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 measuresDeathPatients
2010
The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety
Isaac T, Zaslavsky AM, Cleary PD, Landon BE. The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety. Health Services Research 2010, 45: 1024-1040. PMID: 20528990, PMCID: PMC2910567, DOI: 10.1111/j.1475-6773.2010.01122.x.Peer-Reviewed Original ResearchConceptsPatient experienceHospital qualityHospital careSurgical complication ratePatient safety indicatorsHospital Consumer AssessmentBetter patient experienceHospital Quality AllianceUlcer ratesComplication ratePatients' perceptionsSurgical careMedical conditionsSystem scoreHealthcare providersMedical careConsumer AssessmentHospitalQuality AllianceCareMeasure domainsFurther studiesSurgical processSummary measuresSafety
2008
The quality of care received by HIV patients without a primary provider
Ding L, Landon B, Wilson I, Hirschhorn L, Marsden P, Cleary P. The quality of care received by HIV patients without a primary provider. AIDS Care 2008, 20: 35-42. PMID: 18278613, DOI: 10.1080/09540120701439295.Peer-Reviewed Original ResearchConceptsPrimary HIV care providerHIV care providersCare providersQuality of careHIV patientsNurse practitionersUnmet needPhysician assistantsPrimary providersActive antiretroviral therapyServices Utilization StudyTerms of patientCare quality measuresNon-significant trendHIV expertiseHIV providersAntiretroviral therapyHIV CostPatient characteristicsHIV infectionIllness severityPatientsDrug usersUtilization studiesMedical care
2006
Correlates of Electronic Health Record Adoption in Office Practices: A Statewide Survey
Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Poon EG, Orav EJ, Lo HG, Williams DH, Bates DW. Correlates of Electronic Health Record Adoption in Office Practices: A Statewide Survey. Journal Of The American Medical Informatics Association 2006, 14: 110-117. PMID: 17068351, PMCID: PMC2215070, DOI: 10.1197/jamia.m2187.Peer-Reviewed Original ResearchConceptsElectronic health recordsOffice practiceHalf of physiciansHospital-based practiceEHR adoptionElectronic health record adoptionSmall practicesEHR adoption ratesMost physiciansNon-financial barriersResponse rateMedical careMultivariate analysisMore physiciansStratified random sampleMailed surveyPractice sizeEHR usePhysiciansMedical studentsSolo practiceHealth records
2002
How 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
1999
The Effect of Patients' Preferences on Racial Differences in Access to Renal Transplantation
Ayanian J, Cleary P, Weissman J, Epstein A. The Effect of Patients' Preferences on Racial Differences in Access to Renal Transplantation. New England Journal Of Medicine 1999, 341: 1661-1669. PMID: 10572155, DOI: 10.1056/nejm199911253412206.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseRenal transplantationBlack patientsPatient preferencesRenal diseaseWhite patientsRacial differencesRate of referralPerceptions of careSubstantial racial differencesEligible patientsRenal failureTransplantation centersDialysis therapyMaintenance treatmentWaiting listPatientsTransplantationDialysis facilitiesHealth statusMedical careSociodemographic characteristicsStratified random sampleWhite womenWhite men
1998
A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care
Landon B, Wilson I, Cleary P. A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care. JAMA 1998, 279: 1377-1382. PMID: 9582046, DOI: 10.1001/jama.279.17.1377.Peer-Reviewed Original ResearchSatisfaction May Not Suffice!: A Commentary on ‘a Patient's Perspective’
Cleary P. Satisfaction May Not Suffice!: A Commentary on ‘a Patient's Perspective’. International Journal Of Technology Assessment In Health Care 1998, 14: 35-37. PMID: 9599093, DOI: 10.1017/s0266462300010503.Peer-Reviewed Original Research
1995
Health-related quality of life after coronary revascularization in older patients
Cleary P, Guadagnoli E, Ayanian J. Health-related quality of life after coronary revascularization in older patients. Developments In Cardiovascular Medicine 1995, 161: 167-177. DOI: 10.1007/978-94-011-0209-4_16.Peer-Reviewed Original ResearchStudy of HRQLPercutaneous transluminal coronary angioplastyHealth-related qualitySurgical conditionsCoronary artery bypassTransluminal coronary angioplastyPatient-based measuresAcademic medical centerArtery bypassCoronary revascularizationOlder patientsCardiac surgeryCoronary angioplastySurgical treatmentSymptom reliefHospital studyWomen's HospitalMedical CenterMedical careHeart attackHRQLPatientsPhysiologic functionCABGTreatmentCosts 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
1994
Hypochondriasis and Panic Disorder: Boundary and Overlap
Barsky A, Barnett M, Cleary P. Hypochondriasis and Panic Disorder: Boundary and Overlap. JAMA Psychiatry 1994, 51: 918-925. PMID: 7944880, DOI: 10.1001/archpsyc.1994.03950110078010.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPanic disorderCare physiciansMedical careDSM-III-R panic disorderPrimary care patientsPrimary care populationComorbid panic disorderSomatization disorder symptomsPanic disorder criteriaStructured diagnostic interviewCare patientsClinic attendersCare populationMajor depressionSelf-report questionnairesPatientsDiagnostic InterviewDisorder criteriaHypochondriasisAnxiety disordersDisordersPhenomenological overlapDisorder symptomsPhysiciansThe accuracy of symptom reporting by patients complaining of palpitations
Barsky A, Cleary P, Barnett M, Christiansen C, Ruskin J. The accuracy of symptom reporting by patients complaining of palpitations. The American Journal Of Medicine 1994, 97: 214-221. PMID: 8092169, DOI: 10.1016/0002-9343(94)90003-5.Peer-Reviewed Original ResearchConceptsPositive predictive valuePredictive valueAmbulatory electrocardiographic monitoringMedical care utilizationCardiac activityStructured diagnostic interviewElectrocardiographic resultsSymptom diaryConsecutive patientsSignificant arrhythmiasCare utilizationElectrocardiographic monitoringPsychologic distressHypochondriacal patientsHeart diseasePatient reportsPsychiatric symptomsSelf-report questionnairesPalpitationsPatientsArrhythmiasMedical careDiagnostic InterviewSymptom reportingSymptoms
1993
Hypochondriacal patients' beliefs about good health
Barsky A, Coeytaux R, Sarnie M, Cleary P. Hypochondriacal patients' beliefs about good health. American Journal Of Psychiatry 1993, 150: 1085-1089. PMID: 8317581, DOI: 10.1176/ajp.150.7.1085.Peer-Reviewed Original ResearchConceptsMore symptomsHypochondriacal patientsGood healthNonhypochondriacal patientsAggregate medical morbiditySymptom-free stateGeneral medicine clinicMedical care utilizationGood test-retest reliabilityNumerous somatic symptomsMedical morbidityCare utilizationClinical featuresTest-retest reliabilityMedicine clinicHypochondriacal symptomsPatients' beliefsBodily preoccupationPatientsMedical careSociodemographic characteristicsSomatic symptomsSymptomsAmbiguous symptomsComparison groupThe 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 sensationsUsing patient reports to improve medical care
Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Delbanco T. Using patient reports to improve medical care. Quality Management In Health Care 1993, 2: 31-38. PMID: 10131018, DOI: 10.1097/00019514-199302010-00007.Peer-Reviewed Original Research
1992
Using 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 ResearchConceptsAIDS 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 bedsCare
1988
Illness Behavior in the Aged
Levkoff S, Cleary P, Wetle T, Besdine R. Illness Behavior in the Aged. Journal Of The American Geriatrics Society 1988, 36: 622-629. PMID: 3290313, DOI: 10.1111/j.1532-5415.1988.tb06158.x.Peer-Reviewed Original Research
1987
Gender Differences in the Acquisition of Prescribed Drugs
Svarstad B, Cleary P, Mechanic D, Robers P. Gender Differences in the Acquisition of Prescribed Drugs. Medical Care 1987, 25: 1089-1098. PMID: 3695639, DOI: 10.1097/00005650-198711000-00007.Peer-Reviewed Original ResearchConceptsMore prescribed drugsPrescribed drugsFemale-specific conditionsChild-bearing yearsSelf-reported drug usePharmacy recordsDrug categoriesGender differencesDrug useMedical careAge groupsStudy periodWomenDrugsHigh anxietyPhysiciansMenPrevious studiesDifferencesGross measuresIllnessReproductive rolesDiagnosisCare
1986
Alcohol Abuse in Women Seeking Gynecologic Care
HALLIDAY A, BUSH B, CLEARY P, ARONSON M, DELBANCO T. Alcohol Abuse in Women Seeking Gynecologic Care. Obstetrics And Gynecology 1986, 68: 322-326. PMID: 3737053, DOI: 10.1097/00006250-198609000-00006.Peer-Reviewed Original ResearchConceptsPremenstrual syndromeAlcohol abuseAlcohol abusersGynecologic careCAGE questionsPeriodic careGeneral gynecology practicePrivate practice settingMenstrual disordersRetrospective studyGynecology practiceAlcoholic womenMenstrual problemsNonalcoholic womenGynecologic practiceMedical carePractice settingsGreater riskCareWomenPatientsSyndromeAbusersDrinkingPMS practicesDo-Not-Resuscitate Orders for Critically III Patients in the Hospital: How Are They Used and What Is Their Impact?
Bedell S, Pelle D, Maher P, Cleary P. Do-Not-Resuscitate Orders for Critically III Patients in the Hospital: How Are They Used and What Is Their Impact? JAMA 1986, 256: 233-237. DOI: 10.1001/jama.1986.03380020095030.Peer-Reviewed Original ResearchResuscitate ordersChronic obstructive pulmonary diseaseAbnormal mental statusObstructive pulmonary diseaseAcute myocardial infarctionPatient progress notesPulmonary diseaseCardiopulmonary arrestDNR statusMyocardial infarctionUniversity HospitalMedical recordsMental statusCardiopulmonary resuscitationPatient's illnessPercent of familiesChart ordersPatientsMedical careProgress notesHospitalDNRResuscitationIllnessStatus