2017
House Staff Communication Training and Patient Experience Scores
Oladeru OA, Hamadu M, Cleary PD, Hittelman AB, Bulsara KR, Laurans M, DiCapua DB, Marcolini EG, Moeller JJ, Khokhar B, Hodge JW, Fortin AH, Hafler JP, Bennick MC, Hwang DY. House Staff Communication Training and Patient Experience Scores. Journal Of Patient Experience 2017, 0: 237437351769453. PMID: 28393108, PMCID: PMC5381927, DOI: 10.1177/2374373517694533.Peer-Reviewed Original ResearchPatient experience scoresPatient experience surveysPre-post studyTop-box scoresExperience scoresPost-intervention resultsPatient-centered interviewPost-intervention surveysClinic visitsCommunication trainingPatient surveyPhysician communicationResident clinicPatient responsePost-training questionnairesHospital departmentsClinicCommunication coachingHousestaffScoresRole-playing exercisesExerciseMonthsExperiences SurveyPatients
2015
The relationship between voice climate and patients’ experience of timely care in primary care clinics
Nembhard IM, Yuan CT, Shabanova V, Cleary PD. The relationship between voice climate and patients’ experience of timely care in primary care clinics. Health Care Management Review 2015, 40: 104-115. PMID: 24589927, PMCID: PMC5428896, DOI: 10.1097/hmr.0000000000000017.Peer-Reviewed Original ResearchConceptsTimeliness of carePrimary care clinicsTimely carePatient care experiencesCare clinicsPatient experienceCare experiencesCross-sectional studyLess patientsStaff work environmentPatient reportsPatientsQuality careClinicAppointment timeCareClinical leadersAdministrative staffReportProfessional groupsWork environmentStaffAnalysis of varianceLeaders' reportsVoice climate
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 relationshipsMultilevel Interventions: Study Design and Analysis Issues
Cleary PD, Gross CP, Zaslavsky AM, Taplin SH. Multilevel Interventions: Study Design and Analysis Issues. JNCI Monographs 2012, 2012: 49-55. PMID: 22623596, PMCID: PMC3482964, DOI: 10.1093/jncimonographs/lgs010.Peer-Reviewed Original ResearchMeSH KeywordsConfounding Factors, EpidemiologicContinuity of Patient CareData Interpretation, StatisticalDelivery of Health Care, IntegratedEarly Detection of CancerEducation, Medical, ContinuingFamilyHealth BehaviorHealth EducationHealth PromotionHealth Services ResearchHumansMedicaidMedicareNeoplasmsOrganizationsPatient Care TeamPrimary Health CareQuality of Health CareRandomized Controlled Trials as TopicResearch DesignResidence CharacteristicsRisk AssessmentSchoolsUnited StatesWorkplaceConceptsSingle-level interventionsMultilevel interventionsImpact of interventionsPatient outcomesCancer preventionIntervention componentsHealth care organizationsStudy designFocused interventionsHealth careInterventionSustained changesOutcomesKind of interventionLittle evidenceLevelsPatientsClinicCommunity levelCancerPhysiciansIndividualsCarePrevention
2009
Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative
Deo S, McInnes K, Corbett CJ, Landon BE, Shapiro MF, Wilson IB, Cleary PD. Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative. Medical Care 2009, 47: 1026-1030. PMID: 19704356, PMCID: PMC3748716, DOI: 10.1097/mlr.0b013e31819a5937.Peer-Reviewed Original ResearchConceptsQuality improvement collaborativesPercent of interventionsClinic characteristicsIntervention activitiesPrimary care clinicsCross-sectional studyRyan White CARE ActSurvey of cliniciansQuality Improvement CollaborativeQuality of careNumber of interventionsQuality improvement activitiesHIV careCare clinicsMultidisciplinary teamClinicMore interventionsHealth care organizationsImprovement activitiesCare ActInterventionImprovement collaborativesCare organizationsIntervention choicesMonths
2008
Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV
Ohl ME, Landon BE, Cleary PD, LeMaster J. Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV. Psychiatric Services 2008, 59: 400-407. PMID: 18378839, DOI: 10.1176/ps.2008.59.4.400.Peer-Reviewed Original ResearchConceptsSite case managementSubstance abuse careBehavioral health servicesCase managementClinic characteristicsSpecialist careHealth servicesMental health specialist careMental healthLikelihood of careSubstance useHIV specialty clinicsServices Utilization StudyActive substance useMental health specialistsSubgroup of personsMental health careHIV CostPatient characteristicsPrimary outcomeSpecialty clinicHealth specialistsHIVUtilization studiesClinic
2007
The Impact of a Quality Improvement Program on Systems, Processes, and Structures in Medical Clinics
McInnes DK, Landon BE, Wilson IB, Hirschhorn LR, Marsden PV, Malitz F, Barini-Garcia M, Cleary PD. The Impact of a Quality Improvement Program on Systems, Processes, and Structures in Medical Clinics. Medical Care 2007, 45: 463-471. PMID: 17446833, DOI: 10.1097/01.mlr.0000256965.94471.c2.Peer-Reviewed Original ResearchConceptsIntervention clinicsHuman immunodeficiency virus clinicHigher post-intervention scoresQuality Improvement ProgramPost-intervention scoresHIV careHIV clinicSurvey response rateIntervention cliniciansControl clinicsClinic structureResponse rateCare processesClinicMedical clinicsIntensive interventionMedical directorsQuality improvement techniquesCliniciansQuality improvementE-mail listsInterventionImprovement programsFactors 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
The Reliability of Survey Assessments of Characteristics of Medical Clinics
Marsden PV, Landon BE, Wilson IB, McInnes K, Hirschhorn LR, Ding L, Cleary PD. The Reliability of Survey Assessments of Characteristics of Medical Clinics. Health Services Research 2005, 41: 265-283. PMID: 16430611, PMCID: PMC1681534, DOI: 10.1111/j.1475-6773.2005.00480.x.Peer-Reviewed Original ResearchConceptsHIV careHigh-quality HIV careMedical clinicsRyan White CARE ActSurvey of cliniciansQuality improvement initiativesCross-sectional surveyQuality improvement activitiesClinic assessmentMultiple informantsMedical directorsPsychometric performanceClinicImprovement initiativesCare ActCareHierarchical regression modelsCliniciansSubstantial itemRegression modelsReliability of measuresSurvey assessmentAdequate reliabilitySurvey itemsMost measures
2004
Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics
Mcinnes K, Landon B, Malitz F, Wilson I, Marsden P, Fleishman J, Gustafson D, Cleary P. Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics. AIDS Care 2004, 16: 851-857. PMID: 15385240, DOI: 10.1080/09540120412331290202.Peer-Reviewed Original ResearchConceptsHIV clinicHIV careCare ActHIV risk factorsInfectious disease specialistsServices Utilization StudyRyan White CARE ActHIV patientsHIV CostTotal patientsHIV infectionClinic characteristicsDisease specialistsHeterosexual contactRisk factorsComprehensive careClinic dataPatientsUtilization studiesClinicPatient dataCareMore support servicesNon-probability sampleRepresentative sample
1995
Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study.
Epstein A, Seage G, Weissman J, Cleary P, Fowler F, Gatsonis C, Massagli M, Stone V, Coltin K, Craven D. Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study. INQUIRY The Journal Of Health Care Organization Provision And Financing 1995, 32: 211-21. PMID: 7601519.Peer-Reviewed Original Research
1992
Determinants 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 ResearchConceptsMedical 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 disorder
1988
The amplification of somatic symptoms.
Barsky A, Goodson J, Lane R, Cleary P. The amplification of somatic symptoms. Psychosomatic Medicine 1988, 50: 510-519. PMID: 3186894, DOI: 10.1097/00006842-198809000-00007.Peer-Reviewed Original ResearchConceptsOverall discomfortMedical walkTract infectionsMedical morbidityMedical illnessSystemic symptomsVocational disabilitySelf-report questionnairesSociodemographic characteristicsSomatic symptomsSomatosensory amplificationSignificant predictorsPatientsMultiple regression analysisRegression analysisMeasures of dysphoriaSymptomsDiscomfortDisabilityBodily sensationsMorbidityClinicIllnessInfectionSymptomatology
1987
Seeking Help for Psychologic Problems
Greenley J, Mechanic D, Cleary P. Seeking Help for Psychologic Problems. Medical Care 1987, 25: 1113-1128. PMID: 3695641, DOI: 10.1097/00005650-198712000-00001.Peer-Reviewed Original ResearchConceptsMultispecialty clinicPsychologic problemsLarge multispecialty clinicMedical record dataMental health servicesMental health service usersPrepaid medical planRepresentative community sampleHealth service usersPsychologic distressPsychologic symptomsSatellite clinicsMental health usersPsychiatric servicesEligible populationAlcohol consumptionClinic usersHealth servicesMultivariate analysisObsessive-compulsive symptomsSymptomsClinicRecord dataMedical planHealth users
1980
A Model of Rural Health Care
Mechanic D, Greenley J, Cleary P, Hoeper E, Wenzel F. A Model of Rural Health Care. Medical Care 1980, 18: 597-608. PMID: 6995723, DOI: 10.1097/00005650-198006000-00003.Peer-Reviewed Original Research