2015
Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting
Elliott MN, Cohea CW, Lehrman WG, Goldstein EH, Cleary PD, Giordano LA, Beckett MK, Zaslavsky AM. Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting. Health Services Research 2015, 50: 1850-1867. PMID: 25854292, PMCID: PMC4693845, DOI: 10.1111/1475-6773.12305.Peer-Reviewed Original ResearchConceptsHospital care experiencesAdult inpatientsHospital characteristicsPublic reportingLinear mixed-effects regression modelsMixed effects regression modelsPatient characteristicsHCAHPS measuresHospital careHospital typePatient experienceHCAHPS scoresHospitalMeaningful improvementsCare experiencesPatient mixLarge hospitalsU.S. hospitalsPercent decreaseInpatientsNational probability sampleGreater improvementProbability sampleNarrowing GapsRegression models
2014
Methodological Considerations When Studying the Association between Patient‐Reported Care Experiences and Mortality
Xu X, Buta E, Anhang Price R, Elliott MN, Hays RD, Cleary PD. Methodological Considerations When Studying the Association between Patient‐Reported Care Experiences and Mortality. Health Services Research 2014, 50: 1146-1161. PMID: 25483571, PMCID: PMC4545351, DOI: 10.1111/1475-6773.12264.Peer-Reviewed Original ResearchConceptsPatient care experiencesCare experiencesNational Death Index mortality dataMedical careCox proportional hazards modelNational Health Interview SurveyMedical Expenditure Panel Survey dataOverall care experienceProportional hazards modelHealth Interview SurveyPatient experience measuresCause mortalityClinic visitsHalf of respondentsAmenable deathsHazards modelRespondents ages 18MortalityAge 18Mortality dataDoctor's officeInterview SurveyExperience measuresDeathPatientsAre Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2012
Multilevel 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
2011
How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare?
Elliott MN, Haviland AM, Orr N, Hambarsoomian K, Cleary PD. How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare? Health Services Research 2011, 46: 1039-1058. PMID: 21306370, PMCID: PMC3165177, DOI: 10.1111/j.1475-6773.2011.01245.x.Peer-Reviewed Original ResearchConceptsFair self-rated healthHealth care providersSubgroup characteristicsSelf-rated healthHealth care experiencesLow-income subsidyMedicare Consumer AssessmentUniform careCare scoresAge 85Care providersMedicare beneficiariesService MedicareCare experiencesCAHPS measuresConsumer AssessmentHigh school degreeCareSystem surveyParticular subgroupManaged CareAssessed differencesTraditional feeLow incomeSignificant positive interactionEffects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests
Price RA, Frank RG, Cleary PD, Goldie SJ. Effects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests. Medical Care 2011, 49: 132-138. PMID: 21150798, PMCID: PMC3206730, DOI: 10.1097/mlr.0b013e3181f81c63.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdvertisingAlphapapillomavirusDNA, ViralFemaleGuideline AdherenceHealth Services MisuseHealth Services ResearchHumansInsurance Claim ReportingLogistic ModelsMarketing of Health ServicesMass ScreeningMiddle AgedPapillomavirus InfectionsPractice Guidelines as TopicPractice Patterns, Physicians'United StatesUterine Cervical NeoplasmsVaginal SmearsConceptsCervical cancer screening testsHuman papillomavirus DNA testHPV DNA testCancer screening testsClinical guidelinesDTC advertisingDNA testScreening testPrimary screeningAppropriate useTest useAmerican CollegeQuasi-experimental studyPrivate insuranceComparable increaseInappropriate useConsumer advertisingOverall useNew health care technologiesConsecutive monthsSignificant increaseHealth care technologiesProfessional guidelinesGreater increaseCare technologies
2007
The National Emergency Department Safety Study: Study Rationale and Design
Sullivan AF, Camargo CA, Cleary PD, Gordon JA, Guadagnoli E, Kaushal R, Magid DJ, Rao SR, Blumenthal D. The National Emergency Department Safety Study: Study Rationale and Design. Academic Emergency Medicine 2007, 14: 1182-1189. PMID: 18045895, DOI: 10.1197/j.aem.2007.07.014.Peer-Reviewed Original ResearchConceptsNational Emergency Department Safety StudyEmergency departmentCharacteristics of EDsSafety studiesAcute myocardial infarctionLarge multicenter studyMedical errorsEmergency Medicine NetworkAcute asthmaChart reviewMulticenter studyMyocardial infarctionProcedural sedationED personnelStudy rationaleComprehensive national studyMedicine NetworkFirst comprehensive national studyIdentification of factorsStaff perceptionsStaff reportsNational studyReportAsthmaInfarction
2006
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2005
Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument.
Solomon LS, Hays RD, Zaslavsky AM, Ding L, Cleary PD. Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument. Medical Care 2005, 43: 53-60. PMID: 15626934.Peer-Reviewed Original ResearchMeSH KeywordsAdultFocus GroupsGroup PracticeHealth Services ResearchHumansPatient SatisfactionPsychometricsQuality of Health CareUnited StatesConceptsAspects of careMedical groupHealth Plans Study (CAHPS) surveyConsumer AssessmentPatient focus groupsAdults 18 yearsPatient-clinician communicationSpecialty careGroup of adultsPreventive counselingClinician communicationPractice sitesDraft instrumentCarePatientsStudy instrumentRandom samplePsychometric propertiesPsychometric characteristicsFocus groupsGroupCognitive interviewsMulti-item measuresAssessmentStudy survey
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 recordsBeneficiary reported experience and voluntary disenrollment in Medicare managed care.
Lied TR, Sheingold SH, Landon BE, Shaul JA, Cleary PD. Beneficiary reported experience and voluntary disenrollment in Medicare managed care. Medicare & Medicaid Research Review 2003, 25: 55-66. PMID: 14997693, PMCID: PMC4194833.Peer-Reviewed Original ResearchMeSH KeywordsCenters for Medicare and Medicaid Services, U.S.Choice BehaviorConsumer BehaviorHealth Services ResearchHumansManaged Care ProgramsMedicare Part CUnited States
2002
Quality collaboratives: lessons from research
Øvretveit J, Bate P, Cleary P, Cretin S, Gustafson D, McInnes K, McLeod H, Molfenter T, Plsek P, Robert G, Shortell S, Wilson T. Quality collaboratives: lessons from research. BMJ Quality & Safety 2002, 11: 345. PMID: 12468695, DOI: 10.1136/qhc.11.4.345.Peer-Reviewed Original ResearchDimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey
Zaslavsky AM, Cleary PD. Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey. Medical Care 2002, 40: 951-964. PMID: 12395028, DOI: 10.1097/00005650-200210000-00012.Peer-Reviewed Original ResearchConceptsHealthy membersReport itemsConsumer AssessmentSmoking cessation adviceGeneral health statusHealth plan qualityMedicare Managed Care Consumer AssessmentHealth Plans SurveyQuality improvement effortsPlan performanceCessation advicePlan careCare beneficiariesHealth statusPatient careSick membersPoor healthMedical servicesPlans SurveyCarePlan qualitySubgroupsPlan scoresReportDoctorsEvolving 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 physiciansPredictorsHospitalSatisfactionDelivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda
McKinney MM, Marconi KM, Cleary PD, Kates J, Young SR, O'Neill JF. Delivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda. Public Health Reports 2002, 117: 114-122. PMID: 12356995, PMCID: PMC1497421, DOI: 10.1093/phr/117.2.114.Peer-Reviewed Original ResearchMeSH KeywordsBehavioral ResearchConsensus Development Conferences as TopicContinuity of Patient CareDelivery of Health CareGuidelines as TopicHealth PrioritiesHealth Services AccessibilityHealth Services ResearchHIV InfectionsHumansOutcome Assessment, Health CarePatient Acceptance of Health CareUnited StatesUnited States Health Resources and Services AdministrationVulnerable Populations
2000
Does the Effect of Respondent Characteristics on Consumer Assessments Vary across Health Plans?
Zaslavsky A, Zaborski L, Cleary P. Does the Effect of Respondent Characteristics on Consumer Assessments Vary across Health Plans? Medical Care Research And Review 2000, 57: 379-394. PMID: 10981191, DOI: 10.1177/107755870005700307.Peer-Reviewed Original ResearchPrimary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial
Mundinger M, Kane R, Lenz E, Totten A, Tsai W, Cleary P, Friedewald W, Siu A, Shelanski M. Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial. JAMA 2000, 283: 59-68. PMID: 10632281, DOI: 10.1001/jama.283.1.59.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCommunity Health CentersContinuity of Patient CareEmergenciesFemaleHealth Services ResearchHealth StatusHumansMaleMiddle AgedNew York CityNurse PractitionersOutcome Assessment, Health CarePatient SatisfactionPhysicians, FamilyPrimary Health CareProfessional AutonomyRegression AnalysisConceptsPrimary care clinicsNurse practitionersInitial appointmentHealth statusCare clinicsPrimary careService utilizationCommunity-based primary care clinicsHealth service utilization dataUrban academic medical centerUrgent care visitsHealth service utilizationPrimary care outcomesPrimary care physiciansPrimary care appointmentsService utilization dataNurse practitioner practicePatients' health statusAcademic medical centerSignificant differencesType of providerSatisfaction ratingsCare visitsPractitioners' patientsCare appointments
1999
The Consumer Assessment of Health Plan Study (CAHPS) Survey of Children’s Health Care
Homer C, Fowler F, Gallagher P, Shaul J, Uyeda M, Zaslavsky A, Wilson V, Cleary P. The Consumer Assessment of Health Plan Study (CAHPS) Survey of Children’s Health Care. The Joint Commission Journal On Quality And Patient Safety 1999, 25: 369-377. PMID: 10412084, DOI: 10.1016/s1070-3241(16)30452-7.Peer-Reviewed Original ResearchConceptsChild health careOverall carePersonal doctorHealth careHealth Plans Study (CAHPS) surveyConsumer AssessmentHealth care servicesHealth care plansMedical care qualityQuality improvement effortsSpecialty carePediatric careCare plansCare servicesAspects of accessCare qualityInterpersonal careCognitive testingCareImprovement initiativesCore surveyChildrenStrongest correlateNeeds of childrenDoctorsPhysician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts
Williams T, Zaslavsky A, Cleary P. Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts. Medical Care 1999, 37: 589-600. PMID: 10386571, DOI: 10.1097/00005650-199906000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelEducation, Medical, ContinuingEvaluation Studies as TopicFactor Analysis, StatisticalFemaleHealth Knowledge, Attitudes, PracticeHealth Services ResearchHumansJob SatisfactionMaleManaged Care ProgramsMassachusettsPhysician Incentive PlansPhysiciansProfessional PracticeQuality of Health CareSurveys and Questionnaires
1998
Methodology matters-XI. Effective reports for health care quality data: lessons from a CAHPS demonstration in Washington State
Veroff, Gallagher P, Wilson V, Uyeda M, Merselis J, Guadagnoli E, Edgman-Levitan S, Zaslavsky A, Kleimann S, Cleary P. Methodology matters-XI. Effective reports for health care quality data: lessons from a CAHPS demonstration in Washington State. International Journal For Quality In Health Care 1998, 10: 555-560. PMID: 9928595, DOI: 10.1093/intqhc/10.6.555.Peer-Reviewed Original Research