2019
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
Ndumele CD, Elliott MN, Haviland AM, Burkhart Q, Orr N, Gaillot S, Cleary PD. Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries. Medical Care 2019, 57: 8-12. PMID: 30339575, DOI: 10.1097/mlr.0000000000001000.Peer-Reviewed Original ResearchConceptsFFS coverageHospitalization ratesMedicare AdvantageMultivariable logistic regression modelMA enrolleesRate of hospitalizationLower hospitalization ratesPatterns of careMedicare Advantage beneficiariesLogistic regression modelsMedicare Consumer AssessmentHospital admissionRetrospective studyHealth characteristicsService useHospitalizationHealth statusHealthcare providersEnrollee demographicsConsumer AssessmentEnrolleesSystem surveySignificant age differencesMA enrollmentMA respondents
2014
Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2009
Effect of Depression Treatment on Chronic Pain Outcomes
Teh CF, Zaslavsky AM, Reynolds CF, Cleary PD. Effect of Depression Treatment on Chronic Pain Outcomes. Psychosomatic Medicine 2009, 72: 61-67. PMID: 19875633, PMCID: PMC3171143, DOI: 10.1097/psy.0b013e3181c2a7a8.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityCost of IllnessDepressive Disorder, MajorEmploymentFemaleHealth StatusHealth SurveysHumansLogistic ModelsMaleMental HealthMiddle AgedOutcome Assessment, Health CarePainPain ManagementPropensity ScorePsychiatric Status Rating ScalesQuality of Health CareSickness Impact ProfileSurveys and QuestionnairesConceptsDepression treatmentChronic painMedical Outcomes Study Short Form-12Health statusPropensity score-weighted analysisMental healthAdequate depression treatmentShort Form-12Chronic pain conditionsChronic pain outcomesMental component summaryMajor depressive disorderEffect of painPhysical health statusChronic pain sufferersMental health statusWorse health outcomesMental health problemsBetter mental healthNumber of workdaysPain controlPain severityComponent summaryPain conditionsPain outcomes
2008
Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans
Eselius LL, Cleary PD, Zaslavsky AM, Huskamp HA, Busch SH. Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. Health Services Research 2008, 43: 2014-2032. PMID: 18783456, PMCID: PMC2613989, DOI: 10.1111/j.1475-6773.2008.00894.x.Peer-Reviewed Original ResearchConceptsCase-mix adjustmentBehavioral health careHealth statusHealth plansPatient reportsSelf-reported general health statusSelf-reported mental health statusAlcohol/drug treatmentGeneral health statusHealth careHealth Outcomes SurveyBehavioral health plansMental health statusCase-mix adjustment modelExperience of careHealth care experiencesRace/ethnicityPatient characteristicsDrug treatmentOutcome SurveyCare experiencesPoor healthPlan rankingsReport scoresGood health
2007
Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildren
2006
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
Dickey B, Normand SL, Eisen S, Hermann R, Cleary P, Cortés D, Ware N. Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences. Medical Care 2006, 44: 827-834. PMID: 16932134, DOI: 10.1097/01.mlr.0000215806.11805.6c.Peer-Reviewed Original ResearchConceptsHealth statusSide effectsHigh dosesEvidence-based practice guidelinesLarge prospective observational studySelf-reported health statusBaseline symptom profileHospital admission evaluationMassachusetts Medicaid beneficiariesProspective observational studyEvidence-based guidelinesTreatment of schizophreniaSubsample of patientsAntipsychotic medication doseHighest dose levelPerceptions of careQuality of carePatient care experiencesHealth benefit claimsAcute episodeAntipsychotic dosesGuideline adherenceMedication dosePoor outcomeSF-12
2005
Case‐Mix Adjustment of the CAHPS® Hospital Survey
O'Malley AJ, Zaslavsky AM, Elliott MN, Zaborski L, Cleary PD. Case‐Mix Adjustment of the CAHPS® Hospital Survey. Health Services Research 2005, 40: 2162-2181. PMID: 16316443, PMCID: PMC1361241, DOI: 10.1111/j.1475-6773.2005.00470.x.Peer-Reviewed Original ResearchConceptsGeneral health statusCase-mix adjustmentCirculatory disordersHospital SurveyMedical servicesCase-mix variablesNon-Hispanic blacksPatient characteristicsHospital survey dataPatient ratingsHospital ratingMedical conditionsCirculatory problemsHealth statusHealthcare providersHospitalHospital qualityCAHPS Hospital SurveyHospital servicesConsumer AssessmentSurgeryImpact of adjustmentDisordersAgeScoresAdjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances.
Kim M, Zaslavsky AM, Cleary PD. Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances. Medical Care 2005, 43: 44-52. PMID: 15626933.Peer-Reviewed Original ResearchConceptsPrivate health insuranceCasemix modelChild health statusCAHPS surveyPatient characteristicsHealth plansHealth Plans Study (CAHPS) surveyHealth insurancePlan ratingsHealth plan performanceHealth statusCAHPS scoresPlan differencesConsumer AssessmentCommercial plansParents' agePlan performanceAdjustment variablesMedicaidSeparate modelsSubstantial impactStudy surveyMedicaid beneficiariesMedicaid plansSuch models
2004
PPN6 RELATIONSHIP BETWEEN PAIN AND PERCEIVED HEALTH STATUS IN OLDER PERSONS WITH POST-HERPETIC NEURALGIA
Oster G, Dukes E, Edelsberg J, Cleary P. PPN6 RELATIONSHIP BETWEEN PAIN AND PERCEIVED HEALTH STATUS IN OLDER PERSONS WITH POST-HERPETIC NEURALGIA. Value In Health 2004, 7: 299. DOI: 10.1016/s1098-3015(10)62310-8.Peer-Reviewed Original ResearchDisparities 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
2002
Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey
Zaslavsky AM, Cleary PD. Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey. Medical Care 2002, 40: 951-964. PMID: 12395028, DOI: 10.1097/00005650-200210000-00012.Peer-Reviewed Original ResearchConceptsHealthy membersReport itemsConsumer AssessmentSmoking cessation adviceGeneral health statusHealth plan qualityMedicare Managed Care Consumer AssessmentHealth Plans SurveyQuality improvement effortsPlan performanceCessation advicePlan careCare beneficiariesHealth statusPatient careSick membersPoor healthMedical servicesPlans SurveyCarePlan qualitySubgroupsPlan scoresReportDoctors
2001
Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care
Hargraves J, Wilson I, Zaslavsky A, James C, Walker J, Rogers G, Cleary P. Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care. Medical Care 2001, 39: 635-641. PMID: 11404646, DOI: 10.1097/00005650-200106000-00011.Peer-Reviewed Original ResearchConceptsPatient characteristicsHospital careHealth statusPatient-reported problemsCoordination of careTypes of patientsSample of patientsQuality improvement effortsInvolvement of familyPatient genderPatient preferencesHospital differencesPatientsHospital staffPhysical careConsistent associationHospitalHospital rankingsCareTelephone surveyImportant predictorEducation levelEmotional supportReportPresent data
2000
Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction?
Haas J, Cook E, Puopolo A, Burstin H, Cleary P, Brennan T. Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction? Journal Of General Internal Medicine 2000, 15: 122-128. PMID: 10672116, PMCID: PMC1495336, DOI: 10.1046/j.1525-1497.2000.02219.x.Peer-Reviewed Original ResearchConceptsRecent physician visitPatients of physiciansPhysician visitsPhysician satisfactionGeneral internal medicine practiceBetter overall health statusOverall satisfactionProfessional satisfactionHealth careInternal medicine practicePatients' overall satisfactionOverall health statusCross-sectional surveyLower overall satisfactionYounger patientsHigher professional satisfactionPatient satisfactionMinority patientsGeneral internistsPhysician professional satisfactionPatientsHealth statusMedicine practicePhysiciansCarePrimary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial
Mundinger M, Kane R, Lenz E, Totten A, Tsai W, Cleary P, Friedewald W, Siu A, Shelanski M. Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial. JAMA 2000, 283: 59-68. PMID: 10632281, DOI: 10.1001/jama.283.1.59.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareCommunity Health CentersContinuity of Patient CareEmergenciesFemaleHealth Services ResearchHealth StatusHumansMaleMiddle AgedNew York CityNurse PractitionersOutcome Assessment, Health CarePatient SatisfactionPhysicians, FamilyPrimary Health CareProfessional AutonomyRegression AnalysisConceptsPrimary care clinicsNurse practitionersInitial appointmentHealth statusCare clinicsPrimary careService utilizationCommunity-based primary care clinicsHealth service utilization dataUrban academic medical centerUrgent care visitsHealth service utilizationPrimary care outcomesPrimary care physiciansPrimary care appointmentsService utilization dataNurse practitioner practicePatients' health statusAcademic medical centerSignificant differencesType of providerSatisfaction ratingsCare visitsPractitioners' patientsCare appointments
1999
The Effect of Patients' Preferences on Racial Differences in Access to Renal Transplantation
Ayanian J, Cleary P, Weissman J, Epstein A. The Effect of Patients' Preferences on Racial Differences in Access to Renal Transplantation. New England Journal Of Medicine 1999, 341: 1661-1669. PMID: 10572155, DOI: 10.1056/nejm199911253412206.Peer-Reviewed Original ResearchConceptsEnd-stage renal diseaseRenal transplantationBlack patientsPatient preferencesRenal diseaseWhite patientsRacial differencesRate of referralPerceptions of careSubstantial racial differencesEligible patientsRenal failureTransplantation centersDialysis therapyMaintenance treatmentWaiting listPatientsTransplantationDialysis facilitiesHealth statusMedical careSociodemographic characteristicsStratified random sampleWhite womenWhite menCarepartner Experiences With Hospital Care
vom Eigen K, Walker J, Edgman-Levitan S, Cleary P, Delbanco T. Carepartner Experiences With Hospital Care. Medical Care 1999, 37: 33-38. PMID: 10413390, DOI: 10.1097/00005650-199901000-00006.Peer-Reviewed Original ResearchConceptsIndependent predictorsRegular doctorHospital experienceMultivariable regression analysisSupport of patientsDomains of carePatients' health statusNonsurgical admissionsDischarge planningPatient satisfactionEmergency hospitalizationHospital careCarepartnersNationwide telephone surveyHealth statusPatient careHospitalizationPatientsCareTelephone surveyRegression analysisFamily participationBetter awarenessFamily membersEmotional supportThe 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
1995
Medical patients’ assessments of their care during hospitalization
Delbanco T, Stokes D, Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Daley J. Medical patients’ assessments of their care during hospitalization. Journal Of General Internal Medicine 1995, 10: 679-685. PMID: 8770720, DOI: 10.1007/bf02602763.Peer-Reviewed Original ResearchConceptsHospital careHospitalized medical patientsNon-federal acute care hospitalsHospital-based careAcute care hospitalsInpatient hospital careCross-sectional surveyProbability sampleMost patientsCare hospitalMedical patientsPatient assessmentPatient's perspectivePatientsHospitalizationHospital routineHealth statusPrompt attentionSociodemographic characteristicsTelephone interviewsCareMedical servicesHospitalOne-thirdOverall satisfactionThe Role of Reluctance to Give Up life in the Measurement of the Values of Health states
Fowler F, Cleary P, Massagli M, Weissman J, Epstein A. The Role of Reluctance to Give Up life in the Measurement of the Values of Health states. Medical Decision Making 1995, 15: 195-200. PMID: 7564932, DOI: 10.1177/0272989x9501500301.Peer-Reviewed Original ResearchThe influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomes