2012
Improving Organizational Climate for Quality and Quality of Care
Nembhard IM, Northrup V, Shaller D, Cleary PD. Improving Organizational Climate for Quality and Quality of Care. Medical Care 2012, 50: s74-s82. PMID: 23064280, PMCID: PMC5428889, DOI: 10.1097/mlr.0b013e31826b1087.Peer-Reviewed Original ResearchConceptsTimeliness of careDoctor-patient communicationClinical Systems ImprovementPatient-centered careQuality of careStaff helpfulnessRatings of doctorsComparison clinicsIntervention clinicsPre-post designQuality improvement collaborativesControl clinicsDoctors' ratingsQuality careClinicClinic employeesDoctor's officeCareEquivocal effectsImprovement collaborativesMonthsPoor qualityMixed effectsDoctorsStaff relationshipsDevelopment 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 ratingPsychometric 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
2008
The Safety of Emergency Care Systems: Results of a Survey of Clinicians in 65 US Emergency Departments
Magid DJ, Sullivan AF, Cleary PD, Rao SR, Gordon JA, Kaushal R, Guadagnoli E, Camargo CA, Blumenthal D. The Safety of Emergency Care Systems: Results of a Survey of Clinicians in 65 US Emergency Departments. Annals Of Emergency Medicine 2008, 53: 715-723.e1. PMID: 19054592, DOI: 10.1016/j.annemergmed.2008.10.007.Peer-Reviewed Original ResearchConceptsUS emergency departmentsEmergency departmentSurvey of cliniciansED cliniciansUS health care facilitiesPatient safetyNumber of patientsDelivery of careHealth care facilitiesEmergency care systemHigh-risk settingsSafe patient careIll patientsED patientsHalf of respondentsSpecialty consultationClinicians' perceptionsCare facilitiesEmergency careSafe carePatient careEligible respondentsCliniciansPatientsCare systemElectronic health records: Use, barriers and satisfaction among physicians who care for black and Hispanic patients
Jha AK, Bates DW, Jenter C, Orav EJ, Zheng J, Cleary P, Simon SR. Electronic health records: Use, barriers and satisfaction among physicians who care for black and Hispanic patients. Journal Of Evaluation In Clinical Practice 2008, 15: 158-163. PMID: 18759752, DOI: 10.1111/j.1365-2753.2008.00975.x.Peer-Reviewed Original Research
2007
Professionalism in medicine: results of a national survey of physicians.
Campbell EG, Regan S, Gruen RL, Ferris TG, Rao SR, Cleary PD, Blumenthal D. Professionalism in medicine: results of a national survey of physicians. Annals Of Internal Medicine 2007, 147: 795-802. PMID: 18056665, DOI: 10.7326/0003-4819-147-11-200712040-00012.Peer-Reviewed Original ResearchA National Survey of Physician–Industry Relationships
Campbell EG, Gruen RL, Mountford J, Miller LG, Cleary PD, Blumenthal D. A National Survey of Physician–Industry Relationships. New England Journal Of Medicine 2007, 356: 1742-1750. PMID: 17460228, DOI: 10.1056/nejmsa064508.Peer-Reviewed Original ResearchPhysicians and Electronic Health Records: A Statewide Survey
Simon SR, Kaushal R, Cleary PD, Jenter CA, Volk LA, Orav EJ, Burdick E, Poon EG, Bates DW. Physicians and Electronic Health Records: A Statewide Survey. JAMA Internal Medicine 2007, 167: 507-512. PMID: 17353500, DOI: 10.1001/archinte.167.5.507.Peer-Reviewed Original ResearchConceptsElectronic health recordsHealth recordsPhysicians' actual useLaboratory test orderingPredictors of useMedical practiceVisit documentationClinical decision supportPhysicians' perceptionsTest orderingEHR usePhysiciansEHR functionsElectronic prescriptionsOrder entryHealth careEHR adoptionSignificant differencesEHR usersLaboratory reportsRandom sampleLow usersPrescriptionVoluntary 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
2006
Communication About Prognosis Between Parents and Physicians of Children With Cancer: Parent Preferences and the Impact of Prognostic Information
Mack JW, Wolfe J, Grier HE, Cleary PD, Weeks JC. Communication About Prognosis Between Parents and Physicians of Children With Cancer: Parent Preferences and the Impact of Prognostic Information. Journal Of Clinical Oncology 2006, 24: 5265-5270. PMID: 17114660, DOI: 10.1200/jco.2006.06.5326.Peer-Reviewed Original ResearchConceptsPrognostic informationDana-Farber Cancer InstitutePhysicians of childrenMain outcome measuresParents' preferencesChildren's HospitalMajority of parentsParents of childrenChild's physicianOutcome measuresCancer InstitutePrognosisPhysiciansLoss of hopeCancerChildrenHospitalParents' senseParent ratingsParents' desireParentsPatients
2005
Quality 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 attitudes
1999
Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts
Williams T, Zaslavsky A, Cleary P. Physician Experiences With, and Ratings of, Managed Care Organizations in Massachusetts. Medical Care 1999, 37: 589-600. PMID: 10386571, DOI: 10.1097/00005650-199906000-00008.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelEducation, Medical, ContinuingEvaluation Studies as TopicFactor Analysis, StatisticalFemaleHealth Knowledge, Attitudes, PracticeHealth Services ResearchHumansJob SatisfactionMaleManaged Care ProgramsMassachusettsPhysician Incentive PlansPhysiciansProfessional PracticeQuality of Health CareSurveys and Questionnaires
1998
A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care
Landon B, Wilson I, Cleary P. A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care. JAMA 1998, 279: 1377-1382. PMID: 9582046, DOI: 10.1001/jama.279.17.1377.Peer-Reviewed Original Research
1989
The Ownership of Health Facilities and Clinical Decisionmaking
Schlesinger M, Cleary P, Blumenthal D. The Ownership of Health Facilities and Clinical Decisionmaking. Medical Care 1989, 27: 244-258. PMID: 2648087, DOI: 10.1097/00005650-198903000-00003.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseCharacteristics of patientsHealth Care Financing AdministrationLocal health care systemHealth care facilitiesHealth care systemSignificant independent effectKidney transplantRenal failureRenal diseasePeritoneal dialysisHealth facilitiesCare facilitiesHome dialysisPatientsClinical decisionmakingCare systemIndependent effectsFacility ownershipMedical decisionmakingDialysisProfit facilitiesTreatmentFurther researchTransplant
1987
Differences in Determinants of Physician Use Between Aged and Middle-Aged Persons
Levkoff S, Cleary P, Wetle T. Differences in Determinants of Physician Use Between Aged and Middle-Aged Persons. Medical Care 1987, 25: 1148-1160. PMID: 3501048, DOI: 10.1097/00005650-198712000-00004.Peer-Reviewed Original ResearchConceptsPhysician useAge groupsNumber of diagnosesMiddle-aged personsMiddle-aged individualsPhysical health measuresIllness responseBed daysMedical recordsPsychologic factorsHealth measuresImportant predictorProbability samplePredictorsAge differencesChronicGroupDifferencesIllnessYearsDiagnosisIndividualsResidents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism
Warburg M, Cleary P, Rohman M, Barnes H, Aronson M, Delbanco T. Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. Academic Medicine 1987, 62: 497-503. PMID: 3599038, DOI: 10.1097/00001888-198706000-00007.Peer-Reviewed Original ResearchConceptsPractice behaviorsClinical experiencePrevalence of alcoholismTreatment of alcoholismPhysician practice behaviorSenior medical residentsRelevant clinical experienceAlcoholic patientsAlcoholism therapyTraining hospitalsResidents' estimatesPatientsPhysician practicesAlcoholismMedical residentsHarvard Medical SchoolImportant predictorAlcoholicsSignificant relationshipMedical schoolsHospitalTherapyNegative attitudesPrevalenceDiagnosis
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