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
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProviders
2012
Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey
Dyer N, Sorra JS, Smith SA, Cleary PD, Hays RD. Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey. Medical Care 2012, 50: s28-s34. PMID: 23064274, PMCID: PMC3480671, DOI: 10.1097/mlr.0b013e31826cbc0d.Peer-Reviewed Original ResearchConceptsPractice site levelDoctor communicationSystems ClinicianHealthcare providersInternal consistency reliabilityConsumer AssessmentOutpatient medical officesGlobal ratingVisit surveyMulti-item compositesConsistency reliabilityClinical practice sitesGlobal rating itemsPsychometric propertiesDoctors' ratingsAcceptable psychometric propertiesCAHPS ClinicianHelpful staffMedical officesPractice sitesPatientsCliniciansCareIndividual levelSurvey items
2008
Quality of depression care for people with coincident chronic medical conditions
Teh CF, Reynolds CF, Cleary PD. Quality of depression care for people with coincident chronic medical conditions. General Hospital Psychiatry 2008, 30: 528-535. PMID: 19061679, PMCID: PMC2598839, DOI: 10.1016/j.genhosppsych.2008.07.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntidepressive AgentsChronic DiseaseComorbidityDepressive Disorder, MajorDysthymic DisorderFemaleHealth SurveysHumansMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsPrimary Health CareQuality Assurance, Health CareReferral and ConsultationUnited StatesUtilization ReviewConceptsChronic medical conditionsAdequate depression carePatient-provider relationshipDepression careMedical conditionsComorbid chronic medical conditionsSevere chronic medical conditionsDepression care qualityDepression recognitionContinuity of careMajor depressive disorderMental health problemsLogistic regression modelsAntidepressant medicationMedical visitsPoor outcomePatient satisfactionDepressed patientsDepressive disorderUsual sourceHealth problemsCare qualityCareProvider trustDepressionEvaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative
Davies E, Shaller D, Edgman‐Levitan S, Safran DG, Oftedahl G, Sakowski J, Cleary PD. Evaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative. Health Expectations 2008, 11: 160-176. PMID: 18494960, PMCID: PMC5060434, DOI: 10.1111/j.1369-7625.2007.00483.x.Peer-Reviewed Original ResearchMeSH KeywordsConsumer BehaviorCooperative BehaviorHealth Care SurveysHumansInterviews as TopicMinnesotaPatient-Centered CarePhysician-Patient RelationsQuality Assurance, Health CareConceptsPatient experienceClinical Systems ImprovementSample of patientsPatient-centered careCAHPS surveyHealthcare providersSimple interventionMedical groupConsumer AssessmentSystem surveyProcess evaluationHealthcare systemHarvard Medical SchoolQuality improvementBaseline dataCareInterventionPowerful stimulusMeasurable improvementResource manualGroupSmall improvementEngaged leadershipSuccessful groupSubsequent changes
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 ResearchMeSH KeywordsAdolescentAdultAttitude to HealthChildChild, PreschoolFemaleHumansInfantMaleMultivariate AnalysisParent-Child RelationsPhysician-Patient RelationsPrognosisQuality of LifeTruth DisclosureConceptsPrognostic 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 yearCureVoluntary Physician Switching by Human Immunodeficiency Virus-Infected Individuals
Rodriguez HP, Wilson IB, Landon BE, Marsden PV, Cleary PD. Voluntary Physician Switching by Human Immunodeficiency Virus-Infected Individuals. Medical Care 2007, 45: 189-198. PMID: 17304075, DOI: 10.1097/01.mlr.0000250252.14148.7e.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveContinuity of Patient CareDecision MakingFemaleHealth Services AccessibilityHIV InfectionsHumansLongitudinal StudiesMaleMedicinePatient ParticipationPatient SatisfactionPhysician-Patient RelationsPhysiciansQuality of Health CareRegression AnalysisSocioeconomic FactorsSpecializationTrustConceptsHuman immunodeficiency virusImmunodeficiency virusVoluntary physiciansServices Utilization StudyMultilevel logistic regression modelsQuality of careCARE Act fundingLogistic regression modelsUsual cliniciansHIV CostChronic illnessCare sitesPatientsUtilization studiesPatient volumePatient trustPhysiciansStudy periodMultivariate modelCareCliniciansLongitudinal studyTechnical qualityRegression modelsRepresentative sample
2004
Physicians’ beliefs about racial differences in referral for renal transplantation
Ayanian JZ, Cleary PD, Keogh JH, Noonan SJ, David-Kasdan JA, Epstein AM. Physicians’ beliefs about racial differences in referral for renal transplantation. American Journal Of Kidney Diseases 2004, 43: 350-357. PMID: 14750101, DOI: 10.1053/j.ajkd.2003.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsianAttitude of Health PersonnelBlack or African AmericanHealth Services AccessibilityHumansKidney Failure, ChronicKidney TransplantationMiddle AgedNephrologyPatient Acceptance of Health CarePhysician-Patient RelationsQuality of LifeReferral and ConsultationSurvival RateUnited StatesWhite PeopleConceptsRenal transplantationWhite patientsPatient-physician communicationBlack patientsQuality of lifeRacial differencesEnd-stage renal diseaseNephrologist's viewComorbid illnessesRenal diseaseTreatment optionsPatient preferencesPhysician biasPhysicians' beliefsPatientsPhysicians' viewsTransplantationPhysiciansCareSurvivalImportant reasonUS regionsNephrologistsDifferencesReferral
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
2001
Quality of informed consent in cancer clinical trials: a cross-sectional survey
Joffe S, Cook E, Cleary P, Clark J, Weeks J. Quality of informed consent in cancer clinical trials: a cross-sectional survey. The Lancet 2001, 358: 1772-1777. PMID: 11734235, DOI: 10.1016/s0140-6736(01)06805-2.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthClinical Trials as TopicComprehensionDisclosureFemaleHumansInformed ConsentMaleMiddle AgedNeoplasmsPhysician-Patient RelationsSurveys and QuestionnairesConceptsClinical trialsCancer clinical trialsFuture patientsConsent formCross-sectional surveyNon-standard treatmentAdult patientsInformed consent processTrial participantsIncremental riskProviders' beliefsMultivariate analysisPatientsUncertainty of benefitPatient consentClinical researchStandard questionnaireInformed consentTrialsConsent processTherapeutic misconceptionCancer therapyConsentParticipantsTreatmentPhysician 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
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 informationMedicationsHospitalEvaluationControlIs the Professional Satisfaction of General Internists Associated with Patient Satisfaction?
Haas J, Cook E, Puopolo A, Burstin H, Cleary P, Brennan T. Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction? Journal Of General Internal Medicine 2000, 15: 122-128. PMID: 10672116, PMCID: PMC1495336, DOI: 10.1046/j.1525-1497.2000.02219.x.Peer-Reviewed Original ResearchConceptsRecent physician visitPatients of physiciansPhysician visitsPhysician satisfactionGeneral internal medicine practiceBetter overall health statusOverall satisfactionProfessional satisfactionHealth careInternal medicine practicePatients' overall satisfactionOverall health statusCross-sectional surveyLower overall satisfactionYounger patientsHigher professional satisfactionPatient satisfactionMinority patientsGeneral internistsPhysician professional satisfactionPatientsHealth statusMedicine practicePhysiciansCare
1999
Changing clinician behavior: necessary path to improvement or impossible dream?
Cleary P. Changing clinician behavior: necessary path to improvement or impossible dream? Annals Of Internal Medicine 1999, 131: 859-60. PMID: 10610632, DOI: 10.7326/0003-4819-131-11-199912070-00010.Peer-Reviewed Original ResearchThe increasing importance of patient surveys
Cleary P. The increasing importance of patient surveys. The BMJ 1999, 319: 720. PMID: 10487981, PMCID: PMC1116581, DOI: 10.1136/bmj.319.7212.720.Commentaries, Editorials and Letters
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 physiciansPatients’ Trust in Their Physicians
Kao A, Green D, Davis N, Koplan J, Cleary P. Patients’ Trust in Their Physicians. Journal Of General Internal Medicine 1998, 13: 681-686. PMID: 9798815, PMCID: PMC1500897, DOI: 10.1046/j.1525-1497.1998.00204.x.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChoice BehaviorCluster AnalysisConfidence IntervalsContinuity of Patient CareCost-Benefit AnalysisData CollectionEvaluation Studies as TopicFemaleGeorgiaHumansInsurance, Physician ServicesMaleManaged Care ProgramsMiddle AgedPatient SatisfactionPhysician-Patient RelationsRandom AllocationRegression AnalysisReimbursement MechanismsTrustWithholding Treatment
1993
Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication.
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. JAMA Internal Medicine 1993, 153: 1241-8. PMID: 8494476, DOI: 10.1001/archinte.153.10.1241.Peer-Reviewed Original ResearchConceptsLife-sustaining careHealth maintenance organizationPatient-physician communicationStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regression
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 ResearchMeSH KeywordsConsumer BehaviorHospitalizationHumansPhysician-Patient RelationsPilot ProjectsQuality Assurance, Health CareQuality of Health CareSurveys and Questionnaires
1987
The Response of Primary Care Physicians to Problem Drinkers
Rohman M, Cleary P, Warburg M, Del banco T, Aronson M. The Response of Primary Care Physicians to Problem Drinkers. The American Journal Of Drug And Alcohol Abuse 1987, 13: 199-209. PMID: 3687884, DOI: 10.3109/00952998709001509.Peer-Reviewed Original ResearchMeSH KeywordsAlcoholismAttitudeHumansPhysician-Patient RelationsPhysician's RolePhysicians, FamilySurveys and QuestionnairesUnited StatesConceptsLong-term alcohol treatmentPrimary care physicians' responsesPatients' drinking problemsPrimary care physiciansPrimary care practitionersTreatment of alcoholismDrinking problemsNecessary clinical skillsCare physiciansAnonymous questionnaire surveyCare practitionersPhysician responsesAlcohol treatmentPatient management skillsGreater Boston areaPhysiciansProblem drinkersClinical skillsAlcohol educationTreatmentBoston areaEducational programsResponseDiagnosisAlcoholism