2023
Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic
Elliott M, Beckett M, Cohea C, Lehrman W, Cleary P, Giordano L, Russ C, Goldstein E, Fleisher L. Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic. JAMA Health Forum 2023, 4: e232766. PMID: 37624612, PMCID: PMC10457712, DOI: 10.1001/jamahealthforum.2023.2766.Peer-Reviewed Original ResearchConceptsCohort studyPatient experienceCare experiencesTop quartile hospitalsAffected measuresAge 65 yearsSurgical service linesStaffing levelsCOVID-19 pandemicPatient experience scoresPatient care experiencesEffect sizePrimary outcomeHCAHPS measuresPrepandemic dataHospital careMAIN OUTCOMESummary scoresHCAHPS scoresUS hospitalsLarge effect sizesPrimary analysisHospitalDischarge informationSecondary analysis
2020
A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers
Nembhard IM, Buta E, Lee YSH, Anderson D, Zlateva I, Cleary PD. A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers. BMC Health Services Research 2020, 20: 137. PMID: 32093664, PMCID: PMC7038598, DOI: 10.1186/s12913-020-4986-0.Peer-Reviewed Original ResearchConceptsHigh-risk patientsCare coordinationCare experiencesOffice visitsSix-month effectsCare coordination programSame health systemCommunity health centersPatient office visitsPatient care experiencesLow-resource settingsMonths of useMonths of implementationPre-post designHealth centersPatient reportsPatient experiencePatientsProgram enrolleesHealthcare providersQuasi-experimental studyClinical staffHealth systemCoordination programStudy outcomes
2016
Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition
Cleary PD. Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition. Journal Of Health Politics Policy And Law 2016, 41: 675-696. PMID: 27127265, DOI: 10.1215/03616878-3620881.Peer-Reviewed Original ResearchConceptsHealth care qualityQuality improvement effortsPatient satisfactionCare experiencesCare qualityHigh-quality patient-centered carePatient-centered carePatient care experiencesHealth care systemBetter outcomesCare needsPatient experienceImprovement effortsCare systemCareSurvey-based assessmentOutcomesMultiple outcomesBroad effectsAvailable researchBroad improvementsEvolving ConceptAdvice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+
Winpenny E, Elliott MN, Haas A, Haviland AM, Orr N, Shadel WG, Ma S, Friedberg MW, Cleary PD. Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+. Health Services Research 2016, 52: 207-219. PMID: 27061081, PMCID: PMC5264017, DOI: 10.1111/1475-6773.12491.Peer-Reviewed Original ResearchConceptsCare experiencesPatient experience measuresPatient care experiencesMedicare Consumer AssessmentCessation advicePhysician advicePatient assessmentAged 65Physician communicationPhysician ratingsHealthcare providersSmokingFixed-effects linear regression modelsConsumer AssessmentCross-sectional survey dataSystem surveyHealth careExperience measuresSmokersPositive associationLinear regression modelsRegression modelsRepresentative sampleAdvicePhysicians
2015
The relationship between voice climate and patients’ experience of timely care in primary care clinics
Nembhard IM, Yuan CT, Shabanova V, Cleary PD. The relationship between voice climate and patients’ experience of timely care in primary care clinics. Health Care Management Review 2015, 40: 104-115. PMID: 24589927, PMCID: PMC5428896, DOI: 10.1097/hmr.0000000000000017.Peer-Reviewed Original ResearchConceptsTimeliness of carePrimary care clinicsTimely carePatient care experiencesCare clinicsPatient experienceCare experiencesCross-sectional studyLess patientsStaff work environmentPatient reportsPatientsQuality careClinicAppointment timeCareClinical leadersAdministrative staffReportProfessional groupsWork environmentStaffAnalysis of varianceLeaders' reportsVoice climate
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 measuresDeathPatientsExamining the Role of Patient Experience Surveys in Measuring Health Care Quality
Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, Edgman-Levitan S, Cleary PD. Examining the Role of Patient Experience Surveys in Measuring Health Care Quality. Medical Care Research And Review 2014, 71: 522-554. PMID: 25027409, PMCID: PMC4349195, DOI: 10.1177/1077558714541480.Peer-Reviewed Original ResearchConceptsHealth care qualityBetter patient care experiencesLess health care utilizationCare qualityBetter clinical outcomesHealth care utilizationPatient experience surveysPatient experience measuresPatient care experiencesBetter patient safetyClinical outcomesCare utilizationExperiences SurveyPatient experienceCare experiencesPatient safetyClinical processesExperience measuresPublic reportingStandard protocolSound instrumentPerformance programsSample sizeHigh levelsHospitalAre Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2010
A Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey
Anastario MP, Rodriguez HP, Gallagher PM, Cleary PD, Shaller D, Rogers WH, Bogen K, Safran DG. A Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey. Health Services Research 2010, 45: 1345-1359. PMID: 20579126, PMCID: PMC2965508, DOI: 10.1111/j.1475-6773.2010.01129.x.Peer-Reviewed Original ResearchConceptsPatient care experiencesCare experiencesLower overall response rateOverall response rateComparison of physicianChoice of patientsCAHPS ClinicianResponse ratePractice sitesSurvey scoresAnalytic samplePotential rolePatientsCliniciansDistribution ratePhysiciansFurther testingValid assessmentSurvey distributionNew York StateGroup surveyMailTrialsWeeksRate
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
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 studiesHIV