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
2004
Disparities 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
2002
HIV Patients’ Experiences With Inpatient and Outpatient Care
Wilson IB, Ding L, Hays RD, Shapiro MF, Bozzette SA, Cleary PD. HIV Patients’ Experiences With Inpatient and Outpatient Care. Medical Care 2002, 40: 1149-1160. PMID: 12458298, DOI: 10.1097/00005650-200212000-00003.Peer-Reviewed Original ResearchConceptsOutpatient careCare experiencesPatient characteristicsInpatient stayGlobal ratingPatient experienceBetter provider-patient communicationOnly patient characteristicServices Utilization StudyProblem rateSpecific patient subgroupsProcess of careProvider-patient communicationSite of carePatient care experiencesQuality improvement effortsCohort studyHIV CostOutpatient visitsPatient subgroupsEmergency roomMultivariable modelInpatientsUtilization studiesHIV
2001
National Quality Monitoring of Medicare Health Plans
Schneider E, Zaslavsky A, Landon B, Lied T, Sheingold S, Cleary P. National Quality Monitoring of Medicare Health Plans. Medical Care 2001, 39: 1313-1325. PMID: 11717573, DOI: 10.1097/00005650-200112000-00007.Peer-Reviewed Original ResearchConceptsMedicare health plansHealth plansClinical qualityHEDIS performanceCAHPS surveyHealth Plans Study (CAHPS) surveyHealth Plan Employer DataBeta-blocker useMental health hospitalizationsObservational cohort studyProportion of enrolleesHealth plan qualityGood clinical careRates of mammographyClinical quality measuresComposite measurePlan careCohort studyEye examMultivariable analysisMyocardial infarctionPersonal doctorClinical careEmployer DataConsumer AssessmentPatient‐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 experience
1997
Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study
Wilson* I, Cleary† P. Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1997, 16: 343-349. PMID: 9420312, DOI: 10.1097/00042560-199712150-00006.Peer-Reviewed Original ResearchConceptsPhysical functioningIADL scoresWeight lossIndependent predictorsSymptom complexStaff-model health maintenance organizationBaseline IADL scoresInjection drug useLongitudinal cohort studySignificant independent predictorsPublic teaching hospitalAcademic group practiceHealth maintenance organizationCandida esophagitisChart reviewCohort studyNeurologic symptomsClinical factorsClinical predictorsAIDS clinicClinical correlatesTeaching hospitalGastrointestinal diseasesDaily livingBaseline functioning
1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningPredictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measures