2010
Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine
Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine. Health Services Research 2010, 45: 1188-1204. PMID: 20662947, PMCID: PMC2965500, DOI: 10.1111/j.1475-6773.2010.01138.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude to HealthEvidence-Based MedicineFemaleHealth Care SurveysHospitals, VeteransHumansLength of StayMaleMarkov ChainsMonte Carlo MethodMultivariate AnalysisMyocardial InfarctionOutcome Assessment, Health CarePatient-Centered CarePeer Review, Health CareProportional Hazards ModelsQuality of Health CareSurveys and QuestionnairesSurvival RateUnited StatesConceptsAcute myocardial infarctionPatient-centered careMyocardial infarctionInitial acute myocardial infarctionPatient health-related behaviorsVeterans Affairs Medical CenterBetter patient-centered carePatients' sociodemographic characteristicsPatient's clinical conditionRecent prospective studiesInfluence of patientImportant clinical benefitsProportional hazards modelEvidence-based treatmentsHealth-related behaviorsEvidence-based medicinePatient-physician relationshipPicker questionnaireCardiac symptomsPatient characteristicsAMI patientsClinical benefitProspective studyAMI careClinical conditions
2007
Hope and Prognostic Disclosure
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Hope and Prognostic Disclosure. Journal Of Clinical Oncology 2007, 25: 5636-5642. PMID: 18065734, DOI: 10.1200/jco.2007.12.6110.Peer-Reviewed Original ResearchConceptsPrognostic disclosurePrognostic informationPhysician communicationDana-Farber Cancer InstituteDisclosure of prognosisHalf of parentsChildren's HospitalParents of childrenChild's physicianMultivariable modelMAIN OUTCOMEParental recallCancer InstituteChild's oncologistChildren's CancerPatients' hopePhysiciansCancerEmotional distressPrognosisOncologistsHospitalChildren's likelihoodFirst yearCureProfessionalism 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 ResearchQuality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildrenA National Survey of Physician–Industry Relationships
Campbell EG, Gruen RL, Mountford J, Miller LG, Cleary PD, Blumenthal D. A National Survey of Physician–Industry Relationships. New England Journal Of Medicine 2007, 356: 1742-1750. PMID: 17460228, DOI: 10.1056/nejmsa064508.Peer-Reviewed Original Research
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 knowledge
2003
Physician Specialization and Antiretroviral Therapy for HIV
Landon BE, Wilson IB, Cohn SE, Fichtenbaum CJ, Wong MD, Wenger NS, Bozzette SA, Shapiro MF, Cleary PD. Physician Specialization and Antiretroviral Therapy for HIV. Journal Of General Internal Medicine 2003, 18: 233-241. PMID: 12709089, PMCID: PMC1494839, DOI: 10.1046/j.1525-1497.2003.20705.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceCohort StudiesEducation, MedicalFemaleHIV InfectionsHumansMaleMedicineMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Primary Health CareQuality Assurance, Health CareReferral and ConsultationSpecializationSurveys and QuestionnairesTime FactorsUnited StatesConceptsGeneral medicine physiciansCare of HIVLow-volume physiciansFirst protease inhibitorHAART therapyHIV infectionMedicine physiciansAntiretroviral therapyHAART useID physiciansInfectious diseasesActive antiretroviral therapyObservational cohort studyServices Utilization StudyHigh-volume physiciansExpert generalistsMajority of physiciansTypes of physiciansProtease inhibitorsTreatment of personsHIV caseloadHIV careCohort studyHIV CostHIV diseaseWhat do patients value in their hospital care? An empirical perspective on autonomy centred bioethics
Joffe S, Manocchia M, Weeks J, Cleary P. What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics. Journal Of Medical Ethics 2003, 29: 103. PMID: 12672891, PMCID: PMC1733711, DOI: 10.1136/jme.29.2.103.Peer-Reviewed Original ResearchConceptsHospital carePatients' overall evaluationCoordination of careLogistic regression analysisPatient autonomyCross-sectional surveyAvailability of staffPatient evaluationMAIN OUTCOMEPatient valuesHospitalCareHealth careSurvey recipientsRegression analysisTreatmentRandom samplePhysical comfortInvolvementOverall evaluationProvidersHospitalisationEvaluation
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 physiciansPredictorsHospitalSatisfactionSpecialty 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 scoreHow 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 proportionsCareRehabilitationMedicationsDetecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool
Horowitz L, Wang P, Koocher G, Burr B, Smith M, Klavon S, Cleary P. Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool. Pediatrics 2001, 107: 1133-1137. PMID: 11331698, DOI: 10.1542/peds.107.5.1133.Peer-Reviewed Original ResearchConceptsNegative predictive valueBrief screening toolScreening toolC-statisticHealth cliniciansPredictive valuePediatric mental health patientsSuicide riskCriterion standard assessmentPediatric emergency departmentCurrent suicidal behaviorMental health patientsEmergency department staffMental health cliniciansQuality improvement initiativesPositive predictive valueCross-sectional surveyMental health concernsClinical characteristicsPediatric EDEmergency departmentPsychiatric reasonsAdolescent patientsHealth patientsTriage nursesPhysician Incentives and Disclosure of Payment Methods to Patients
Kao A, Zaslavsky A, Green D, Koplan J, Cleary P. Physician Incentives and Disclosure of Payment Methods to Patients. Journal Of General Internal Medicine 2001, 16: 181-188. PMID: 11318914, PMCID: PMC1495191, DOI: 10.1111/j.1525-1497.2001.04139.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthChi-Square DistributionCost ControlCross-Sectional StudiesFemaleHumansLogistic ModelsMaleManaged Care ProgramsMiddle AgedMultivariate AnalysisPatient SatisfactionPhysician Incentive PlansPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesTruth DisclosureUnited StatesConceptsQuality of careCross-sectional surveyMost patientsAdult patientsNational health insurerWhite patientsService patientsPatient evaluationPatient awarenessUse of servicesPatient educationPatient understandingPatientsService physiciansTelephone interviewsPhysiciansService insuranceCareIndemnity plansSalaried physiciansPhysician incentivesPhysician payment methodsHealth insurersDifferent financial incentivesFinancial incentives
2000
Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality
Zaslavsky A, Hochheimer J, Schneider E, Cleary P, Seidman J, McGlynn E, Thompson J, Sennett C, Epstein A. Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality. Medical Care 2000, 38: 981-992. PMID: 11021671, DOI: 10.1097/00005650-200010000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolDiagnosis-Related GroupsFemaleHealth Benefit Plans, EmployeeHealth Maintenance OrganizationsHumansInfantInfant, NewbornLogistic ModelsMaleMiddle AgedMultivariate AnalysisPregnancyPreventive Health ServicesQuality Assurance, Health CareQuality Indicators, Health CareSocioeconomic FactorsUnited StatesConceptsHEDIS measuresSociodemographic characteristicsHealth Plan Employer DataPatients' sociodemographic characteristicsHealth plan membersImmunization of adolescentsHealth plan qualityInformation Set (HEDIS) measuresMeasures of screeningRetinal examPreventive servicesHEDIS dataEmployer DataCase mixPlan membersLogistic regressionMost plansPercent collegeResidential area characteristicsPercentage pointsPercent AsianPlan qualityPublic assistanceSet measuresArea characteristics
1999
Use of hormone replacement therapy by postmenopausal women in the United States.
Keating N, Cleary P, Rossi A, Zaslavsky A, Ayanian J. Use of hormone replacement therapy by postmenopausal women in the United States. Annals Of Internal Medicine 1999, 130: 545-53. PMID: 10189323, DOI: 10.7326/0003-4819-130-7-199904060-00002.Peer-Reviewed Original ResearchConceptsHormone replacement therapyUse of HRTPostmenopausal womenReplacement therapyNational population-based cohortCardiac risk factorsPostmenopausal women 50Population-based cohortCurrent useRandom-digit telephone surveyYears of ageHRT useClinical factorsDiabetes mellitusWomen 50Multivariable analysisRisk factorsCardiovascular diseaseSociodemographic factorsTherapySociodemographic variationWomenTelephone surveyCohortProbability samplePerceived Risks of Heart Disease and Cancer Among Cigarette Smokers
Ayanian J, Cleary P. Perceived Risks of Heart Disease and Cancer Among Cigarette Smokers. JAMA 1999, 281: 1019-1021. PMID: 10086437, DOI: 10.1001/jama.281.11.1019.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthFemaleHeart DiseasesHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasmsPopulation SurveillanceRisk FactorsSmokingConceptsMyocardial infarctionCurrent smokersHeart diseaseHeavy smokersSmoking-related health risksRisk of MIModifiable risk factorsPublic health professionalsPersonal riskLight smokersClinical factorsCigarette smokersCigarette smokingSmoking cessationMost smokersRisk factorsCardiovascular diseaseFamily historyPreventable deathsSmokers' perceptionsSmokersSelf-administered surveyHealth professionalsMultivariate analysisCancerCarepartner Experiences With Hospital Care
Eigen K, Walker J, Edgman-Levitan S, Cleary P, Delbanco T. Carepartner Experiences With Hospital Care. Medical Care 1999, 37: 33-38. PMID: 10413390, DOI: 10.1097/00005650-199901000-00006.Peer-Reviewed Original ResearchConceptsIndependent predictorsRegular doctorHospital experienceMultivariable regression analysisSupport of patientsDomains of carePatients' health statusNonsurgical admissionsDischarge planningPatient satisfactionEmergency hospitalizationHospital careCarepartnersNationwide telephone surveyHealth statusPatient careHospitalizationPatientsCareTelephone surveyRegression analysisFamily participationBetter awarenessFamily membersEmotional support
1998
The Relationship Between Method of Physician Payment and Patient Trust
Kao A, Green D, Zaslavsky A, Koplan J, Cleary P. The Relationship Between Method of Physician Payment and Patient Trust. JAMA 1998, 280: 1708-1714. PMID: 9832007, DOI: 10.1001/jama.280.19.1708.Peer-Reviewed Original ResearchMeSH KeywordsAttitude to HealthBaltimoreCapitation FeeCross-Sectional StudiesDistrict of ColumbiaFee-for-Service PlansFloridaGeorgiaHealth Care SurveysHealth Maintenance OrganizationsHumansMultivariate AnalysisPhysician Incentive PlansPhysician-Patient RelationsRegression AnalysisReimbursement MechanismsRisk Sharing, FinancialSalaries and Fringe BenefitsTrustUrban PopulationConceptsIndemnity patientsCare patientsPatient trustPhysician behaviorPatient reportsCross-sectional telephone interview surveyHealth plan costsTelephone interview surveyPatient-physician relationshipLarge national insurerPatient's best interestMost patientsPatients' perceptionsPhysicians' methodMAIN OUTCOMEPatientsPhysician paymentMultivariate analysisHealth plansPhysiciansInterview SurveyNational insurerHigh levelsRegression analysisPlace physicians
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 ResearchConceptsPhysical 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 functioning