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 ResearchMeSH KeywordsHealth EquityHealthcare DisparitiesHumansPatient CarePatient SatisfactionPatient-Centered CareReproducibility of ResultsSurveys and QuestionnairesConceptsHealth 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 Concept
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
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care. Medical Care 2012, 50: s11-s19. PMID: 23064271, PMCID: PMC3525454, DOI: 10.1097/mlr.0b013e3182610a50.Peer-Reviewed Original ResearchConceptsHealth information technologyPatient experienceProvider websitesInformation technologyItem-scale correlationsDoctors' useE-mailAcademic medical centerIndependent predictorsAmbulatory careMedical CenterHealth plansIntegrated delivery systemsCognitive testingConsumer AssessmentCronbach's αComputerHealth careCarePatientsWebsitesPhysiciansCAHPSFocus groupsOverall ratingDevelopment of and Field Test Results for the CAHPS PCMH Survey
Scholle SH, Vuong O, Ding L, Fry S, Gallagher P, Brown JA, Hays RD, Cleary PD. Development of and Field Test Results for the CAHPS PCMH Survey. Medical Care 2012, 50: s2-s10. PMID: 23064272, PMCID: PMC5388834, DOI: 10.1097/mlr.0b013e3182610aba.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolCommunity Health CentersConsumer BehaviorFactor Analysis, StatisticalFemaleFocus GroupsHealth Care SurveysHealth PersonnelHumansInfantInterviews as TopicMaleMiddle AgedPatient SatisfactionPatient-Centered CarePrimary Health CarePrivate PracticeReproducibility of ResultsSurveys and QuestionnairesUnited StatesYoung AdultConceptsEffective care practicesProcess of careMulti-item compositesPrimary careMedical homePediatric practiceSystems ClinicianCare practicesHealthcare providersConsumer AssessmentExpert panelSupplemental itemsPCMHCareChild versionCognitive interviewsExploratory factor analysisSurvey questionsPatientsBroad public inputCliniciansPsychometric 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
2005
The Reliability of Survey Assessments of Characteristics of Medical Clinics
Marsden PV, Landon BE, Wilson IB, McInnes K, Hirschhorn LR, Ding L, Cleary PD. The Reliability of Survey Assessments of Characteristics of Medical Clinics. Health Services Research 2005, 41: 265-283. PMID: 16430611, PMCID: PMC1681534, DOI: 10.1111/j.1475-6773.2005.00480.x.Peer-Reviewed Original ResearchConceptsHIV careHigh-quality HIV careMedical clinicsRyan White CARE ActSurvey of cliniciansQuality improvement initiativesCross-sectional surveyQuality improvement activitiesClinic assessmentMultiple informantsMedical directorsPsychometric performanceClinicImprovement initiativesCare ActCareHierarchical regression modelsCliniciansSubstantial itemRegression modelsReliability of measuresSurvey assessmentAdequate reliabilitySurvey itemsMost measuresMethods 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
Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS®) 2.0 Adult Core Survey
Hargraves JL, Hays RD, Cleary PD. Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS®) 2.0 Adult Core Survey. Health Services Research 2003, 38: 1509-1528. PMID: 14727785, PMCID: PMC1360961, DOI: 10.1111/j.1475-6773.2003.00190.x.Peer-Reviewed Original Research
2002
Factors Affecting Response Rates to the Consumer Assessment of Health Plans Study Survey
Zaslavsky AM, Zaborski LB, Cleary PD. Factors Affecting Response Rates to the Consumer Assessment of Health Plans Study Survey. Medical Care 2002, 40: 485-499. PMID: 12021675, DOI: 10.1097/00005650-200206000-00006.Peer-Reviewed Original ResearchConceptsResponse rateLow response rateHealth Plans Study (CAHPS) surveyHigh response rateHealth Care SurveyLogistic regression modelsPlan characteristicsNonwhite beneficiariesCare SurveyChi2 testDeterminants of nonresponseCAHPS surveySociodemographic representativenessConsumer AssessmentContact informationDisabled beneficiariesInterStudy dataHigh rateRegression modelsAssociationFurther effortsMore residentsTelephoneProfit plansStudy survey
2001
Toward a national consumer survey: Evaluation of the CABHS and MHSIP instruments
Eisen S, Shaul J, Leff S, Stringfellow V, Clarridge B, Cleary P. Toward a national consumer survey: Evaluation of the CABHS and MHSIP instruments. The Journal Of Behavioral Health Services & Research 2001, 28: 347-369. PMID: 11497028, DOI: 10.1007/bf02287249.Peer-Reviewed Original ResearchConceptsBehavioral health surveyHealth plan performanceBehavioral health plansTreatment outcomesHealth SurveyResponse rateHealth plansConsumer AssessmentNational Consumer SurveyInsurance plansPlan performanceProgram SurveySurvey developmentSurvey itemsConsumer burdenAspects of appropriatenessGreater validityQuality of Informed Consent: a New Measure of Understanding Among Research Subjects
Joffe S, Cook E, Cleary P, Clark J, Weeks J. Quality of Informed Consent: a New Measure of Understanding Among Research Subjects. Journal Of The National Cancer Institute 2001, 93: 139-147. PMID: 11208884, DOI: 10.1093/jnci/93.2.139.Peer-Reviewed Original ResearchMeSH KeywordsAdultClinical Trials as TopicHuman ExperimentationHumansInformed ConsentNeoplasmsQuality ControlReproducibility of ResultsSurveys and QuestionnairesUnited States
1999
The Impact of Having Parents Report About Both Their Own and Their Children's Experiences With Health Insurance Plans
Shaul J, Fowler F, Zaslavsky A, Homer C, Gallagher P, Cleary P. The Impact of Having Parents Report About Both Their Own and Their Children's Experiences With Health Insurance Plans. Medical Care 1999, 37: ms59-ms68. PMID: 10098560, DOI: 10.1097/00005650-199903001-00007.Peer-Reviewed Original ResearchMeSH KeywordsAdultChildChild Health ServicesConsumer BehaviorCost-Benefit AnalysisData CollectionFemaleFollow-Up StudiesHealth Benefit Plans, EmployeeHealth Care SurveysHumansMaleParentsPilot ProjectsQuality of Health CareReproducibility of ResultsSurveys and QuestionnairesTime FactorsUnited StatesUnited States Agency for Healthcare Research and QualityWashingtonConceptsHealth care experiencesLow response rateOwn careResponse rateChild health careChildren surveyHealth insurance plansStudy groupCare experiencesPattern of responseHealth plansTelephone interviewsCareHealth careLatter groupInsurance plansAdultsSurvey questionsWeak associationParent reportPositive responseSurvey administrationChildrenAssociationChild carePsychometric Properties of the CAHPS™ 1.0 Survey Measures
Hays R, Shaul J, Williams V, Lubalin J, Harris-Kojetin L, Sweeny S, Cleary P. Psychometric Properties of the CAHPS™ 1.0 Survey Measures. Medical Care 1999, 37: ms22-ms31. PMID: 10098556, DOI: 10.1097/00005650-199903001-00003.Peer-Reviewed Original ResearchConceptsPrivate health insuranceHealth insurancePrivate health insurance coverageHealth plan ratingHealth plansHealth insurance coverageCAHPS global ratingConsumers' willingnessHealth Plans StudyPlan ratingsConsumer surveyInsurance coverageWillingnessHealth plan performanceSurvey measuresInsurancePlan performanceConsumersSample of individualsMedicaidCAHPS measuresHealth plan levelQuality of carePsychometric propertiesExcellent psychometric properties
1996
Clinical predictors of functioning in persons with acquired immunodeficiency syndrome.
Wilson I, Cleary P. Clinical predictors of functioning in persons with acquired immunodeficiency syndrome. Medical Care 1996, 34: 610-23. PMID: 8656726, DOI: 10.1097/00005650-199606000-00010.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeActivities of Daily LivingAdolescentAdultBostonCross-Sectional StudiesDisabled PersonsFemaleGroup PracticeHealth Maintenance OrganizationsHealth Status IndicatorsHumansMaleMedical AuditMiddle AgedMultivariate AnalysisOutpatient Clinics, HospitalPredictive Value of TestsQuality of LifeRegression AnalysisReproducibility of ResultsSurveys and QuestionnairesConceptsEnergy/fatiguePoor mental healthPhysical functioningNeurologic symptomsFever symptomsMental healthZidovudine useWeight lossImmunodeficiency syndromeSignificant predictorsStaff-model health maintenance organizationLower white blood cell countHuman immunodeficiency virus clinicChronic obstructive pulmonary diseaseWhite blood cell countHistory of asthmaLower hemoglobin levelsObstructive pulmonary diseaseBlood cell countMultivariable regression modelsHealth maintenance organizationHospital-based group practiceCross-sectional analysisSpecific clinical interventionsChart review
1995
Health-related quality of life in patients with advanced prostate cancer: A multinational perspective
Cleary P, Morrissey G, Oster G. Health-related quality of life in patients with advanced prostate cancer: A multinational perspective. Quality Of Life Research 1995, 4: 207-220. PMID: 7613531, DOI: 10.1007/bf02260860.Peer-Reviewed Original ResearchConceptsHealth-related qualityAdvanced prostate cancerProstate cancerSelf-administered patient questionnaireUntreated metastatic prostate cancerObjective tumor responseDomains of HRQOLMetastatic prostate cancerAntiandrogen therapyPatient questionnaireStudy entryTreatment failureStudy treatmentTumor responseClinical trialsPatientsCancerTrialsTreatmentQuestionnaireHRQoLAntiandrogensTherapyCastrationFocus of concern
1993
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Cleary P, Fowler F, Weissman J, Massagli M, Wilson I, Seage G, Gatsonis C, Epstein A. Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome. Medical Care 1993, 31: 569-580. PMID: 8326772, DOI: 10.1097/00005650-199307000-00001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHealth-related qualityQuality of lifeHealth statusAcquired Immune Deficiency SyndromeGlobal health assessmentImmune deficiency syndromeFunctioning of personsHIV infectionImmunodeficiency virusFunctional statusPrimary careDeficiency syndromeFunctional impairmentBest predictorDiscrete symptomsSymptomsMental healthImportant signHealth assessmentAverage severityStrongest correlateFace interviewsValid measureStatusUsing patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritis
1992
A Structured Diagnostic Interview for Hypochondriasis
BARSKY A, CLEARY P, WYSHAK G, SPITZER R, WILLIAMS J, KLERMAN G. A Structured Diagnostic Interview for Hypochondriasis. The Journal Of Nervous And Mental Disease 1992, 180: 20-27. PMID: 1538202, DOI: 10.1097/00005053-199201000-00006.Peer-Reviewed Original ResearchConceptsDiagnostic InterviewGeneral medical outpatientsClinician-administered instrumentStructured diagnostic interviewHypochondriacal symptomatologyClinical characteristicsComparison patientsClinical featuresSymptom questionnaireMedical outpatientsPhysician ratingsDiagnostic criteriaPatientsDSM-IIIAncillary featuresPredetermined cutoffHypochondriasisSignificant correlationConcurrent validitySDIHDiscriminant validityExternal validityCutoffOutpatientsHypochondriacal
1991
Assessing quality of life after surgery
Cleary P, Greenfield S, McNeil B. Assessing quality of life after surgery. Contemporary Clinical Trials 1991, 12: s189-s203. PMID: 1663855, DOI: 10.1016/s0197-2456(05)80023-6.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAttitude to HealthBostonCaliforniaCholecystectomyCoronary Artery BypassFemaleFollow-Up StudiesHealth Status IndicatorsHip ProsthesisHumansMaleMiddle AgedPostoperative PeriodProstatectomyQuality of LifeReproducibility of ResultsSurveys and QuestionnairesTreatment OutcomeConceptsHealth-related qualityCoronary artery bypass graft surgeryPostsurgical health-related qualityArtery bypass graft surgeryBypass graft surgeryOutcome of surgeryType of surgeryStudy of patientsTraditional clinical indicatorsTotal hip replacementQuality of lifeGraft surgeryMedical therapyTransurethral prostatectomyClinical indicatorsSurgical conditionsTeaching hospitalSurgeryHip replacementHealth statusCognitive functioningOutcomesInternal consistencySelf-report scalesConstruct validity