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 publicationsMortalityUnderstanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey
Zhao D, Zhao H, Cleary PD. Understanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey. Journal Of Health Services Research & Policy 2018, 24: 37-43. PMID: 30176742, DOI: 10.1177/1355819618799113.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChinaCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHumansMaleMiddle AgedPatient SatisfactionTrustYoung AdultConceptsChina's health care system
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 resultsMonthsSuppressionYearsDiagnosisIndividualsPrevention
2016
Advice 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 ResearchMeSH KeywordsAgedAged, 80 and overCross-Sectional StudiesDelivery of Health CareFemaleHumansMaleMedicarePatient SatisfactionSmokingSmoking CessationSmoking PreventionUnited StatesConceptsCare 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
2011
Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare.
Mittler JN, Landon BE, Zaslavsky AM, Cleary PD. Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare. Medicare & Medicaid Research Review 2011, 1: e1-19. PMID: 22340776, PMCID: PMC4010617, DOI: 10.5600/mmrr.001.03.a03.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleManaged Care ProgramsMarketing of Health ServicesMedicareUnited StatesConceptsMarket characteristicsBeneficiaries' awarenessTraditional MedicareMedicare risk plansCoverage choicesChoice setsMedicare riskMedicare Current Beneficiary Survey dataCare penetrationSurvey dataBeneficiary knowledgeRisk plansBeneficiariesElderly beneficiariesMore plansTraditional Medicare beneficiariesMedicareCross-sectional analysisRegression modelsChoiceMore accurate knowledgeMedicare beneficiariesMore successConsumersCare optionsConcurrent 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 choicesMonthsPeace 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
2008
Perceptions of cancer‐related information among cancer survivors: A report from the American Cancer Society's Studies of Cancer Survivors
McInnes DK, Cleary PD, Stein KD, Ding L, Mehta CC, Ayanian JZ. Perceptions of cancer‐related information among cancer survivors: A report from the American Cancer Society's Studies of Cancer Survivors. Cancer 2008, 113: 1471-1479. PMID: 18666212, DOI: 10.1002/cncr.23713.Peer-Reviewed Original ResearchConceptsCancer survivorsCancer-related informationCancer informationCancer careLong-term side effectsAmerican Cancer Society's StudyCancer support groupsLow incomeSurvivors 3Cancer patientsCancer physiciansCommon cancerOlder womenSide effectsHealth outcomesYoung womenSurvivorsMental healthSupport groupsHealth informationCareWomenMore barriersUnfavorable ratingsPhysicians
2007
Use of features in electronic health records and health care quality: How are they related?
Poon E, Simon S, Jenter C, Kaushal R, Volk L, Cleary P, Tumolo A, Bates D. Use of features in electronic health records and health care quality: How are they related? AMIA Annual Symposium Proceedings 2007, 1079. PMID: 18694177.Peer-Reviewed Original ResearchUnderstanding of Prognosis Among Parents of Children With Cancer: Parental Optimism and the Parent-Physician Interaction
Mack JW, Cook EF, Wolfe J, Grier HE, Cleary PD, Weeks JC. Understanding of Prognosis Among Parents of Children With Cancer: Parental Optimism and the Parent-Physician Interaction. Journal Of Clinical Oncology 2007, 25: 1357-1362. PMID: 17416854, DOI: 10.1200/jco.2006.08.3170.Peer-Reviewed Original ResearchConceptsChance of cureLikelihood of cureParents of childrenFunctional outcomeDana-Farber Cancer InstituteKnowledge of prognosisUnderstanding of prognosisCross-sectional surveyChildren's HospitalMajority of parentsChild's physicianPhysicians' beliefsCancer InstitutePhysician expectationsPrognosisCancerPhysiciansCancer treatmentCureCancer therapyOutcomesPatientsParents' preferencesPlace parentsUnrealistic expectations
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 measuresExploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services
O'Malley AJ, Zaslavsky AM, Hays RD, Hepner KA, Keller S, Cleary PD. Exploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services. Health Services Research 2005, 40: 2078-2095. PMID: 16316439, PMCID: PMC1361242, DOI: 10.1111/j.1475-6773.2005.00471.x.Peer-Reviewed Original ResearchConceptsPatient-level analysisComposite scoreDifferent composite scoresObstetric servicesPatient levelHospital SurveyHospital levelHealthcare providersHospitalCAHPS Hospital SurveyPatientsConsumer AssessmentMedicaid ServicesCross-sectional dataPilot surveyCAHPS scoresScoresExploratory factor analytic methodsQuestionnaire itemsExploratory factor analysisSurgicalQuality reportsLevelsCAHPSQuality 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 providersHIVCarePredictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users
Ding L, Landon BE, Wilson IB, Wong MD, Shapiro MF, Cleary PD. Predictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users. JAMA Internal Medicine 2005, 165: 618-623. PMID: 15795336, DOI: 10.1001/archinte.165.6.618.Peer-Reviewed Original ResearchConceptsInjection drug usersActive antiretroviral therapyDrug usersAntiretroviral therapyPhysicians' attitudesUnmet needMore injection drug usersHuman immunodeficiency virusQuality of careCross-sectional surveyRate of exposureCare physiciansImmunodeficiency virusOptimal careCare measuresHIV knowledgePractice characteristicsHIVPatient exposureKnowledge scorePhysiciansPhysician trainingCareExperience-based exercisesNegative attitudesA 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 Health-Related Quality of Life and Treatment Preferences Among Black and White Patients with End-Stage Renal Disease
Hicks LS, Cleary PD, Epstein AM, Ayanian JZ. Differences in Health-Related Quality of Life and Treatment Preferences Among Black and White Patients with End-Stage Renal Disease. Quality Of Life Research 2004, 13: 1129-1138. PMID: 15287279, DOI: 10.1023/b:qure.0000031350.56924.cc.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseRenal transplantationPhysical activityRenal diseaseWhite patientsEffect of ESRDOverall healthWhite womenWhite menHealth-related qualityMeasures of HRQLRacial differencesBetter overall healthQuality of lifeBlack womenBlack menBetter HRQLClinical characteristicsBlack patientsHRQL measuresPotential confoundersPatient preferencesTreatment preferencesPatientsAge 18
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
2002
Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States
Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, Shapiro MF, Cleary PD. Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States. Journal Of General Internal Medicine 2002, 17: 12-22. PMID: 11903771, PMCID: PMC1495004, DOI: 10.1046/j.1525-1497.2002.10401.x.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultClinical CompetenceCross-Sectional StudiesEducation, Medical, ContinuingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Quality Assurance, Health CareReferral and ConsultationSurveys and QuestionnairesUnited StatesConceptsHIV caseloadReferral patternsReferral practicesSpecialty trainingGeneralist physiciansServices Utilization StudyID ExpertEffect of specialtyCross-sectional surveyHigher knowledge scoresHIV/AIDSInfectious disease trainingHIV careHIV CostHIV diseaseID physiciansEligible physiciansHIV expertsMultivariable modelPhysician reportsMedian caseloadDiseases TrainingClinical experienceUtilization studiesKnowledge score