning whether women are concerned about personal control may help clinicians identify appropriate candidates for medical abortion. In addition, clinicians could help allay women's anxiety at their first abortion visit by explaining that the uncertainties posed by any medical procedure create similar feelings. Clinicians also should reemphasize at the follow-up visit that there are no long-term health effects related to abortion
Changing Medical Practice and Medical Malpractice Claims
I use statistical data to describe the populations of malpractice claims in New York and Massachusetts, and in-depth interviews with physicians and claimants to explore the human side of medical malpractice claims. I argue that medical malpractice claims are associated with tertiary medical care delivered within a business setting. Several major themes emerge from my analysis. There is a strong distinction between physicians' and claimants' defin…
Organizational impact on medicine: The HMO concept
The social construction of the medical malpractice crisis: A case study of Massachusetts physicians
Organizational impact on medicine: The HMO concept
The social construction of the medical malpractice crisis: A case study of Massachusetts physicians
Physician Reactions to Malpractice Suits and Cost Containment in Massachusetts
Three medical specialties are examined in this study: obstetrics, thoracic surgery, and general pediatrics. The findings reveal three features of medical practice. First, physicians distinguish technical from clinical autonomy. Second, cost containment reduces the clinical autonomy of physicians by pressuring them to utilize fewer resources. Third, the threat of being sued reduces clinical autonomy since physicians feel the need to run more diagn…
Delayed Access to Health Care: Risk Factors, Reasons, and Consequences
OBJECTIVE: To determine characteristics of patients reporting delays in care before hospitalization and the reasons for those delays. DESIGN: Survey; personal interviews. SETTING: Five hospitals in Massachusetts. PATIENTS: Subjects were drawn from a consecutive sample of all adult patients (excluding obstetrics or psychiatry patients) hospitalized during the first 6 months of 1987 as part of a larger study of hospital costs. For the current study…
The psychosocial work environment: Work organization, democratization and health
Case studies: A case of egalitarianism
Changing Medical Practice and Medical Malpractice Claims
I use statistical data to describe the populations of malpractice claims in New York and Massachusetts, and in-depth interviews with physicians and claimants to explore the human side of medical malpractice claims. I argue that medical malpractice claims are associated with tertiary medical care delivered within a business setting. Several major themes emerge from my analysis. There is a strong distinction between physicians' and claimants' defin…
Books in review
Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences
Learning whether women are concerned about personal control may help clinicians identify appropriate candidates for medical abortion. In addition, clinicians could help allay women's anxiety at their first abortion visit by explaining that the uncertainties posed by any medical procedure create similar feelings. Clinicians also should reemphasize at the follow-up visit that there are no long-term health effects related to abortion
Recent Health Policy Innovations in Social Security
The debate about health care reform has gone on for many years. The debate has generated often innovative ideas for reform that transcend national boundaries. For example, proposals have been made for an extension of health insurance with a framework of social protection; progressive development of funding methods; controls on expenditure; bringing benefits into line with what is actually needed; and the application of technological advances. The…
Protecting american health care consumers
Social Context and the Experience of a Sample of U.S. Women Taking RU-486 (Mifepristone) for Early Abortion
Of 50 women seeking an abortion in Rochester, New York, between November 1999 and January 2001, 35 went on to complete an in-depth interview from 1 to 6 weeks after their followup clinical visit. Ahigher proportion of women who defined their pregnancy as a baby indicated emotional distress during their in-depth interview compared to those who saw their pregnancy as only having the potential to become a baby. The authors conclude that abortion mig…
Mediating Program Evaluations: The Role of Funding Agencies
Organizations conduct external evaluations for several reasons. They might want an independent assessment showing that their program is effective to garner community support, favorably influence public policy related to their mission, support their future bids for financial support, provide critical information for continuous quality assessment (although much of the latter is conducted internally by the organizations themselves), or because an ex…
Strain Among Caregivers of Youth Designated as Seriously Emotionally Disturbed: Do Place of Residence and Race Matter
To what extent might race and where one lives at service start in Monroe County, New York, influence three dimensions of caregiver strain among those caring for a youth designated as having serious emotional disturbance? We used the Caregiver Strain Questionnaire to measure our outcomes: subjective internalizing strain—negative feelings of guilt and worry associated with having a child with behavioral and emotional problems; subjective externaliz…
Disparity of SED Recovery: Community Initiatives to Enhance a System of Care Mental Health Transformation
How do youth from various community groups designated as having a serious emotional disturbance (SED) recover over time? We conducted an evaluation of a Substance Abuse and Mental Health Services Administration System of Care grant initiative for Monroe County, New York, to answer this and other questions. We looked at outcome differences over time using the Behavioral and Emotional Ratings Scale’s (2nd ed.) overall strength scores among youth li…
Empowerment Evaluation, Postprofessionalization, and Oligarchy: A Retrospective
Here, I venture into the sociology of the professions to discuss the impact of empowerment evaluation on the autonomy of its practitioners. I do so because I found the process of conducting an empowerment evaluation to be challenging during the first four years of a Substances and Mental Health Services Administration (SAMHSA) system-of-care (SOC) mental health services transformation for youth with serious emotional disturbance (SED). My goal is…
Medicine (11 works) · Political science (10 works) · Psychology (9 works) · Sociology (7 works) · Law (6 works) · Psychiatry (5 works) · Social Psychology (5 works) · Economics (4 works) · Family medicine (4 works) · Health care (4 works)