2017
A Flow-Based Model of the HIV Care Continuum in the United States
Gonsalves GS, Paltiel AD, Cleary PD, Gill MJ, Kitahata MM, Rebeiro PF, Silverberg MJ, Horberg M, Abraham AG, Althoff KN, Moore R, Bosch RJ, Tang T, Hall HI, Kaplan EH. A Flow-Based Model of the HIV Care Continuum in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 75: 548-553. PMID: 28471841, PMCID: PMC5533168, DOI: 10.1097/qai.0000000000001429.Peer-Reviewed Original ResearchConceptsViral suppressionAntiretroviral therapyHIV careNorth American AIDS Cohort CollaborationProportion of HIVHIV care continuumCohort CollaborationHIV diagnosisAntiretroviral treatmentVirological dataCare continuumFlow of patientsDisease controlPatientsCareAverage timeHIVTherapyLaboratory resultsMonthsSuppressionYearsDiagnosisIndividualsPreventionAn Adaptive Approach to Locating Mobile HIV Testing Services
Gonsalves GS, Crawford FW, Cleary PD, Kaplan EH, Paltiel AD. An Adaptive Approach to Locating Mobile HIV Testing Services. Medical Decision Making 2017, 38: 262-272. PMID: 28699382, PMCID: PMC5748375, DOI: 10.1177/0272989x17716431.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBayes TheoremComputer SimulationHIV InfectionsHumansMass ScreeningMobile Health UnitsPrevalenceConceptsMobile HIV testingHIV testingMobile HIV testing servicesHIV testing resourcesUndetected HIV infectionHIV testing servicesCase detection ratePublic health agenciesUndiagnosed HIVHIV infectionHIV testHIV prevalenceUnknown prevalenceMore casesHealth agenciesDefinitions of hotspotsPrevalence informationTesting servicesPrevalenceSelection biasDetection rateSearch strategyHIV
2011
Responding to the National HIV/AIDS Strategy-Setting the Research Agenda
Morin SF, Kelly JA, Charlebois ED, Remien RH, Rotheram-Borus MJ, Cleary PD. Responding to the National HIV/AIDS Strategy-Setting the Research Agenda. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2011, 57: 175-180. PMID: 21606844, PMCID: PMC3159729, DOI: 10.1097/qai.0b013e318222c0f9.Peer-Reviewed Original ResearchConcurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth
Steffenson AE, Pettifor AE, Seage GR, Rees HV, Cleary PD. Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth. Sexually Transmitted Diseases 2011, 38: 459-466. PMID: 21258268, PMCID: PMC3763704, DOI: 10.1097/olq.0b013e3182080860.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHuman immunodeficiency virus (HIV) riskSpread of HIVPrevalence of concurrencyConsistent condom useOlder South AfricansConcurrent sexual partnershipsHIV infectionImmunodeficiency virusMedian lengthRelationship power imbalancesMultivariate analysisCondom useSexual networksPrevention effortsSexual partnershipsAttitudes/behaviorsTransactional sexMonthsWomenExperienced youthMenPrevalenceVirus riskMultiple partners
2009
Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative
Deo S, McInnes K, Corbett CJ, Landon BE, Shapiro MF, Wilson IB, Cleary PD. Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative. Medical Care 2009, 47: 1026-1030. PMID: 19704356, PMCID: PMC3748716, DOI: 10.1097/mlr.0b013e31819a5937.Peer-Reviewed Original ResearchConceptsQuality improvement collaborativesPercent of interventionsClinic characteristicsIntervention activitiesPrimary care clinicsCross-sectional studyRyan White CARE ActSurvey of cliniciansQuality Improvement CollaborativeQuality of careNumber of interventionsQuality improvement activitiesHIV careCare clinicsMultidisciplinary teamClinicMore interventionsHealth care organizationsImprovement activitiesCare ActInterventionImprovement collaborativesCare organizationsIntervention choicesMonthsReported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care
Hirschhorn LR, Landers S, Mcinnes DK, Malitz F, Ding L, Joyce R, Cleary PD. Reported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care. AIDS Care 2009, 21: 799-807. PMID: 19484615, DOI: 10.1080/09540120802511992.Peer-Reviewed Original ResearchConceptsRyan White ProgramEligible metropolitan areasRyan White HIV/AIDS ProgramHIV/AIDS programsWhite ProgramCare providersCase managementHIV/AIDS careAIDS ProgramCare networkPrimary care providersCoordination of careNetworks of careMedical care providersQuality of careCoordination of servicesQuality improvement activitiesAIDS careCare sitesEarly pilot testingMedical providersCare qualitySupport servicesCareImprovement activities
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
Correlations among measures of quality in HIV care in the United States: cross sectional study
Wilson IB, Landon BE, Marsden PV, Hirschhorn LR, McInnes K, Ding L, Cleary PD. Correlations among measures of quality in HIV care in the United States: cross sectional study. The BMJ 2007, 335: 1085. PMID: 17967826, PMCID: PMC2094195, DOI: 10.1136/bmj.39364.520278.55.Peer-Reviewed Original ResearchThe 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 servicesProphylaxisPrescribingPatientsPhysiciansThe Impact of a Quality Improvement Program on Systems, Processes, and Structures in Medical Clinics
McInnes DK, Landon BE, Wilson IB, Hirschhorn LR, Marsden PV, Malitz F, Barini-Garcia M, Cleary PD. The Impact of a Quality Improvement Program on Systems, Processes, and Structures in Medical Clinics. Medical Care 2007, 45: 463-471. PMID: 17446833, DOI: 10.1097/01.mlr.0000256965.94471.c2.Peer-Reviewed Original ResearchConceptsIntervention clinicsHuman immunodeficiency virus clinicHigher post-intervention scoresQuality Improvement ProgramPost-intervention scoresHIV careHIV clinicSurvey response rateIntervention cliniciansControl clinicsClinic structureResponse rateCare processesClinicMedical clinicsIntensive interventionMedical directorsQuality improvement techniquesCliniciansQuality improvementE-mail listsInterventionImprovement programsVoluntary 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
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 measuresQuality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCarePhysician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn LR, Marsden PV, Cleary PD. Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection. JAMA Internal Medicine 2005, 165: 1133-1139. PMID: 15911726, DOI: 10.1001/archinte.165.10.1133.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceEducation, ContinuingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMalePrimary Health CareQuality Assurance, Health CareReferral and ConsultationRegression AnalysisRetrospective StudiesUnited StatesConceptsHuman immunodeficiency virus (HIV) infectionActive antiretroviral therapyImmunodeficiency virus infectionInfectious disease physiciansAppropriate patientsQuality of careAntiretroviral therapyHIV careDisease physiciansCare measuresVirus infectionComplex chronic medical conditionsGeneral medicine physiciansObservational cohort studyInfectious disease specialistsMedical record reviewChronic medical conditionsComplex chronic illnessExpert generalistsTypes of physiciansHierarchical logistic regression modelsLow-quality careHigh-quality careLogistic regression modelsHIV physiciansA 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 sampleEffects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristicsDisparities 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
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