2024
Measuring Access to Mental Health Services Among Primary Care Patients
Hargraves J, Cosenza C, Cleary P. Measuring Access to Mental Health Services Among Primary Care Patients. Medical Care 2024, 62: 559-566. PMID: 38842445, PMCID: PMC11226347, DOI: 10.1097/mlr.0000000000002029.Peer-Reviewed Original ResearchConceptsConsumer Assessment of Healthcare Providers and SystemsMental health servicesPrivately insured respondentsMental health medicinesHealth servicesHealth medicineHealth careAssessment of Healthcare Providers and SystemsHealthcare Providers and SystemsRisk of mental health disordersMental health prescriptionsPatient experience surveysPrimary care servicesPrimary care patientsMental health carePrimary care settingBehavioral health careMental health medicationsMental health disordersInternal consistency reliabilityStratified probability sampleMeasure accessAdequate internal consistency reliabilityCare settingsCare services
2020
The How Matters
Lee YSH, King MD, Anderson D, Cleary PD, Nembhard IM. The How Matters. Medical Care 2020, 58: 643-650. PMID: 32520838, DOI: 10.1097/mlr.0000000000001342.Peer-Reviewed Original ResearchConceptsPatient healthPrimary care providersQualified health centersDisease managementChronic disease managementPCP participationPatient characteristicsCare teamHealth centersHigher oddsPCP communicationCare providersPatient health managementPatientsHypertensionPractice sitesDisease controlDiabetesElectronic recordsLongitudinal studyMultilevel regression modelsTeam membersRegression modelsHealthPCP
2019
The effect of administration mode on CAHPS survey response rates and results: A comparison of mail and web‐based approaches
Fowler FJ, Cosenza C, Cripps LA, Edgman‐Levitan S, Cleary PD. The effect of administration mode on CAHPS survey response rates and results: A comparison of mail and web‐based approaches. Health Services Research 2019, 54: 714-721. PMID: 30656646, PMCID: PMC6505419, DOI: 10.1111/1475-6773.13109.Peer-Reviewed Original ResearchConceptsResponse rateMore primary care visitsPrimary care visitsPrimary care practicesSample of patientsLow response rateSurvey response rateCare visitsPatient populationAdministration protocolCAHPS surveyCare practicesPatientsCharacteristics of respondentsComparison of MailEmail invitationEmail addressesAdministration modeRespondent characteristicsLittle evidenceMailProtocolNonresponse biasVisits
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
2012
Development of and Field Test Results for the CAHPS PCMH Survey
Scholle SH, Vuong O, Ding L, Fry S, Gallagher P, Brown JA, Hays RD, Cleary PD. Development of and Field Test Results for the CAHPS PCMH Survey. Medical Care 2012, 50: s2-s10. PMID: 23064272, PMCID: PMC5388834, DOI: 10.1097/mlr.0b013e3182610aba.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolCommunity Health CentersConsumer BehaviorFactor Analysis, StatisticalFemaleFocus GroupsHealth Care SurveysHealth PersonnelHumansInfantInterviews as TopicMaleMiddle AgedPatient SatisfactionPatient-Centered CarePrimary Health CarePrivate PracticeReproducibility of ResultsSurveys and QuestionnairesUnited StatesYoung AdultConceptsEffective care practicesProcess of careMulti-item compositesPrimary careMedical homePediatric practiceSystems ClinicianCare practicesHealthcare providersConsumer AssessmentExpert panelSupplemental itemsPCMHCareChild versionCognitive interviewsExploratory factor analysisSurvey questionsPatientsBroad public inputCliniciansMultilevel Interventions: Study Design and Analysis Issues
Cleary PD, Gross CP, Zaslavsky AM, Taplin SH. Multilevel Interventions: Study Design and Analysis Issues. JNCI Monographs 2012, 2012: 49-55. PMID: 22623596, PMCID: PMC3482964, DOI: 10.1093/jncimonographs/lgs010.Peer-Reviewed Original ResearchMeSH KeywordsConfounding Factors, EpidemiologicContinuity of Patient CareData Interpretation, StatisticalDelivery of Health Care, IntegratedEarly Detection of CancerEducation, Medical, ContinuingFamilyHealth BehaviorHealth EducationHealth PromotionHealth Services ResearchHumansMedicaidMedicareNeoplasmsOrganizationsPatient Care TeamPrimary Health CareQuality of Health CareRandomized Controlled Trials as TopicResearch DesignResidence CharacteristicsRisk AssessmentSchoolsUnited StatesWorkplaceConceptsSingle-level interventionsMultilevel interventionsImpact of interventionsPatient outcomesCancer preventionIntervention componentsHealth care organizationsStudy designFocused interventionsHealth careInterventionSustained changesOutcomesKind of interventionLittle evidenceLevelsPatientsClinicCommunity levelCancerPhysiciansIndividualsCarePrevention
2010
Relationship Between Use of Electronic Health Record Features and Health Care Quality
Poon EG, Wright A, Simon SR, Jenter CA, Kaushal R, Volk LA, Cleary PD, Singer JA, Tumolo AZ, Bates DW. Relationship Between Use of Electronic Health Record Features and Health Care Quality. Medical Care 2010, 48: 203-209. PMID: 20125047, DOI: 10.1097/mlr.0b013e3181c16203.Peer-Reviewed Original ResearchConceptsElectronic health recordsUse of EHRsColon cancer screeningEHR featuresHealth care qualityCancer screeningWomen's healthSignificant associationCare qualityInformation Set (HEDIS) quality measuresElectronic health record featuresHealthcare Effectiveness DataPrimary care physiciansHEDIS quality measuresCancer prevention measuresPhysician practice characteristicsQuality of careGroup scoresCare physiciansHEDIS measuresCancer preventionPractice characteristicsResponse rateHigh-quality healthcareEffectiveness data
2008
Quality of depression care for people with coincident chronic medical conditions
Teh CF, Reynolds CF, Cleary PD. Quality of depression care for people with coincident chronic medical conditions. General Hospital Psychiatry 2008, 30: 528-535. PMID: 19061679, PMCID: PMC2598839, DOI: 10.1016/j.genhosppsych.2008.07.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntidepressive AgentsChronic DiseaseComorbidityDepressive Disorder, MajorDysthymic DisorderFemaleHealth SurveysHumansMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsPrimary Health CareQuality Assurance, Health CareReferral and ConsultationUnited StatesUtilization ReviewConceptsChronic medical conditionsAdequate depression carePatient-provider relationshipDepression careMedical conditionsComorbid chronic medical conditionsSevere chronic medical conditionsDepression care qualityDepression recognitionContinuity of careMajor depressive disorderMental health problemsLogistic regression modelsAntidepressant medicationMedical visitsPoor outcomePatient satisfactionDepressed patientsDepressive disorderUsual sourceHealth problemsCare qualityCareProvider trustDepressionThe quality of care received by HIV patients without a primary provider
Ding L, Landon B, Wilson I, Hirschhorn L, Marsden P, Cleary P. The quality of care received by HIV patients without a primary provider. AIDS Care 2008, 20: 35-42. PMID: 18278613, DOI: 10.1080/09540120701439295.Peer-Reviewed Original ResearchConceptsPrimary HIV care providerHIV care providersCare providersQuality of careHIV patientsNurse practitionersUnmet needPhysician assistantsPrimary providersActive antiretroviral therapyServices Utilization StudyTerms of patientCare quality measuresNon-significant trendHIV expertiseHIV providersAntiretroviral therapyHIV CostPatient characteristicsHIV infectionIllness severityPatientsDrug usersUtilization studiesMedical care
2007
Factors Affecting Influential Discussions Among Physicians: A Social Network Analysis of a Primary Care Practice
Keating NL, Ayanian JZ, Cleary PD, Marsden PV. Factors Affecting Influential Discussions Among Physicians: A Social Network Analysis of a Primary Care Practice. Journal Of General Internal Medicine 2007, 22: 794-798. PMID: 17404798, PMCID: PMC2219865, DOI: 10.1007/s11606-007-0190-8.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPrimary care practicesCare physiciansHigh-quality evidence-based medicineCare practicesHealth issuesWomen's health issuesEvidence-based medicineSame clinicWomen's healthDifferent clinicsPhysician locationPhysiciansMore womenClinical sessionsClinicAcademic practiceHealthRapid disseminationPatientsDesignSurveyObjectiveEvaluateBackgroundPhysiciansCareWomen
2005
Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn LR, Marsden PV, Cleary PD. Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection. JAMA Internal Medicine 2005, 165: 1133-1139. PMID: 15911726, DOI: 10.1001/archinte.165.10.1133.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceEducation, ContinuingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMalePrimary Health CareQuality Assurance, Health CareReferral and ConsultationRegression AnalysisRetrospective StudiesUnited StatesConceptsHuman immunodeficiency virus (HIV) infectionActive antiretroviral therapyImmunodeficiency virus infectionInfectious disease physiciansAppropriate patientsQuality of careAntiretroviral therapyHIV careDisease physiciansCare measuresVirus infectionComplex chronic medical conditionsGeneral medicine physiciansObservational cohort studyInfectious disease specialistsMedical record reviewChronic medical conditionsComplex chronic illnessExpert generalistsTypes of physiciansHierarchical logistic regression modelsLow-quality careHigh-quality careLogistic regression modelsHIV physicians
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
Variation in patient-reported quality among health care organizations.
Solomon LS, Zaslavsky AM, Landon BE, Cleary PD. Variation in patient-reported quality among health care organizations. Medicare & Medicaid Research Review 2002, 23: 85-100. PMID: 12500472, PMCID: PMC4194762.Peer-Reviewed Original Research
2000
Primary 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
1994
Hypochondriasis and Panic Disorder: Boundary and Overlap
Barsky A, Barnett M, Cleary P. Hypochondriasis and Panic Disorder: Boundary and Overlap. JAMA Psychiatry 1994, 51: 918-925. PMID: 7944880, DOI: 10.1001/archpsyc.1994.03950110078010.Peer-Reviewed Original ResearchConceptsPrimary care physiciansPanic disorderCare physiciansMedical careDSM-III-R panic disorderPrimary care patientsPrimary care populationComorbid panic disorderSomatization disorder symptomsPanic disorder criteriaStructured diagnostic interviewCare patientsClinic attendersCare populationMajor depressionSelf-report questionnairesPatientsDiagnostic InterviewDisorder criteriaHypochondriasisAnxiety disordersDisordersPhenomenological overlapDisorder symptomsPhysicians
1986
The functional status questionnaire
Jette A, Davies A, Cleary P, Calkins D, Rubenstein L, Fink A, Kosecoff J, Young R, Brook R, Delbanco T. The functional status questionnaire. Journal Of General Internal Medicine 1986, 1: 143-149. PMID: 3772582, DOI: 10.1007/bf02602324.Peer-Reviewed Original ResearchConceptsFunctional Status QuestionnaireBeth Israel HospitalFunctional statusStatus QuestionnaireFunctional assessmentBoston's Beth Israel HospitalPatients' functional statusInternal medicine practiceComprehensive functional assessmentSystematic functional assessmentBusy clinical practiceSelf-administered questionnaireSingle-item scoresAmbulatory patientsPrimary careOne-page reportClinical practiceRegular usersScale scoreMedicine practiceRole functionIsrael HospitalHealthcare associatesConstruct validityFeasible assessment
1982
Screening for Mental Disorder Among Primary Care Patients: Usefulness of the General Health Questionnaire
Cleary P, Goldberg I, Kessler L, Nycz G. Screening for Mental Disorder Among Primary Care Patients: Usefulness of the General Health Questionnaire. JAMA Psychiatry 1982, 39: 837-840. PMID: 7165482, DOI: 10.1001/archpsyc.1982.04290070065012.Peer-Reviewed Original Research