2008
Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV
Ohl ME, Landon BE, Cleary PD, LeMaster J. Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV. Psychiatric Services 2008, 59: 400-407. PMID: 18378839, DOI: 10.1176/ps.2008.59.4.400.Peer-Reviewed Original ResearchConceptsSite case managementSubstance abuse careBehavioral health servicesCase managementClinic characteristicsSpecialist careHealth servicesMental health specialist careMental healthLikelihood of careSubstance useHIV specialty clinicsServices Utilization StudyActive substance useMental health specialistsSubgroup of personsMental health careHIV CostPatient characteristicsPrimary outcomeSpecialty clinicHealth specialistsHIVUtilization studiesClinicThe 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
2007
The Effect of Care Team Composition on the Quality of HIV Care
Rodriguez HP, Marsden PV, Landon BE, Wilson IB, Cleary PD. The Effect of Care Team Composition on the Quality of HIV Care. Medical Care Research And Review 2007, 65: 88-113. PMID: 18184871, DOI: 10.1177/1077558707310258.Peer-Reviewed Original ResearchConceptsMultiple cliniciansCare team compositionHIV carePneumocystis carinii pneumonia prophylaxisServices Utilization StudyHigh-quality careConsistent prescribingPhysician continuityPneumonia prophylaxisHIV CostCare coordinationCare teamMultiple physiciansMore cliniciansUtilization studiesCliniciansCare qualityCareInappropriate useEmergency servicesProphylaxisPrescribingPatientsPhysiciansVoluntary 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
2005
A 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
Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics
Mcinnes K, Landon B, Malitz F, Wilson I, Marsden P, Fleishman J, Gustafson D, Cleary P. Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics. AIDS Care 2004, 16: 851-857. PMID: 15385240, DOI: 10.1080/09540120412331290202.Peer-Reviewed Original ResearchConceptsHIV clinicHIV careCare ActHIV risk factorsInfectious disease specialistsServices Utilization StudyRyan White CARE ActHIV patientsHIV CostTotal patientsHIV infectionClinic characteristicsDisease specialistsHeterosexual contactRisk factorsComprehensive careClinic dataPatientsUtilization studiesClinicPatient dataCareMore support servicesNon-probability sampleRepresentative sample
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
HIV Patients’ Experiences With Inpatient and Outpatient Care
Wilson IB, Ding L, Hays RD, Shapiro MF, Bozzette SA, Cleary PD. HIV Patients’ Experiences With Inpatient and Outpatient Care. Medical Care 2002, 40: 1149-1160. PMID: 12458298, DOI: 10.1097/00005650-200212000-00003.Peer-Reviewed Original ResearchConceptsOutpatient careCare experiencesPatient characteristicsInpatient stayGlobal ratingPatient experienceBetter provider-patient communicationOnly patient characteristicServices Utilization StudyProblem rateSpecific patient subgroupsProcess of careProvider-patient communicationSite of carePatient care experiencesQuality improvement effortsCohort studyHIV CostOutpatient visitsPatient subgroupsEmergency roomMultivariable modelInpatientsUtilization studiesHIVSpecialty 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
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 syndrome