2019
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
Ndumele CD, Elliott MN, Haviland AM, Burkhart Q, Orr N, Gaillot S, Cleary PD. Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries. Medical Care 2019, 57: 8-12. PMID: 30339575, DOI: 10.1097/mlr.0000000000001000.Peer-Reviewed Original ResearchConceptsFFS coverageHospitalization ratesMedicare AdvantageMultivariable logistic regression modelMA enrolleesRate of hospitalizationLower hospitalization ratesPatterns of careMedicare Advantage beneficiariesLogistic regression modelsMedicare Consumer AssessmentHospital admissionRetrospective studyHealth characteristicsService useHospitalizationHealth statusHealthcare providersEnrollee demographicsConsumer AssessmentEnrolleesSystem surveySignificant age differencesMA enrollmentMA respondents
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 recordsWhat 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 evaluationProvidersHospitalisationEvaluationA hospitalization from hell: a patient's perspective on quality.
Cleary PD. A hospitalization from hell: a patient's perspective on quality. Annals Of Internal Medicine 2003, 138: 33-9. PMID: 12513042, DOI: 10.7326/0003-4819-138-1-200301070-00009.Peer-Reviewed Original Research
2000
Information and its impact on satisfaction among surgical patients
Krupat E, Fancey M, Cleary P. Information and its impact on satisfaction among surgical patients. Social Science & Medicine 2000, 51: 1817-1825. PMID: 11128269, DOI: 10.1016/s0277-9536(00)00113-1.Peer-Reviewed Original ResearchConceptsSurgical patientsPatient characteristicsGlobal evaluationPatient evaluationHome recoveryHospital careSurgical informationPatientsVariety of providersEvaluation of qualityLarge-scale studiesCareMultiple regression analysisRegression analysisSensory informationInvolvementGeneral informationMedicationsHospitalEvaluationControl
1999
Carepartner Experiences With Hospital Care
vom 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
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 model
1995
Medical patients’ assessments of their care during hospitalization
Delbanco T, Stokes D, Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Daley J. Medical patients’ assessments of their care during hospitalization. Journal Of General Internal Medicine 1995, 10: 679-685. PMID: 8770720, DOI: 10.1007/bf02602763.Peer-Reviewed Original ResearchConceptsHospital careHospitalized medical patientsNon-federal acute care hospitalsHospital-based careAcute care hospitalsInpatient hospital careCross-sectional surveyProbability sampleMost patientsCare hospitalMedical patientsPatient assessmentPatient's perspectivePatientsHospitalizationHospital routineHealth statusPrompt attentionSociodemographic characteristicsTelephone interviewsCareMedical servicesHospitalOne-thirdOverall satisfactionThe influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomesHow Consistent Is Patient-Reported Pre-admission Health Status When Collected During and After Hospital Stay?
GUADAGNOLI E, CLEARY P. How Consistent Is Patient-Reported Pre-admission Health Status When Collected During and After Hospital Stay? Medical Care 1995, 33: 106-112. PMID: 7823641, DOI: 10.1097/00005650-199501000-00009.Peer-Reviewed Original ResearchCosts 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
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonths
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic useThe Relationship Between Reported Problems and Patient Summary Evaluations of Hospital Care
Cleary P, Edgman-Levitan S, McMullen W, Delbanco T. The Relationship Between Reported Problems and Patient Summary Evaluations of Hospital Care. The Joint Commission Journal On Quality And Patient Safety 1992, 18: 53-59. PMID: 1574321, DOI: 10.1016/s0097-5990(16)30507-3.Peer-Reviewed Original ResearchConceptsHealth statusAspects of hospitalizationPatients' overall evaluationPatient characteristicsSurgical patientsPatient evaluationGeneral HospitalHospital careNationwide telephone surveyTelephone surveyCareStrongest predictorReported problemsOverall evaluationAssociationStatusHospitalizationPatientsHospitalEvaluationDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCognitionDeliriumFemaleHospitalizationHumansLength of StayMaleProspective StudiesRisk FactorsConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluationThe Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients
Albert M, Levkoff S, Reilly C, Liptzin B, Pilgrim D, Cleary P, Evans D, Rowe J. The Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients. Journal Of Geriatric Psychiatry And Neurology 1992, 5: 14-21. PMID: 1571069, DOI: 10.1177/002383099200500103.Peer-Reviewed Original Research
1991
Review of Research Instruments and Techniques Used to Detect Delirium
Levkoff S, Liptzin B, Cleary P, Reilly C, Evans D. Review of Research Instruments and Techniques Used to Detect Delirium. International Psychogeriatrics 1991, 3: 253-271. PMID: 1811778, DOI: 10.1017/s1041610291000716.Peer-Reviewed Original Research
1989
Patient Assessments of Hospital Care
Cleary P, LeRoy L, Karapanos G, McMullen W. Patient Assessments of Hospital Care. The Joint Commission Journal On Quality And Patient Safety 1989, 15: 172-179. PMID: 2502747, DOI: 10.1016/s0097-5990(16)30288-3.Peer-Reviewed Original Research
1987
Hip fracture
Campion E, Jette A, Cleary P, Harris B. Hip fracture. Journal Of General Internal Medicine 1987, 2: 78-82. PMID: 3559780, DOI: 10.1007/bf02596300.Peer-Reviewed Original ResearchConceptsLength of stayHospital complicationsHip fracturePrefracture functional statusRecent hip fractureCent of patientsHip fracture patientsUrinary tract infectionHeart rhythm disturbancesHigh-cost patientsStepwise multivariate regressionFracture patientsPatient ageTract infectionsSurgical repairHospital chargesIntertrochanteric fracturesProspective studyFunctional statusRhythm disturbancesHospital costsFunctional impairmentPatientsStayMean length
1984
The kindly stress of hospitalization
Bedell S, Cleary P, Delbanco T. The kindly stress of hospitalization. The American Journal Of Medicine 1984, 77: 592-596. PMID: 6486135, DOI: 10.1016/0002-9343(84)90347-4.Peer-Reviewed Original Research