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 rating
2009
Development of a New Patient-Based Measure of Pediatric Ambulatory Care
Gallagher P, Ding L, Ham HP, Schor EL, Hays RD, Cleary PD. Development of a New Patient-Based Measure of Pediatric Ambulatory Care. Pediatrics 2009, 124: 1348-1354. PMID: 19822587, PMCID: PMC5443558, DOI: 10.1542/peds.2009-0495.Peer-Reviewed Original ResearchConceptsPediatric ambulatory carePreventive careAmbulatory carePediatric careCAHPS surveyAmbulatory pediatric careHospital care experiencesHealth care policyPediatric instrumentsPediatric expertsNew patientsGood internal consistencyDevelopmental monitoringHealthcare providersCare experiencesConsumer AssessmentCareHealth careCare policyCliniciansInternal consistencyFocus groupsValid assessmentCognitive interviewsGroupPhysicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey
Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, Cleary PD, Orav EJ, Poon EG, Bates DW. Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey. Journal Of The American Medical Informatics Association 2009, 16: 465-470. PMID: 19390104, PMCID: PMC2705248, DOI: 10.1197/jamia.m3081.Peer-Reviewed Original Research
2006
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2005
A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy.
Wilson IB, Landon BE, Ding L, Zaslavsky AM, Shapiro MF, Bozzette SA, Cleary PD. A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy. Medical Care 2005, 43: 12-20. PMID: 15626929.Peer-Reviewed Original ResearchConceptsActive antiretroviral therapyHIV careRate of exposureHIV expertiseAntiretroviral therapyInfectious disease specialistsServices Utilization StudyTotal patient volumeSite of careCross-sectional analysisHIV physiciansHAART useHIV CostHIV infectionDisease specialistsPhysician effectOutpatient careLow-volume sitesMultivariable modelAdjusted ratesHAARTPatientsUtilization studiesPatient volumeMedical directors
2004
Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care
Zaslavsky AM, Zaborski LB, Cleary PD. Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care. Health Services Research 2004, 39: 1467-1486. PMID: 15333118, PMCID: PMC1361079, DOI: 10.1111/j.1475-6773.2004.00299.x.Peer-Reviewed Original ResearchConceptsHealth plansConsumer AssessmentCare plansHealth Plans Study (CAHPS) surveyGlobal ratingRatings of careHealth plan qualityAspects of careQuality of careAmbulatory health careQuality improvement measuresPrescription drug benefitPrescription accessStudy periodDrug benefitCareHealth carePlan qualityMedicareBenefit designMeaningful changeRepresentative sampleDoctorsYears
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
2002
HIV Patients’ Experiences With Inpatient and Outpatient Care
Wilson IB, Ding L, Hays RD, Shapiro MF, Bozzette SA, Cleary PD. HIV Patients’ Experiences With Inpatient and Outpatient Care. Medical Care 2002, 40: 1149-1160. PMID: 12458298, DOI: 10.1097/00005650-200212000-00003.Peer-Reviewed Original ResearchConceptsOutpatient careCare experiencesPatient characteristicsInpatient stayGlobal ratingPatient experienceBetter provider-patient communicationOnly patient characteristicServices Utilization StudyProblem rateSpecific patient subgroupsProcess of careProvider-patient communicationSite of carePatient care experiencesQuality improvement effortsCohort studyHIV CostOutpatient visitsPatient subgroupsEmergency roomMultivariable modelInpatientsUtilization studiesHIVHow 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
2001
Quality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region
Seddon M, Ayanian J, Landrum M, Cleary P, Peterson E, Gahart M, McNeil B. Quality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region. The American Journal Of Medicine 2001, 111: 24-32. PMID: 11448657, DOI: 10.1016/s0002-9343(01)00741-0.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmbulatory CareAnticholesteremic AgentsAspirinCalcium Channel BlockersCaliforniaComorbidityDrug PrescriptionsEducational StatusEthnicityFee-for-Service PlansFemaleFloridaHealth Maintenance OrganizationsHumansIncomeMaleMedicareMultivariate AnalysisMyocardial InfarctionNew EnglandQuality of Health CareSurveys and QuestionnairesUnited StatesConceptsHealth maintenance organizationCholesterol-lowering agentsService patientsMyocardial infarctionCardiac medicationsCardiac rehabilitationHMO patientsMedicare patientsEffective cardiac medicationsCalcium channel blockersElderly Medicare patientsCardiac careChannel blockersAmbulatory carePatientsType of insuranceEnzyme inhibitorsService careDrug useInfarctionMaintenance organizationSimilar proportionsCareRehabilitationMedications
2000
Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial
Mundinger M, Kane R, Lenz E, Totten A, Tsai W, Cleary P, Friedewald W, Siu A, Shelanski M. Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial. JAMA 2000, 283: 59-68. PMID: 10632281, DOI: 10.1001/jama.283.1.59.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCommunity Health CentersContinuity of Patient CareEmergenciesFemaleHealth Services ResearchHealth StatusHumansMaleMiddle AgedNew York CityNurse PractitionersOutcome Assessment, Health CarePatient SatisfactionPhysicians, FamilyPrimary Health CareProfessional AutonomyRegression AnalysisConceptsPrimary care clinicsNurse practitionersInitial appointmentHealth statusCare clinicsPrimary careService utilizationCommunity-based primary care clinicsHealth service utilization dataUrban academic medical centerUrgent care visitsHealth service utilizationPrimary care outcomesPrimary care physiciansPrimary care appointmentsService utilization dataNurse practitioner practicePatients' health statusAcademic medical centerSignificant differencesType of providerSatisfaction ratingsCare visitsPractitioners' patientsCare appointments
1995
Satisfaction with ambulatory care of persons with AIDS
Stone V, Weissman J, Cleary P. Satisfaction with ambulatory care of persons with AIDS. Journal Of General Internal Medicine 1995, 10: 239-245. PMID: 7616331, DOI: 10.1007/bf02599878.Peer-Reviewed Original ResearchConceptsSelf-perceived health statusHealth maintenance organizationAmbulatory careLower self-perceived health statusHealth statusStaff-model health maintenance organizationPublic hospital HIV clinicMedical record reviewPatient-rated qualityPrimary outcome measureSeverity of illnessInjection drug usersMultiple logistic regressionPrimary care relationshipsSite of careAcademic group practiceAmbulatory care qualityHIV clinicPatient characteristicsBlack patientsRecord reviewAIDS patientsActive patientsPatient surveyPhysician care
1994
Functional disability screening of ambulatory patients
Calkins D, Rubenstein L, Cleary P, Davies A, Jette A, Fink A, Kosecoff J, Young R, Brook R, Delbanco T. Functional disability screening of ambulatory patients. Journal Of General Internal Medicine 1994, 9: 590-592. PMID: 7823232, DOI: 10.1007/bf02599291.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAmbulatory CareBostonDisability EvaluationFemaleGroup PracticeHospitals, PrivateHumansMaleMiddle AgedConceptsControl group physiciansGroup physiciansFunctional disabilityInternal medicine group practiceExperimental group physiciansSelf-administered questionnaireAmbulatory patientsPatient functionFunctional statusPatient responseDisability screeningControl groupPatientsPhysiciansGroup practiceSignificant differencesDisabilityReportGroupSocial functionTrialsMonthsResponseThe impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma
Haas J, Cleary P, Guadagnoli E, Fanta C, Epstein A. The impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma. Journal Of General Internal Medicine 1994, 9: 121-126. PMID: 8195909, DOI: 10.1007/bf02600024.Peer-Reviewed Original ResearchConceptsPost-hospital dischargeIntensive therapyLow socioeconomic statusHealth outcomesRegular sourceSocioeconomic statusWorse healthIntensity of therapyIntensity of careSource of careHigher socioeconomic statusHospital dischargeNonwhite patientsAmbulatory treatmentIADL scoresInsurance statusPrimary diagnosisIntensive treatmentBaseline healthPatientsHealth statusSimilar associationTherapyFurther adjustmentAsthma
1993
The course of transient hypochondriasis
Barsky A, Cleary P, Sarnie M, Klerman G. The course of transient hypochondriasis. American Journal Of Psychiatry 1993, 150: 484-488. PMID: 8434667, DOI: 10.1176/ajp.150.3.484.Peer-Reviewed Original ResearchConceptsHypochondriacal symptomsHypochondriacal patientsMedical record reviewMore functional disabilityGeneral medical clinicStructured diagnostic interviewMore psychopathological symptomsOnly significant predictorComparison patientsMedical morbidityFunctional disabilityRecord reviewBaseline evaluationSelf-report questionnairesPrevious episodesPatientsNonhypochondriacal patientsLongitudinal courseMedical careMultivariate analysisDiagnostic InterviewMedical clinicsSymptomsDSM-IIIBodily sensations
1992
Some Methodological Lessons for Surveys of Persons With AIDS
Fowler F, Massagli M, Weissman J, Seage G, Cleary P, Epstein A. Some Methodological Lessons for Surveys of Persons With AIDS. Medical Care 1992, 30: 1059-1066. PMID: 1434959, DOI: 10.1097/00005650-199211000-00009.Peer-Reviewed Original ResearchRecognition of Alcohol Abuse in Psychiatric Outpatients and Its Effect on Treatment
Silverman D, O'Neill S, Cleary P, Barwick C, Joseph R. Recognition of Alcohol Abuse in Psychiatric Outpatients and Its Effect on Treatment. Psychiatric Services 1992, 43: 644-646. PMID: 1601411, DOI: 10.1176/ps.43.6.644.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismAmbulatory CareHumansObserver VariationPatient Care TeamPersonality InventoryPsychometricsPsychotherapyConceptsAlcohol-related symptomsSuccess of treatmentAlcohol abuseAlcohol abusersPercent of patientsThird of patientsSubstance abuse treatment servicesMental health cliniciansPsychiatric outpatient populationSubstance abuse problemsGeneral psychiatric outpatient populationClinicians' failureOutpatient populationSuccessful treatmentClinical impressionHealth cliniciansPatientsTreatment servicesPsychiatric outpatientsRoutine useScreening ScaleTherapist ratingsAbuse problemsAlcohol problemsSignificant differencesDeterminants of perceived health status of medical outpatients
Barsky A, Cleary P, Klerman G. Determinants of perceived health status of medical outpatients. Social Science & Medicine 1992, 34: 1147-1154. PMID: 1641676, DOI: 10.1016/0277-9536(92)90288-2.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory CareFemaleHealth StatusHumansHypochondriasisMaleMental DisordersMiddle AgedPerceptionSomatoform DisordersConceptsMedical morbidityHealth statusHypochondriacal attitudesFunctional statusPsychiatric disordersAggregate medical morbidityGlobal health statusGeneral medical clinicLarge academic teaching hospitalOverall health statusAcademic teaching hospitalPre-established cutoffsFunctional disabilityPsychiatric morbidityClinic visitorsPatients' opinionsMedical outpatientsTeaching hospitalSelf-report questionnairesEntire clinicMorbidityMedical clinicsScreening cutoffClinicPersonality disorderA Structured Diagnostic Interview for Hypochondriasis
BARSKY A, CLEARY P, WYSHAK G, SPITZER R, WILLIAMS J, KLERMAN G. A Structured Diagnostic Interview for Hypochondriasis. The Journal Of Nervous And Mental Disease 1992, 180: 20-27. PMID: 1538202, DOI: 10.1097/00005053-199201000-00006.Peer-Reviewed Original ResearchConceptsDiagnostic InterviewGeneral medical outpatientsClinician-administered instrumentStructured diagnostic interviewHypochondriacal symptomatologyClinical characteristicsComparison patientsClinical featuresSymptom questionnaireMedical outpatientsPhysician ratingsDiagnostic criteriaPatientsDSM-IIIAncillary featuresPredetermined cutoffHypochondriasisSignificant correlationConcurrent validitySDIHDiscriminant validityExternal validityCutoffOutpatientsHypochondriacal