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 programs
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
1994
Histories of childhood trauma in adult hypochondriacal patients
Barsky A, Wool C, Barnett M, Cleary P. Histories of childhood trauma in adult hypochondriacal patients. American Journal Of Psychiatry 1994, 151: 397-401. PMID: 8109648, DOI: 10.1176/ajp.151.3.397.Peer-Reviewed Original ResearchConceptsChildhood illnessesMedical morbidityHypochondriacal patientsNonhypochondriacal patientsSociodemographic differencesAggregate medical morbidityMedical record auditGeneral medical clinicChildhood traumaMultivariate regression analysisDegree of traumaMore childhood traumaChildhood Traumatic Events ScaleEight-item questionnaireRecord auditPhysical illnessPatientsParental attitudesTraumatic Events ScaleMedical clinicsIllnessSexual contactTraumaHealth reasonsMorbidity
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
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
1991
The relation between hypochondriasis and age
Barsky A, Frank C, Cleary P, Wyshak G, Klerman G. The relation between hypochondriasis and age. American Journal Of Psychiatry 1991, 148: 923-928. PMID: 2053634, DOI: 10.1176/ajp.148.7.923.Peer-Reviewed Original ResearchConceptsHypochondriacal patientsMedical morbidityMedical recordsSelf-report questionnairesAggregate medical morbidityComparison groupGeneral medical clinicPatients' medical recordsYears of ageConsecutive patientsPossible confounding influenceStudy groupMedical statusAxis IPsychiatric disordersCutoff levelPatientsOverall healthMedical clinicsHypochondriacal groupGlobal assessmentHypochondriacal attitudesHypochondriasisResearch batteryMorbidity