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
2018
Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer
Cefalu MS, Elliott MN, Setodji CM, Cleary PD, Hays RD. Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer. Health Services Research 2018, 54: 502-508. PMID: 30259508, PMCID: PMC6407350, DOI: 10.1111/1475-6773.13056.Peer-Reviewed Original ResearchConceptsHospital quality indicatorsHospital qualityHospital Value-Based PurchasingHospital Compare dataAmerican Hospital Association Annual SurveyHospital carePatient experienceDifferent hospitalsValue-based purchasingRidit scoresIndicators of structureQuality indicatorsExploratory factor analysisHospitalPrior publicationsMortality
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
Are 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
The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety
Isaac T, Zaslavsky AM, Cleary PD, Landon BE. The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety. Health Services Research 2010, 45: 1024-1040. PMID: 20528990, PMCID: PMC2910567, DOI: 10.1111/j.1475-6773.2010.01122.x.Peer-Reviewed Original ResearchConceptsPatient experienceHospital qualityHospital careSurgical complication ratePatient safety indicatorsHospital Consumer AssessmentBetter patient experienceHospital Quality AllianceUlcer ratesComplication ratePatients' perceptionsSurgical careMedical conditionsSystem scoreHealthcare providersMedical careConsumer AssessmentHospitalQuality AllianceCareMeasure domainsFurther studiesSurgical processSummary measuresSafety
2005
Methods Used to Streamline the CAHPS® Hospital Survey
Keller S, O'Malley AJ, Hays RD, Matthew RA, Zaslavsky AM, Hepner KA, Cleary PD. Methods Used to Streamline the CAHPS® Hospital Survey. Health Services Research 2005, 40: 2057-2077. PMID: 16316438, PMCID: PMC1361248, DOI: 10.1111/j.1475-6773.2005.00478.x.Peer-Reviewed Original ResearchConceptsStatistical propertiesHospital SurveyCare qualityHospital care qualityBest subsetStandard psychometric methodsParsimonious subsetPromising measurement propertiesHospital stayPatient evaluationHospital carePatient reportsInternal consistency reliabilityCAHPS Hospital SurveyHospitalExcellent fitPilot dataMeasurement propertiesReport itemsConsistency reliabilityConfirmatory factor analysisCareFocus groupsPsychometric methodsSubset
2003
What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics
Joffe S, Manocchia M, Weeks J, Cleary P. What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics. Journal Of Medical Ethics 2003, 29: 103. PMID: 12672891, PMCID: PMC1733711, DOI: 10.1136/jme.29.2.103.Peer-Reviewed Original ResearchConceptsHospital carePatients' overall evaluationCoordination of careLogistic regression analysisPatient autonomyCross-sectional surveyAvailability of staffPatient evaluationMAIN OUTCOMEPatient valuesHospitalCareHealth careSurvey recipientsRegression analysisTreatmentRandom samplePhysical comfortInvolvementOverall evaluationProvidersHospitalisationEvaluation
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
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 informationMedicationsHospitalEvaluationControlA Comparison of Carepartner and Patient Experiences with Hospital Care
Vom Eigen K, Walker J, Edgman-Levitan S, Cleary P, Delbanco T. A Comparison of Carepartner and Patient Experiences with Hospital Care. Families Systems & Health 2000, 18: 191-203. DOI: 10.1037/h0091846.Peer-Reviewed Original ResearchHospital experienceNon-clinical outcomesSupport of patientsDomains of careQuality improvement effortsFamily membersDischarge planningPatient satisfactionPatient responseHospital careSurgical careCarepartnersPatient experienceNationwide telephone surveyPatientsIndividual survey itemsHospital systemCareTelephone surveyFamily participationEmotional supportSurvey itemsImprovement effortsHospitalizationMore problems
1999
Carepartner Experiences With Hospital Care
vom Eigen K, Walker J, Edgman-Levitan S, Cleary P, Delbanco T. Carepartner Experiences With Hospital Care. Medical Care 1999, 37: 33-38. PMID: 10413390, DOI: 10.1097/00005650-199901000-00006.Peer-Reviewed Original ResearchConceptsIndependent predictorsRegular doctorHospital experienceMultivariable regression analysisSupport of patientsDomains of carePatients' health statusNonsurgical admissionsDischarge planningPatient satisfactionEmergency hospitalizationHospital careCarepartnersNationwide telephone surveyHealth statusPatient careHospitalizationPatientsCareTelephone surveyRegression analysisFamily participationBetter awarenessFamily membersEmotional support
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical model
1995
Medical patients’ assessments of their care during hospitalization
Delbanco T, Stokes D, Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Daley J. Medical patients’ assessments of their care during hospitalization. Journal Of General Internal Medicine 1995, 10: 679-685. PMID: 8770720, DOI: 10.1007/bf02602763.Peer-Reviewed Original ResearchConceptsHospital careHospitalized medical patientsNon-federal acute care hospitalsHospital-based careAcute care hospitalsInpatient hospital careCross-sectional surveyProbability sampleMost patientsCare hospitalMedical patientsPatient assessmentPatient's perspectivePatientsHospitalizationHospital routineHealth statusPrompt attentionSociodemographic characteristicsTelephone interviewsCareMedical servicesHospitalOne-thirdOverall satisfactionCosts of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study.
Epstein A, Seage G, Weissman J, Cleary P, Fowler F, Gatsonis C, Massagli M, Stone V, Coltin K, Craven D. Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study. INQUIRY The Journal Of Health Care Organization Provision And Financing 1995, 32: 211-21. PMID: 7601519.Peer-Reviewed Original Research
1993
Using patient reports to improve medical care
Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Delbanco T. Using patient reports to improve medical care. Quality Management In Health Care 1993, 2: 31-38. PMID: 10131018, DOI: 10.1097/00019514-199302010-00007.Peer-Reviewed Original Research
1992
Using patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCareThe Relationship Between Reported Problems and Patient Summary Evaluations of Hospital Care
Cleary P, Edgman-Levitan S, McMullen W, Delbanco T. The Relationship Between Reported Problems and Patient Summary Evaluations of Hospital Care. The Joint Commission Journal On Quality And Patient Safety 1992, 18: 53-59. PMID: 1574321, DOI: 10.1016/s0097-5990(16)30507-3.Peer-Reviewed Original ResearchConceptsHealth statusAspects of hospitalizationPatients' overall evaluationPatient characteristicsSurgical patientsPatient evaluationGeneral HospitalHospital careNationwide telephone surveyTelephone surveyCareStrongest predictorReported problemsOverall evaluationAssociationStatusHospitalizationPatientsHospitalEvaluation
1991
Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditions
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 Research