2014
The Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey
Drake KM, Hargraves JL, Lloyd S, Gallagher PM, Cleary PD. The Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey. Health Services Research 2014, 49: 1387-1399. PMID: 24471975, PMCID: PMC4239855, DOI: 10.1111/1475-6773.12160.Peer-Reviewed Original Research
2009
Peace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Peace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer. JAMA Pediatrics 2009, 163: 519-524. PMID: 19487607, DOI: 10.1001/archpediatrics.2009.57.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentBostonChildChild, PreschoolCommunicationCross-Sectional StudiesCultureData CollectionExistentialismHospitals, PediatricHumansInfantMotivationNeoplasmsParentsPersonality InventoryProfessional-Family RelationsPrognosisPsychometricsQuality of LifeSpiritualityTrustConceptsChronic Illness Therapy-Spiritual WellParents of childrenPrognostic informationFunctional assessmentDana-Farber Cancer InstituteMultivariable logistic regression modelCross-sectional surveyDetailed prognostic informationLogistic regression modelsOncologist judgmentChildren's HospitalMAIN OUTCOMECancer InstituteCancerCancer treatmentPeace of mindOncologistsHospitalScoresChildrenFirst yearHigh peaceRegression modelsMedical informationSubscale responses
1999
Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/
Burstin H, Conn A, Setnik G, Rucker D, Cleary P, O’Neil A, Orav E, Sox C, Brennan T, Investigators T. Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/. The American Journal Of Medicine 1999, 107: 437-449. PMID: 10569298, DOI: 10.1016/s0002-9343(99)00269-7.Peer-Reviewed Original ResearchConceptsPatient-reported problemsEmergency department careCare guidelinesMedical recordsPatient ratingsChief complaintEmergency departmentHospital emergency departmentQuality improvement interventionsPatient-reported measuresEmergency department directorsPatient-based measuresEmergency department (ED) qualityQuality improvement effortsEligible patientsPatient questionnairePreintervention periodPostintervention periodPatient reportsPatientsImprovement interventionsMultivariate analysisPercent complianceStudy periodCareThe Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study
Weissman J, Haas J, Fowler F, Gatsonis C, Massagli M, Seage G, Cleary P. The Stability of Preferences for Life-sustaining Care among Persons with AIDS in the Boston Health Study. Medical Decision Making 1999, 19: 16-26. PMID: 9917016, DOI: 10.1177/0272989x9901900103.Peer-Reviewed Original ResearchConceptsLife-sustaining careCardiac resuscitationPatient preferencesBoston Health StudyPredictors of instabilityMedical record reviewLife-extending careSite of careHealth care providersHealth care settingsHypothetical health statesLife-extending treatmentsProgressive diseaseRecord reviewPhysical functionPatient surveyClinical severityEligible personsCare settingsCare providersHealth StudyPatientsHealth statusResuscitationCare
1998
Differences in the Professional Satisfaction of General Internists in Academically Affiliated Practices in the Greater‐Boston Area
Haas J, Cleary P, Puopolo A, Burstin H, Cook E, Brennan T, Investigators T. Differences in the Professional Satisfaction of General Internists in Academically Affiliated Practices in the Greater‐Boston Area. Journal Of General Internal Medicine 1998, 13: 127-130. PMID: 9502374, PMCID: PMC1496910, DOI: 10.1046/j.1525-1497.1998.00030.x.Peer-Reviewed Original Research
1997
The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument.
Seage G, Gatsonis C, Weissman J, Haas J, Cleary P, Fowler F, Massagli M, Stone V, Craven D, Makadon H, Goldberg J, Coltin K, Levin K, Epstein A. The Boston AIDS Survival Score (BASS): a multidimensional AIDS severity instrument. American Journal Of Public Health 1997, 87: 567-73. PMID: 9146433, PMCID: PMC1380834, DOI: 10.2105/ajph.87.4.567.Peer-Reviewed Original Research
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 modelClinical 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
Costs 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
1994
Functional disability screening of ambulatory patients
Calkins D, Rubenstein L, Cleary P, Davies A, Jette A, Fink A, Kosecoff J, Young R, Brook R, Delbanco T. Functional disability screening of ambulatory patients. Journal Of General Internal Medicine 1994, 9: 590-592. PMID: 7823232, DOI: 10.1007/bf02599291.Peer-Reviewed Original ResearchConceptsControl group physiciansGroup physiciansFunctional disabilityInternal medicine group practiceExperimental group physiciansSelf-administered questionnaireAmbulatory patientsPatient functionFunctional statusPatient responseDisability screeningControl groupPatientsPhysiciansGroup practiceSignificant differencesDisabilityReportGroupSocial functionTrialsMonthsResponseThe impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma
Haas J, Cleary P, Guadagnoli E, Fanta C, Epstein A. The impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma. Journal Of General Internal Medicine 1994, 9: 121-126. PMID: 8195909, DOI: 10.1007/bf02600024.Peer-Reviewed Original ResearchConceptsPost-hospital dischargeIntensive therapyLow socioeconomic statusHealth outcomesRegular sourceSocioeconomic statusWorse healthIntensity of therapyIntensity of careSource of careHigher socioeconomic statusHospital dischargeNonwhite patientsAmbulatory treatmentIADL scoresInsurance statusPrimary diagnosisIntensive treatmentBaseline healthPatientsHealth statusSimilar associationTherapyFurther adjustmentAsthma
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonthsHealth-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 measureStatusDiscussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication.
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. JAMA Internal Medicine 1993, 153: 1241-8. PMID: 8494476, DOI: 10.1001/archinte.153.10.1241.Peer-Reviewed Original ResearchConceptsLife-sustaining careHealth maintenance organizationPatient-physician communicationStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regressionWhat patients really want.
Gerteis M, Edgman-Levitan S, Walker J, Stoke D, Cleary P, Delbanco T. What patients really want. Health Management Quarterly 1993, 15: 2-6. PMID: 10129190.Peer-Reviewed Original Research
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic use
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
1986
Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact?
Bedell S, Pelle D, Maher P, Cleary P. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact? JAMA 1986, 256: 233-7. PMID: 3723709, DOI: 10.1001/jama.256.2.233.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseAbnormal mental statusObstructive pulmonary diseaseAcute myocardial infarctionPatient progress notesIll patientsPulmonary diseaseCardiopulmonary arrestDNR statusMyocardial infarctionUniversity HospitalMedical recordsMental statusCardiopulmonary resuscitationPatient's illnessPercent of familiesResuscitate ordersChart ordersPatientsMedical careProgress notesHospitalDNRResuscitationIllness
1983
Health and other Service Needs in a Metropolitan Area
Demone H, Cleary P. Health and other Service Needs in a Metropolitan Area. Health & Social Work 1983, 8: 165-173. PMID: 6629195, DOI: 10.1093/hsw/8.3.165.Peer-Reviewed Original Research