2024
Measuring Access to Mental Health Services Among Primary Care Patients
Hargraves J, Cosenza C, Cleary P. Measuring Access to Mental Health Services Among Primary Care Patients. Medical Care 2024, 62: 559-566. PMID: 38842445, PMCID: PMC11226347, DOI: 10.1097/mlr.0000000000002029.Peer-Reviewed Original ResearchConceptsConsumer Assessment of Healthcare Providers and SystemsMental health servicesPrivately insured respondentsMental health medicinesHealth servicesHealth medicineHealth careAssessment of Healthcare Providers and SystemsHealthcare Providers and SystemsRisk of mental health disordersMental health prescriptionsPatient experience surveysPrimary care servicesPrimary care patientsMental health carePrimary care settingBehavioral health careMental health medicationsMental health disordersInternal consistency reliabilityStratified probability sampleMeasure accessAdequate internal consistency reliabilityCare settingsCare servicesSurvey Protocols, Response Rates, and Representation of Underserved Patients
Elliott M, Brown J, Hambarsoomian K, Parast L, Beckett M, Lehrman W, Giordano L, Goldstein E, Cleary P. Survey Protocols, Response Rates, and Representation of Underserved Patients. JAMA Health Forum 2024, 5: e234929. PMID: 38241055, PMCID: PMC10799262, DOI: 10.1001/jamahealthforum.2023.4929.Peer-Reviewed Original ResearchMeSH KeywordsEthnicityFemaleHumansMaleMiddle AgedRacial GroupsSurveys and QuestionnairesUnited StatesVulnerable PopulationsConceptsHospital Consumer Assessment of Healthcare Providers and SystemsOther Pacific IslanderDiverse patient populationsMultiracial patientsPatient surveyConsumer Assessment of Healthcare Providers and SystemsAssessment of Healthcare Providers and SystemsHealthcare Providers and SystemsCenters for Medicare & Medicaid ServicesRandomized clinical trialsUS Centers for Medicare & Medicaid ServicesWhite patientsResponse rateQuality improvement effortsService linesPacific Islander patientsSurvey protocolPacific IslandersPatient populationIslander patientsPatient-importantUnderserved patient groupsMedicaid ServicesAlaska NativesMain Outcomes
2020
The How Matters
Lee YSH, King MD, Anderson D, Cleary PD, Nembhard IM. The How Matters. Medical Care 2020, 58: 643-650. PMID: 32520838, DOI: 10.1097/mlr.0000000000001342.Peer-Reviewed Original ResearchConceptsPatient healthPrimary care providersQualified health centersDisease managementChronic disease managementPCP participationPatient characteristicsCare teamHealth centersHigher oddsPCP communicationCare providersPatient health managementPatientsHypertensionPractice sitesDisease controlDiabetesElectronic recordsLongitudinal studyMultilevel regression modelsTeam membersRegression modelsHealthPCP
2019
Associations of Mail Survey Length and Layout With Response Rates
Burkhart Q, Orr N, Brown JA, Hays RD, Cleary PD, Beckett MK, Perry SE, Gaillot S, Elliott MN. Associations of Mail Survey Length and Layout With Response Rates. Medical Care Research And Review 2019, 78: 441-448. PMID: 31747849, DOI: 10.1177/1077558719888407.Peer-Reviewed Original Research
2018
International variations in trust in health care systems
Zhao D, Zhao H, Cleary PD. International variations in trust in health care systems. The International Journal Of Health Planning And Management 2018, 34: 130-139. PMID: 30109894, DOI: 10.1002/hpm.2597.Peer-Reviewed Original ResearchConceptsGross national incomeHealth care expendituresNational incomeEconomic circumstancesCare expendituresInternational Social Survey ProgrammeHealth care systemCountry gross national incomeHigh health expendituresLower health care expendituresIntercountry variabilityHealth expenditurePublic trustHealth Care SurveyCare systemCapitaIntercountry differencesIncomeExpenditureCountriesRespondent's educationSurvey programLess trustInternational variationTrust
2017
Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees
Ndumele CD, Cohen MS, Cleary PD. Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees. JAMA Internal Medicine 2017, 177: 1445-1451. PMID: 28806455, PMCID: PMC5710214, DOI: 10.1001/jamainternmed.2017.3766.Peer-Reviewed Original Research
2016
Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition
Cleary PD. Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition. Journal Of Health Politics Policy And Law 2016, 41: 675-696. PMID: 27127265, DOI: 10.1215/03616878-3620881.Peer-Reviewed Original ResearchMeSH KeywordsHealth EquityHealthcare DisparitiesHumansPatient CarePatient SatisfactionPatient-Centered CareReproducibility of ResultsSurveys and QuestionnairesConceptsHealth care qualityQuality improvement effortsPatient satisfactionCare experiencesCare qualityHigh-quality patient-centered carePatient-centered carePatient care experiencesHealth care systemBetter outcomesCare needsPatient experienceImprovement effortsCare systemCareSurvey-based assessmentOutcomesMultiple outcomesBroad effectsAvailable researchBroad improvementsEvolving ConceptMedicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts
Elliott MN, Landon BE, Zaslavsky AM, Edwards C, Orr N, Beckett MK, Mallett J, Cleary PD. Medicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts. Health Affairs 2016, 35: 456-463. PMID: 26953300, DOI: 10.1377/hlthaff.2015.0816.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overDatabases, FactualDrug PrescriptionsFemaleHealth ExpendituresHumansInsurance CoverageInsurance, Pharmaceutical ServicesMaleManaged Care ProgramsMedicare Part CMedicare Part DPatient SatisfactionRetrospective StudiesSex FactorsSurveys and QuestionnairesUnited StatesConceptsPrescription drug plansPrescription drug coverageDrug plansMedicare beneficiariesDrug coverageCommunity-dwelling Medicare beneficiariesOverall health care costsMedicare Advantage health plansMA plansHealth care costsPercent of beneficiariesAffordable Care ActQuality bonus paymentsPlan enrolleesMedicare prescription drug coverageCare costsHealth plansCare ActPositive experiencesAge sixtyBeneficiary assessmentMedicationsMA counterpartsBeneficiariesEnrollees
2014
Examining the Role of Patient Experience Surveys in Measuring Health Care Quality
Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, Edgman-Levitan S, Cleary PD. Examining the Role of Patient Experience Surveys in Measuring Health Care Quality. Medical Care Research And Review 2014, 71: 522-554. PMID: 25027409, PMCID: PMC4349195, DOI: 10.1177/1077558714541480.Peer-Reviewed Original ResearchMeSH KeywordsHumansPatient CompliancePatient SafetyPatient SatisfactionQuality Assurance, Health CareQuality of Health CareSurveys and QuestionnairesTreatment OutcomeUnited StatesConceptsHealth care qualityBetter patient care experiencesLess health care utilizationCare qualityBetter clinical outcomesHealth care utilizationPatient experience surveysPatient experience measuresPatient care experiencesBetter patient safetyClinical outcomesCare utilizationExperiences SurveyPatient experienceCare experiencesPatient safetyClinical processesExperience measuresPublic reportingStandard protocolSound instrumentPerformance programsSample sizeHigh levelsHospitalAre Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospitalThe Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey
Drake KM, Hargraves JL, Lloyd S, Gallagher PM, Cleary PD. The Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey. Health Services Research 2014, 49: 1387-1399. PMID: 24471975, PMCID: PMC4239855, DOI: 10.1111/1475-6773.12160.Peer-Reviewed Original Research
2013
Improving the quality of mental health care in Multiple Sclerosis
Minden S, Ding L, Cleary P, Frankel D, Glanz B, Healy B, Rintell D. Improving the quality of mental health care in Multiple Sclerosis. Journal Of The Neurological Sciences 2013, 335: 42-47. PMID: 24183855, DOI: 10.1016/j.jns.2013.08.021.Peer-Reviewed Original ResearchConceptsMental health treatmentMental health professionalsMultiple sclerosisMental health careHealth treatmentHealth professionalsMental health problemsMS centersCare providersHealth problemsMental health treatment experiencesMS care providersPercent of patientsHealth careHealth Outcomes SurveySerious mental illnessBetter mental health careExperience of careKessler-6 scaleMS careMS patientsTreatment optionsOutcome SurveyTreatment experiencePatients
2012
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care. Medical Care 2012, 50: s11-s19. PMID: 23064271, PMCID: PMC3525454, DOI: 10.1097/mlr.0b013e3182610a50.Peer-Reviewed Original ResearchConceptsHealth information technologyPatient experienceProvider websitesInformation technologyItem-scale correlationsDoctors' useE-mailAcademic medical centerIndependent predictorsAmbulatory careMedical CenterHealth plansIntegrated delivery systemsCognitive testingConsumer AssessmentCronbach's αComputerHealth careCarePatientsWebsitesPhysiciansCAHPSFocus groupsOverall ratingDevelopment of and Field Test Results for the CAHPS PCMH Survey
Scholle SH, Vuong O, Ding L, Fry S, Gallagher P, Brown JA, Hays RD, Cleary PD. Development of and Field Test Results for the CAHPS PCMH Survey. Medical Care 2012, 50: s2-s10. PMID: 23064272, PMCID: PMC5388834, DOI: 10.1097/mlr.0b013e3182610aba.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolCommunity Health CentersConsumer BehaviorFactor Analysis, StatisticalFemaleFocus GroupsHealth Care SurveysHealth PersonnelHumansInfantInterviews as TopicMaleMiddle AgedPatient SatisfactionPatient-Centered CarePrimary Health CarePrivate PracticeReproducibility of ResultsSurveys and QuestionnairesUnited StatesYoung AdultConceptsEffective care practicesProcess of careMulti-item compositesPrimary careMedical homePediatric practiceSystems ClinicianCare practicesHealthcare providersConsumer AssessmentExpert panelSupplemental itemsPCMHCareChild versionCognitive interviewsExploratory factor analysisSurvey questionsPatientsBroad public inputCliniciansPsychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey
Dyer N, Sorra JS, Smith SA, Cleary PD, Hays RD. Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey. Medical Care 2012, 50: s28-s34. PMID: 23064274, PMCID: PMC3480671, DOI: 10.1097/mlr.0b013e31826cbc0d.Peer-Reviewed Original ResearchConceptsPractice site levelDoctor communicationSystems ClinicianHealthcare providersInternal consistency reliabilityConsumer AssessmentOutpatient medical officesGlobal ratingVisit surveyMulti-item compositesConsistency reliabilityClinical practice sitesGlobal rating itemsPsychometric propertiesDoctors' ratingsAcceptable psychometric propertiesCAHPS ClinicianHelpful staffMedical officesPractice sitesPatientsCliniciansCareIndividual levelSurvey items
2011
Factors affecting the use of patient survey data for quality improvement in the Veterans Health Administration
Davies EA, Meterko MM, Charns MP, Nealon Seibert M, Cleary PD. Factors affecting the use of patient survey data for quality improvement in the Veterans Health Administration. BMC Health Services Research 2011, 11: 334. PMID: 22151714, PMCID: PMC3266219, DOI: 10.1186/1472-6963-11-334.Peer-Reviewed Original ResearchAttitude of Health PersonnelClinical CompetenceHealth Care SurveysHospitals, VeteransHumansInterviews as TopicMedical Staff, HospitalOrganizational Case StudiesOrganizational CulturePatient SatisfactionPatient-Centered CareQuality ImprovementSocial SupportSurgicentersSurveys and QuestionnairesSystems AnalysisUnited StatesUnited States Department of Veterans AffairsConcurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth
Steffenson AE, Pettifor AE, Seage GR, Rees HV, Cleary PD. Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth. Sexually Transmitted Diseases 2011, 38: 459-466. PMID: 21258268, PMCID: PMC3763704, DOI: 10.1097/olq.0b013e3182080860.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHuman immunodeficiency virus (HIV) riskSpread of HIVPrevalence of concurrencyConsistent condom useOlder South AfricansConcurrent sexual partnershipsHIV infectionImmunodeficiency virusMedian lengthRelationship power imbalancesMultivariate analysisCondom useSexual networksPrevention effortsSexual partnershipsAttitudes/behaviorsTransactional sexMonthsWomenExperienced youthMenPrevalenceVirus riskMultiple partners
2010
Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine
Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine. Health Services Research 2010, 45: 1188-1204. PMID: 20662947, PMCID: PMC2965500, DOI: 10.1111/j.1475-6773.2010.01138.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude to HealthEvidence-Based MedicineFemaleHealth Care SurveysHospitals, VeteransHumansLength of StayMaleMarkov ChainsMonte Carlo MethodMultivariate AnalysisMyocardial InfarctionOutcome Assessment, Health CarePatient-Centered CarePeer Review, Health CareProportional Hazards ModelsQuality of Health CareSurveys and QuestionnairesSurvival RateUnited StatesConceptsAcute myocardial infarctionPatient-centered careMyocardial infarctionInitial acute myocardial infarctionPatient health-related behaviorsVeterans Affairs Medical CenterBetter patient-centered carePatients' sociodemographic characteristicsPatient's clinical conditionRecent prospective studiesInfluence of patientImportant clinical benefitsProportional hazards modelEvidence-based treatmentsHealth-related behaviorsEvidence-based medicinePatient-physician relationshipPicker questionnaireCardiac symptomsPatient characteristicsAMI patientsClinical benefitProspective studyAMI careClinical conditionsA Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey
Anastario MP, Rodriguez HP, Gallagher PM, Cleary PD, Shaller D, Rogers WH, Bogen K, Safran DG. A Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey. Health Services Research 2010, 45: 1345-1359. PMID: 20579126, PMCID: PMC2965508, DOI: 10.1111/j.1475-6773.2010.01129.x.Peer-Reviewed Original ResearchConceptsPatient care experiencesCare experiencesLower overall response rateOverall response rateComparison of physicianChoice of patientsCAHPS ClinicianResponse ratePractice sitesSurvey scoresAnalytic samplePotential rolePatientsCliniciansDistribution ratePhysiciansFurther testingValid assessmentSurvey distributionNew York StateGroup surveyMailTrialsWeeksRate
2009
Effect of Depression Treatment on Chronic Pain Outcomes
Teh CF, Zaslavsky AM, Reynolds CF, Cleary PD. Effect of Depression Treatment on Chronic Pain Outcomes. Psychosomatic Medicine 2009, 72: 61-67. PMID: 19875633, PMCID: PMC3171143, DOI: 10.1097/psy.0b013e3181c2a7a8.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityCost of IllnessDepressive Disorder, MajorEmploymentFemaleHealth StatusHealth SurveysHumansLogistic ModelsMaleMental HealthMiddle AgedOutcome Assessment, Health CarePainPain ManagementPropensity ScorePsychiatric Status Rating ScalesQuality of Health CareSickness Impact ProfileSurveys and QuestionnairesConceptsDepression treatmentChronic painMedical Outcomes Study Short Form-12Health statusPropensity score-weighted analysisMental healthAdequate depression treatmentShort Form-12Chronic pain conditionsChronic pain outcomesMental component summaryMajor depressive disorderEffect of painPhysical health statusChronic pain sufferersMental health statusWorse health outcomesMental health problemsBetter mental healthNumber of workdaysPain controlPain severityComponent summaryPain conditionsPain outcomes