2014
Clinician advice to quit smoking among seniors
Shadel WG, Elliott MN, Haas AC, Haviland AM, Orr N, Farmer MM, Ma S, Weech-Maldonado R, Farley DO, Cleary PD. Clinician advice to quit smoking among seniors. Preventive Medicine 2014, 70: 83-89. PMID: 25482423, PMCID: PMC5428890, DOI: 10.1016/j.ypmed.2014.11.020.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedAged, 80 and overCommunicationEducational StatusFemaleGeographyHealth Care SurveysHealth StatusHumansLinear ModelsMaleMedicareMinority HealthPatient Education as TopicPhysician-Patient RelationsPractice Patterns, Physicians'PrevalenceSex DistributionSmokingSmoking CessationSmoking PreventionUnited StatesConceptsCessation adviceProportion of smokersAmerican Indian/Alaskan NativeClinician advicePersons 50System survey dataSmoking ratesDoctor visitsAfrican American seniorsMedicare beneficiariesAge 64Healthcare providersConsumer AssessmentAlaskan NativesSmoking researchBeneficiary characteristicsUS seniorsSmokersSmokingCliniciansConsistent interventionOld smokeAdviceFemale respondentsSeniors
2011
Effects 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
2009
Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey
Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, Cleary PD, Orav EJ, Poon EG, Bates DW. Physicians' Use of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey. Journal Of The American Medical Informatics Association 2009, 16: 465-470. PMID: 19390104, PMCID: PMC2705248, DOI: 10.1197/jamia.m3081.Peer-Reviewed Original Research
2007
Professionalism 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 Research
2006
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
Dickey B, Normand SL, Eisen S, Hermann R, Cleary P, Cortés D, Ware N. Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences. Medical Care 2006, 44: 827-834. PMID: 16932134, DOI: 10.1097/01.mlr.0000215806.11805.6c.Peer-Reviewed Original ResearchConceptsHealth statusSide effectsHigh dosesEvidence-based practice guidelinesLarge prospective observational studySelf-reported health statusBaseline symptom profileHospital admission evaluationMassachusetts Medicaid beneficiariesProspective observational studyEvidence-based guidelinesTreatment of schizophreniaSubsample of patientsAntipsychotic medication doseHighest dose levelPerceptions of careQuality of carePatient care experiencesHealth benefit claimsAcute episodeAntipsychotic dosesGuideline adherenceMedication dosePoor outcomeSF-12
2005
Quality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCareA national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy.
Wilson IB, Landon BE, Ding L, Zaslavsky AM, Shapiro MF, Bozzette SA, Cleary PD. A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy. Medical Care 2005, 43: 12-20. PMID: 15626929.Peer-Reviewed Original ResearchConceptsActive antiretroviral therapyHIV careRate of exposureHIV expertiseAntiretroviral therapyInfectious disease specialistsServices Utilization StudyTotal patient volumeSite of careCross-sectional analysisHIV physiciansHAART useHIV CostHIV infectionDisease specialistsPhysician effectOutpatient careLow-volume sitesMultivariable modelAdjusted ratesHAARTPatientsUtilization studiesPatient volumeMedical directors
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 disease
2002
Specialty 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 score
1995
Variation in the Use of Cardiac Procedures after Acute Myocardial Infarction
Guadagnoli E, Hauptman P, Ayanian J, Pashos C, McNeil B, Cleary P. Variation in the Use of Cardiac Procedures after Acute Myocardial Infarction. New England Journal Of Medicine 1995, 333: 573-578. PMID: 7623908, DOI: 10.1056/nejm199508313330908.Peer-Reviewed Original ResearchConceptsHealth-related qualityPatterns of treatmentAcute myocardial infarctionCardiac proceduresRate of useCoronary angiographyMyocardial infarctionMore metabolic equivalentsLikelihood of deathYears of ageLarge geographic differencesMetabolic equivalentsClinical subgroupsMortality ratePatientsCase mixGreater riskInfarctionAngiographyEnergy expenditureTwo-year periodFrequency of useHigh rateTreatmentPhysicians