2014
Should Health Care Providers be Accountable for Patients’ Care Experiences?
Anhang Price R, Elliott MN, Cleary PD, Zaslavsky AM, Hays RD. Should Health Care Providers be Accountable for Patients’ Care Experiences? Journal Of General Internal Medicine 2014, 30: 253-256. PMID: 25416601, PMCID: PMC4314483, DOI: 10.1007/s11606-014-3111-7.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelHealth PersonnelHumansPatient CarePatient SatisfactionPatient-Centered CareSocial ResponsibilityConceptsHealth care providersPatient experience measuresCare providersPatient experienceCare experiencesExperience measuresCare qualityHigh-quality clinical careBetter patient experienceHealth care qualityPatients' scoresClinical carePatient's desirePatientsResponse rateHealthcare providersConsumer AssessmentSystem surveyStandardized approachExperiences SurveyProvidersAre 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 statusHospital
2012
Improving Organizational Climate for Quality and Quality of Care
Nembhard IM, Northrup V, Shaller D, Cleary PD. Improving Organizational Climate for Quality and Quality of Care. Medical Care 2012, 50: s74-s82. PMID: 23064280, PMCID: PMC5428889, DOI: 10.1097/mlr.0b013e31826b1087.Peer-Reviewed Original ResearchConceptsTimeliness of careDoctor-patient communicationClinical Systems ImprovementPatient-centered careQuality of careStaff helpfulnessRatings of doctorsComparison clinicsIntervention clinicsPre-post designQuality improvement collaborativesControl clinicsDoctors' ratingsQuality careClinicClinic employeesDoctor's officeCareEquivocal effectsImprovement collaborativesMonthsPoor qualityMixed effectsDoctorsStaff relationships
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 Affairs
2007
Professionalism in medicine: results of a national survey of physicians.
Campbell EG, Regan S, Gruen RL, Ferris TG, Rao SR, Cleary PD, Blumenthal D. Professionalism in medicine: results of a national survey of physicians. Annals Of Internal Medicine 2007, 147: 795-802. PMID: 18056665, DOI: 10.7326/0003-4819-147-11-200712040-00012.Peer-Reviewed Original ResearchFactors Affecting Influential Discussions Among Physicians: A Social Network Analysis of a Primary Care Practice
Keating NL, Ayanian JZ, Cleary PD, Marsden PV. Factors Affecting Influential Discussions Among Physicians: A Social Network Analysis of a Primary Care Practice. Journal Of General Internal Medicine 2007, 22: 794-798. PMID: 17404798, PMCID: PMC2219865, DOI: 10.1007/s11606-007-0190-8.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPrimary care practicesCare physiciansHigh-quality evidence-based medicineCare practicesHealth issuesWomen's health issuesEvidence-based medicineSame clinicWomen's healthDifferent clinicsPhysician locationPhysiciansMore womenClinical sessionsClinicAcademic practiceHealthRapid disseminationPatientsDesignSurveyObjectiveEvaluateBackgroundPhysiciansCareWomen
2005
Exploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services
O'Malley AJ, Zaslavsky AM, Hays RD, Hepner KA, Keller S, Cleary PD. Exploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services. Health Services Research 2005, 40: 2078-2095. PMID: 16316439, PMCID: PMC1361242, DOI: 10.1111/j.1475-6773.2005.00471.x.Peer-Reviewed Original ResearchConceptsPatient-level analysisComposite scoreDifferent composite scoresObstetric servicesPatient levelHospital SurveyHospital levelHealthcare providersHospitalCAHPS Hospital SurveyPatientsConsumer AssessmentMedicaid ServicesCross-sectional dataPilot surveyCAHPS scoresScoresExploratory factor analytic methodsQuestionnaire itemsExploratory factor analysisSurgicalQuality reportsLevelsCAHPSPredictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users
Ding L, Landon BE, Wilson IB, Wong MD, Shapiro MF, Cleary PD. Predictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users. JAMA Internal Medicine 2005, 165: 618-623. PMID: 15795336, DOI: 10.1001/archinte.165.6.618.Peer-Reviewed Original ResearchConceptsInjection drug usersActive antiretroviral therapyDrug usersAntiretroviral therapyPhysicians' attitudesUnmet needMore injection drug usersHuman immunodeficiency virusQuality of careCross-sectional surveyRate of exposureCare physiciansImmunodeficiency virusOptimal careCare measuresHIV knowledgePractice characteristicsHIVPatient exposureKnowledge scorePhysiciansPhysician trainingCareExperience-based exercisesNegative attitudes
2004
Disparities in HIV Treatment and Physician Attitudes About Delaying Protease Inhibitors for Nonadherent Patients
Wong MD, Cunningham WE, Shapiro MF, Andersen RM, Cleary PD, Duan N, Liu HH, Wilson IB, Landon BE, Wenger NS, Consortium F. Disparities in HIV Treatment and Physician Attitudes About Delaying Protease Inhibitors for Nonadherent Patients. Journal Of General Internal Medicine 2004, 19: 366-374. PMID: 15061746, PMCID: PMC1492193, DOI: 10.1111/j.1525-1497.2004.30429.x.Peer-Reviewed Original ResearchConceptsPhysical health statusNonadherent patientsHealth statusPatient adherencePrescribing attitudePhysicians' attitudesProtease inhibitorsBaseline physical health statusCurrent HIV treatment guidelinesHIV treatment guidelinesFirst receiptPI treatmentProspective cohort studyAfrican American patientsHIV infection ratesPercent of providersHealth care providersAntiretroviral therapyCohort studyPatient demographicsTreatment guidelinesSimilar oddsHIV treatmentHIV resistanceHIV knowledgePhysicians’ beliefs about racial differences in referral for renal transplantation
Ayanian JZ, Cleary PD, Keogh JH, Noonan SJ, David-Kasdan JA, Epstein AM. Physicians’ beliefs about racial differences in referral for renal transplantation. American Journal Of Kidney Diseases 2004, 43: 350-357. PMID: 14750101, DOI: 10.1053/j.ajkd.2003.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsianAttitude of Health PersonnelBlack or African AmericanHealth Services AccessibilityHumansKidney Failure, ChronicKidney TransplantationMiddle AgedNephrologyPatient Acceptance of Health CarePhysician-Patient RelationsQuality of LifeReferral and ConsultationSurvival RateUnited StatesWhite PeopleConceptsRenal transplantationWhite patientsPatient-physician communicationBlack patientsQuality of lifeRacial differencesEnd-stage renal diseaseNephrologist's viewComorbid illnessesRenal diseaseTreatment optionsPatient preferencesPhysician biasPhysicians' beliefsPatientsPhysicians' viewsTransplantationPhysiciansCareSurvivalImportant reasonUS regionsNephrologistsDifferencesReferral
2002
Evolving dissatisfaction among primary care physicians.
Landon BE, Aseltine R, Shaul JA, Miller Y, Auerbach BA, Cleary PD. Evolving dissatisfaction among primary care physicians. The American Journal Of Managed Care 2002, 8: 890-901. PMID: 12395957.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelFemaleHealth Services ResearchHumansJob SatisfactionMaleMassachusettsMultivariate AnalysisPhysicians, FamilyConceptsPrimary care physiciansCare physiciansCurrent practice situationCare plansLarge health planQuality of careCross-sectional surveyOverall satisfactionChoice of hospitalImportant predictorCare dissatisfactionAdequacy of reimbursementOverall dissatisfactionMultivariable modelPhysician ratingsPhysician satisfactionHealth plansPhysiciansPhysician practicesCarePractice situationsWay physiciansPredictorsHospitalSatisfactionHow Are Patients' Specific Ambulatory Care Experiences Related to Trust, Satisfaction, and Considering Changing Physicians?
Keating NL, Green DC, Kao AC, Gazmararian JA, Wu VY, Cleary PD. How Are Patients' Specific Ambulatory Care Experiences Related to Trust, Satisfaction, and Considering Changing Physicians? Journal Of General Internal Medicine 2002, 17: 29-39. PMID: 11903773, PMCID: PMC1494999, DOI: 10.1046/j.1525-1497.2002.10209.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelBaltimoreConfidence IntervalsDistrict of ColumbiaFemaleFloridaGeorgiaHumansMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePatient ParticipationPatient SatisfactionPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesConceptsPatient trustLower overall ratingsLarge national health insurerAmbulatory care experiencesMost patientsMultivariable analysisNational health insurerOverall ratingPatient reportsMedical informationAmbulatory settingPatient experienceMedical careCare experiencesPhysiciansHealth care organizationsPatient problemsTelephone surveyHealth informationMore trusting relationshipCare organizationsPatientsHealth insurersProblem experience
1999
Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts
Williams T, Zaslavsky A, Cleary P. Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts. Medical Care 1999, 37: 589-600. PMID: 10386571, DOI: 10.1097/00005650-199906000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelEducation, Medical, ContinuingEvaluation Studies as TopicFactor Analysis, StatisticalFemaleHealth Knowledge, Attitudes, PracticeHealth Services ResearchHumansJob SatisfactionMaleManaged Care ProgramsMassachusettsPhysician Incentive PlansPhysiciansProfessional PracticeQuality of Health CareSurveys and Questionnaires
1994
Hypochondriasis and Panic Disorder: Boundary and Overlap
Barsky A, Barnett M, Cleary P. Hypochondriasis and Panic Disorder: Boundary and Overlap. JAMA Psychiatry 1994, 51: 918-925. PMID: 7944880, DOI: 10.1001/archpsyc.1994.03950110078010.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPanic disorderCare physiciansMedical careDSM-III-R panic disorderPrimary care patientsPrimary care populationComorbid panic disorderSomatization disorder symptomsPanic disorder criteriaStructured diagnostic interviewCare patientsClinic attendersCare populationMajor depressionSelf-report questionnairesPatientsDiagnostic InterviewDisorder criteriaHypochondriasisAnxiety disordersDisordersPhenomenological overlapDisorder symptomsPhysicians
1993
What patients really want.
Gerteis M, Edgman-Levitan S, Walker J, Stoke D, Cleary P, Delbanco T. What patients really want. Health Management Quarterly 1993, 15: 2-6. PMID: 10129190.Peer-Reviewed Original Research
1987
Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism
Warburg M, Cleary P, Rohman M, Barnes H, Aronson M, Delbanco T. Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Academic Medicine 1987, 62: 497-503. PMID: 3599038, DOI: 10.1097/00001888-198706000-00007.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcoholismAttitude of Health PersonnelBehaviorHumansInternal MedicineInternship and ResidencyMassachusettsPhysiciansConceptsPractice behaviorsClinical experiencePrevalence of alcoholismTreatment of alcoholismPhysician practice behaviorSenior medical residentsRelevant clinical experienceAlcoholic patientsAlcoholism therapyTraining hospitalsResidents' estimatesPatientsPhysician practicesAlcoholismMedical residentsHarvard Medical SchoolImportant predictorAlcoholicsSignificant relationshipMedical schoolsHospitalTherapyNegative attitudesPrevalenceDiagnosis