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
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
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
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 interaction
2010
Geographic Area Variations in the Medicare Health Plan Era
Keenan PS, Cleary PD, O'Malley AJ, Landon BE, Zaborski L, Zaslavsky AM. Geographic Area Variations in the Medicare Health Plan Era. Medical Care 2010, 48: 260-266. PMID: 20182269, DOI: 10.1097/mlr.0b013e3181ca410a.Peer-Reviewed Original Research
2009
Effect of Depression Treatment on Chronic Pain Outcomes
Teh CF, Zaslavsky AM, Reynolds CF, Cleary PD. Effect of Depression Treatment on Chronic Pain Outcomes. Psychosomatic Medicine 2009, 72: 61-67. PMID: 19875633, PMCID: PMC3171143, DOI: 10.1097/psy.0b013e3181c2a7a8.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityCost of IllnessDepressive Disorder, MajorEmploymentFemaleHealth StatusHealth SurveysHumansLogistic ModelsMaleMental HealthMiddle AgedOutcome Assessment, Health CarePainPain ManagementPropensity ScorePsychiatric Status Rating ScalesQuality of Health CareSickness Impact ProfileSurveys and QuestionnairesConceptsDepression treatmentChronic painMedical Outcomes Study Short Form-12Health statusPropensity score-weighted analysisMental healthAdequate depression treatmentShort Form-12Chronic pain conditionsChronic pain outcomesMental component summaryMajor depressive disorderEffect of painPhysical health statusChronic pain sufferersMental health statusWorse health outcomesMental health problemsBetter mental healthNumber of workdaysPain controlPain severityComponent summaryPain conditionsPain outcomesQuality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicare
2007
Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildren
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
Case‐Mix Adjustment of the CAHPS® Hospital Survey
O'Malley AJ, Zaslavsky AM, Elliott MN, Zaborski L, Cleary PD. Case‐Mix Adjustment of the CAHPS® Hospital Survey. Health Services Research 2005, 40: 2162-2181. PMID: 16316443, PMCID: PMC1361241, DOI: 10.1111/j.1475-6773.2005.00470.x.Peer-Reviewed Original ResearchConceptsGeneral health statusCase-mix adjustmentCirculatory disordersHospital SurveyMedical servicesCase-mix variablesNon-Hispanic blacksPatient characteristicsHospital survey dataPatient ratingsHospital ratingMedical conditionsCirculatory problemsHealth statusHealthcare providersHospitalHospital qualityCAHPS Hospital SurveyHospital servicesConsumer AssessmentSurgeryImpact of adjustmentDisordersAgeScoresAdjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances.
Kim M, Zaslavsky AM, Cleary PD. Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances. Medical Care 2005, 43: 44-52. PMID: 15626933.Peer-Reviewed Original ResearchConceptsPrivate health insuranceCasemix modelChild health statusCAHPS surveyPatient characteristicsHealth plansHealth Plans Study (CAHPS) surveyHealth insurancePlan ratingsHealth plan performanceHealth statusCAHPS scoresPlan differencesConsumer AssessmentCommercial plansParents' agePlan performanceAdjustment variablesMedicaidSeparate modelsSubstantial impactStudy surveyMedicaid beneficiariesMedicaid plansSuch models
2004
Differences in Health-Related Quality of Life and Treatment Preferences Among Black and White Patients with End-Stage Renal Disease
Hicks LS, Cleary PD, Epstein AM, Ayanian JZ. Differences in Health-Related Quality of Life and Treatment Preferences Among Black and White Patients with End-Stage Renal Disease. Quality Of Life Research 2004, 13: 1129-1138. PMID: 15287279, DOI: 10.1023/b:qure.0000031350.56924.cc.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseRenal transplantationPhysical activityRenal diseaseWhite patientsEffect of ESRDOverall healthWhite womenWhite menHealth-related qualityMeasures of HRQLRacial differencesBetter overall healthQuality of lifeBlack womenBlack menBetter HRQLClinical characteristicsBlack patientsHRQL measuresPotential confoundersPatient preferencesTreatment preferencesPatientsAge 18Disparities 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
2002
Dimensions 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 scoresReportDoctors
2001
Patient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*
Fremont A, Cleary P, Hargraves J, Rowe R, Jacobson N, Ayanian J. Patient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*. Journal Of General Internal Medicine 2001, 16: 800-808. PMID: 11903758, PMCID: PMC1495308, DOI: 10.1046/j.1525-1497.2001.10102.x.Peer-Reviewed Original ResearchConceptsLong-term outcomesChest painHospital carePatient experienceOverall healthAcute myocardial infarction patientsSelf-reported overall healthPhysical healthNegative hospital experiencesPain 12 monthsObservational cohort studyShortness of breathHospital discharge abstractsMyocardial infarction patientsPatient-centered processNew Hampshire HospitalAnalytic cohortCohort studyClinical factorsCare groupPatient 1Discharge planningInfarction patientsMyocardial infarctionHospital experienceAdjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care
Hargraves J, Wilson I, Zaslavsky A, James C, Walker J, Rogers G, Cleary P. Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care. Medical Care 2001, 39: 635-641. PMID: 11404646, DOI: 10.1097/00005650-200106000-00011.Peer-Reviewed Original ResearchConceptsPatient characteristicsHospital careHealth statusPatient-reported problemsCoordination of careTypes of patientsSample of patientsQuality improvement effortsInvolvement of familyPatient genderPatient preferencesHospital differencesPatientsHospital staffPhysical careConsistent associationHospitalHospital rankingsCareTelephone surveyImportant predictorEducation levelEmotional supportReportPresent data
2000
Health-related quality of life in patients with human immunodeficiency virus infection in the United States: results from the HIV cost and services utilization study
Hays R, Cunningham W, Sherbourne C, Wilson I, Wu A, Cleary P, McCaffrey D, Fleishman J, Crystal S, Collins R, Eggan F, Shapiro M, Bozzette S. Health-related quality of life in patients with human immunodeficiency virus infection in the United States: results from the HIV cost and services utilization study. The American Journal Of Medicine 2000, 108: 714-722. PMID: 10924648, DOI: 10.1016/s0002-9343(00)00387-9.Peer-Reviewed Original ResearchConceptsHealth-related qualityServices Utilization StudyHIV diseaseChronic diseasesPhysical functioningGeneral populationHIV CostUtilization studiesHuman immunodeficiency virus (HIV) diseaseHuman immunodeficiency virus (HIV) infectionSF-36 physical functioningMental health summary scoresMental healthAsymptomatic HIV diseaseImmunodeficiency virus infectionSymptomatic HIV diseaseWorse physical functioningHealth summary scoresUS general populationHealth insurance statusAttention of cliniciansCD4 countAdult patientsSubstantial morbidityImmunodeficiency syndromeDimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans
Zaslavsky A, Beaulieu N, Landon B, Cleary P. Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans. Medical Care 2000, 38: 162-174. PMID: 10659690, DOI: 10.1097/00005650-200002000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overConsumer BehaviorDiagnosis-Related GroupsFactor Analysis, StatisticalFemaleHealth Care SurveysHealth Services AccessibilityHealth StatusHumansMaleManaged Care ProgramsMedicareMiddle AgedPatient Education as TopicQuality Assurance, Health CareRegression AnalysisSocioeconomic FactorsUnited StatesConceptsManaged care health planHealth plansHealth plan levelDelivery of careHealth-promoting activitiesHealth Plans SurveySpecialist careMedicare beneficiariesOverall ratingDoctor's officeConsumer AssessmentGlobal ratingCareMedical servicesPlans SurveyReport itemsCAHPSReportSurvey itemsPlan variabilityConsumer ReportsCorresponding groupMembers' ratingsDeliveryGroupPrimary 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 Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study
Weissman J, Haas J, Fowler F, Gatsonis C, Massagli M, Seage G, Cleary P. The Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study. Medical Decision Making 1999, 19: 16-26. PMID: 9917016, DOI: 10.1177/0272989x9901900103.Peer-Reviewed Original ResearchConceptsLife-sustaining careCardiac resuscitationPatient preferencesBoston Health StudyPredictors of instabilityMedical record reviewLife-extending careSite of careHealth care providersHealth care settingsHypothetical health statesLife-extending treatmentsProgressive diseaseRecord reviewPhysical functionPatient surveyClinical severityEligible personsCare settingsCare providersHealth StudyPatientsHealth statusResuscitationCare