2005
Quality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeCross-Sectional StudiesHIV InfectionsHumansNurse PractitionersPhysician AssistantsPhysiciansPractice Patterns, Physicians'Quality of Health CareSelection BiasUnited StatesConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCare
2002
Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States
Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, Shapiro MF, Cleary PD. Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States. Journal Of General Internal Medicine 2002, 17: 12-22. PMID: 11903771, PMCID: PMC1495004, DOI: 10.1046/j.1525-1497.2002.10401.x.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultClinical CompetenceCross-Sectional StudiesEducation, Medical, ContinuingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Quality Assurance, Health CareReferral and ConsultationSurveys and QuestionnairesUnited StatesConceptsHIV caseloadReferral patternsReferral practicesSpecialty trainingGeneralist physiciansServices Utilization StudyID ExpertEffect of specialtyCross-sectional surveyHigher knowledge scoresHIV/AIDSInfectious disease trainingHIV careHIV CostHIV diseaseID physiciansEligible physiciansHIV expertsMultivariable modelPhysician reportsMedian caseloadDiseases TrainingClinical experienceUtilization studiesKnowledge score
1999
The Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study
Weissman J, Haas J, Fowler F, Gatsonis C, Massagli M, Seage G, Cleary P. The Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study. Medical Decision Making 1999, 19: 16-26. PMID: 9917016, DOI: 10.1177/0272989x9901900103.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultAdvance DirectivesBostonDisease ProgressionEducational StatusFemaleHealth StatusHumansLife Support CareMaleMiddle AgedPatient SatisfactionResuscitationConceptsLife-sustaining careCardiac resuscitationPatient preferencesBoston Health StudyPredictors of instabilityMedical record reviewLife-extending careSite of careHealth care providersHealth care settingsHypothetical health statesLife-extending treatmentsProgressive diseaseRecord reviewPhysical functionPatient surveyClinical severityEligible personsCare settingsCare providersHealth StudyPatientsHealth statusResuscitationCare
1997
Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study
Wilson* I, Cleary† P. Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1997, 16: 343-349. PMID: 9420312, DOI: 10.1097/00042560-199712150-00006.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeActivities of Daily LivingAdultCD4 Lymphocyte CountCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisQuality of LifeWeight LossConceptsPhysical functioningIADL scoresWeight lossIndependent predictorsSymptom complexStaff-model health maintenance organizationBaseline IADL scoresInjection drug useLongitudinal cohort studySignificant independent predictorsPublic teaching hospitalAcademic group practiceHealth maintenance organizationCandida esophagitisChart reviewCohort studyNeurologic symptomsClinical factorsClinical predictorsAIDS clinicClinical correlatesTeaching hospitalGastrointestinal diseasesDaily livingBaseline functioningThe Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument.
Seage G, Gatsonis C, Weissman J, Haas J, Cleary P, Fowler F, Massagli M, Stone V, Craven D, Makadon H, Goldberg J, Coltin K, Levin K, Epstein A. The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument. American Journal Of Public Health 1997, 87: 567-73. PMID: 9146433, PMCID: PMC1380834, DOI: 10.2105/ajph.87.4.567.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeActivities of Daily LivingAdultBostonFemaleHumansInterviews as TopicMaleMedical RecordsPrognosisProportional Hazards ModelsSeverity of Illness IndexSurvival Analysis
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical modelClinical predictors of functioning in persons with acquired immunodeficiency syndrome.
Wilson I, Cleary P. Clinical predictors of functioning in persons with acquired immunodeficiency syndrome. Medical Care 1996, 34: 610-23. PMID: 8656726, DOI: 10.1097/00005650-199606000-00010.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeActivities of Daily LivingAdolescentAdultBostonCross-Sectional StudiesDisabled PersonsFemaleGroup PracticeHealth Maintenance OrganizationsHealth Status IndicatorsHumansMaleMedical AuditMiddle AgedMultivariate AnalysisOutpatient Clinics, HospitalPredictive Value of TestsQuality of LifeRegression AnalysisReproducibility of ResultsSurveys and QuestionnairesConceptsEnergy/fatiguePoor mental healthPhysical functioningNeurologic symptomsFever symptomsMental healthZidovudine useWeight lossImmunodeficiency syndromeSignificant predictorsStaff-model health maintenance organizationLower white blood cell countHuman immunodeficiency virus clinicChronic obstructive pulmonary diseaseWhite blood cell countHistory of asthmaLower hemoglobin levelsObstructive pulmonary diseaseBlood cell countMultivariable regression modelsHealth maintenance organizationHospital-based group practiceCross-sectional analysisSpecific clinical interventionsChart review
1995
The Role of Reluctance to Give Up life in the Measurement of the Values of Health states
Fowler F, Cleary P, Massagli M, Weissman J, Epstein A. The Role of Reluctance to Give Up life in the Measurement of the Values of Health states. Medical Decision Making 1995, 15: 195-200. PMID: 7564932, DOI: 10.1177/0272989x9501500301.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultChoice BehaviorFemaleHealth StatusHumansLife Support CareMaleQuality-Adjusted Life YearsResuscitationRisk-TakingSurveys and QuestionnairesTerminal CareSatisfaction 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 ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAmbulatory CareFemaleHealth StatusHumansLogistic ModelsMalePatient SatisfactionPerceptionPrimary NursingQuality of Health CareSelf ConceptSubstance Abuse, IntravenousConceptsSelf-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 careCosts 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 ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdolescentAdultBostonFemaleHealth Care CostsHealth ExpendituresHome Care ServicesHospitalizationHumansMaleMiddle Aged
1993
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Cleary P, Fowler F, Weissman J, Massagli M, Wilson I, Seage G, Gatsonis C, Epstein A. Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome. Medical Care 1993, 31: 569-580. PMID: 8326772, DOI: 10.1097/00005650-199307000-00001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHealth-related qualityQuality of lifeHealth statusAcquired Immune Deficiency SyndromeGlobal health assessmentImmune deficiency syndromeFunctioning of personsHIV infectionImmunodeficiency virusFunctional statusPrimary careDeficiency syndromeFunctional impairmentBest predictorDiscrete symptomsSymptomsMental healthImportant signHealth assessmentAverage severityStrongest correlateFace interviewsValid measureStatusDiscussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication.
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. JAMA Internal Medicine 1993, 153: 1241-8. PMID: 8494476, DOI: 10.1001/archinte.153.10.1241.Peer-Reviewed Original ResearchConceptsLife-sustaining careHealth maintenance organizationPatient-physician communicationStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regression
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 ResearchUsing patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeHealth Services ResearchHospitals, TeachingHumansNew York CityPatient SatisfactionPilot ProjectsQuality of Health CareSurveys and QuestionnairesConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCareThe inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues.
Fahs M, Fulop G, Strain J, Sacks H, Muller C, Cleary P, Schmeidler J, Turner B. The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues. American Journal Of Public Health 1992, 82: 576-8. PMID: 1546777, PMCID: PMC1694095, DOI: 10.2105/ajph.82.4.576.Peer-Reviewed Original ResearchAcquired Immunodeficiency SyndromeAdultFemaleHealth Care CostsHealth Services AccessibilityHealth Services ResearchHospital UnitsHospitals, TeachingHumansLength of StayLogistic ModelsMaleNew York CityNursing Staff, HospitalOutcome Assessment, Health CarePatient AdmissionPatient DischargePersonnel TurnoverSeverity of Illness Index
1987
Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations.
Cleary P, Barry M, Mayer K, Brandt A, Gostin L, Fineberg H. Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations. JAMA 1987, 258: 1757-62. PMID: 3476759, DOI: 10.1001/jama.258.13.1757.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAntibodies, ViralCosts and Cost AnalysisFemaleHIVHIV AntibodiesHumansLegislation as TopicMalePremarital ExaminationsResource AllocationRisk AssessmentUnited StatesVoluntary ProgramsConceptsHuman immunodeficiency virus (HIV) infectionPremarital screeningImmunodeficiency virus infectionHuman immunodeficiency virusCounseling of individualsPremarital screening programPublic health considerationsHIV infectionImmunodeficiency virusFalse-positive resultsMandatory premarital screening programScreening programVirus infectionLow prevalenceInfected individualsHIVMandatory premarital screeningDiscretionary testingInfectionHealth considerationsUnited StatesScreeningIndividualsEpidemiologyPrevalence
1986
Health Education about AIDS among Seropositive Blood Donors
Cleary P, Rogers T, Singer E, Avorn J, van Devanter N, Perry S, Pindyck J. Health Education about AIDS among Seropositive Blood Donors. Health Education & Behavior 1986, 13: 317-329. PMID: 3023260, DOI: 10.1177/109019818601300404.Peer-Reviewed Original ResearchScreening for HIV Infection: Risks, Benefits, and the Burden of Proof
Barry M, Cleary P, Fineberg H. Screening for HIV Infection: Risks, Benefits, and the Burden of Proof. The Journal Of Law, Medicine & Ethics 1986, 14: 259-267. PMID: 3475517, DOI: 10.1111/j.1748-720x.1986.tb00993.x.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultAntibodies, ViralEnzyme-Linked Immunosorbent AssayFemaleHIVHIV AntibodiesHumansMaleMass ScreeningMiddle AgedPopulation SurveillanceRiskRisk AssessmentUnited States