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
2017
Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees
Ndumele CD, Cohen MS, Cleary PD. Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees. JAMA Internal Medicine 2017, 177: 1445-1451. PMID: 28806455, PMCID: PMC5710214, DOI: 10.1001/jamainternmed.2017.3766.Peer-Reviewed Original Research
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
2012
Psychometric 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
2010
Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care
Mittler JN, Landon BE, Fisher ES, Cleary PD, Zaslavsky AM. Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care. Health Services Research 2010, 45: 647-669. PMID: 20403055, PMCID: PMC2875753, DOI: 10.1111/j.1475-6773.2010.01108.x.Peer-Reviewed Original ResearchAgedAged, 80 and overClinical CompetenceCommunicationFee-for-Service PlansFemaleHealth Care SurveysHealth Services AccessibilityHumansLinear ModelsMaleManaged Care ProgramsMarketing of Health ServicesMedicarePatient SatisfactionProfessional-Patient RelationsQuality of Health CareReferral and ConsultationRisk AdjustmentSmall-Area AnalysisTerminal CareTime FactorsUnited StatesVaccination
2008
Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV
Ohl ME, Landon BE, Cleary PD, LeMaster J. Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV. Psychiatric Services 2008, 59: 400-407. PMID: 18378839, DOI: 10.1176/ps.2008.59.4.400.Peer-Reviewed Original ResearchConceptsSite case managementSubstance abuse careBehavioral health servicesCase managementClinic characteristicsSpecialist careHealth servicesMental health specialist careMental healthLikelihood of careSubstance useHIV specialty clinicsServices Utilization StudyActive substance useMental health specialistsSubgroup of personsMental health careHIV CostPatient characteristicsPrimary outcomeSpecialty clinicHealth specialistsHIVUtilization studiesClinicThe 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
Voluntary 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
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2004
Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics
Mcinnes K, Landon B, Malitz F, Wilson I, Marsden P, Fleishman J, Gustafson D, Cleary P. Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics. AIDS Care 2004, 16: 851-857. PMID: 15385240, DOI: 10.1080/09540120412331290202.Peer-Reviewed Original ResearchConceptsHIV clinicHIV careCare ActHIV risk factorsInfectious disease specialistsServices Utilization StudyRyan White CARE ActHIV patientsHIV CostTotal patientsHIV infectionClinic characteristicsDisease specialistsHeterosexual contactRisk factorsComprehensive careClinic dataPatientsUtilization studiesClinicPatient dataCareMore support servicesNon-probability sampleRepresentative samplePhysicians’ beliefs about racial differences in referral for renal transplantation
Ayanian JZ, Cleary PD, Keogh JH, Noonan SJ, David-Kasdan JA, Epstein AM. Physicians’ beliefs about racial differences in referral for renal transplantation. American Journal Of Kidney Diseases 2004, 43: 350-357. PMID: 14750101, DOI: 10.1053/j.ajkd.2003.10.022.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsianAttitude of Health PersonnelBlack or African AmericanHealth Services AccessibilityHumansKidney Failure, ChronicKidney TransplantationMiddle AgedNephrologyPatient Acceptance of Health CarePhysician-Patient RelationsQuality of LifeReferral and ConsultationSurvival RateUnited StatesWhite PeopleConceptsRenal transplantationWhite patientsPatient-physician communicationBlack patientsQuality of lifeRacial differencesEnd-stage renal diseaseNephrologist's viewComorbid illnessesRenal diseaseTreatment optionsPatient preferencesPhysician biasPhysicians' beliefsPatientsPhysicians' viewsTransplantationPhysiciansCareSurvivalImportant reasonUS regionsNephrologistsDifferencesReferral
2002
Delivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda
McKinney MM, Marconi KM, Cleary PD, Kates J, Young SR, O'Neill JF. Delivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda. Public Health Reports 2002, 117: 114-122. PMID: 12356995, PMCID: PMC1497421, DOI: 10.1093/phr/117.2.114.Peer-Reviewed Original ResearchMeSH KeywordsBehavioral ResearchConsensus Development Conferences as TopicContinuity of Patient CareDelivery of Health CareGuidelines as TopicHealth PrioritiesHealth Services AccessibilityHealth Services ResearchHIV InfectionsHumansOutcome Assessment, Health CarePatient Acceptance of Health CareUnited StatesUnited States Health Resources and Services AdministrationVulnerable PopulationsCombining health plan performance indicators into simpler composite measures.
Zaslavsky AM, Shaul JA, Zaborski LB, Cioffi MJ, Cleary PD. Combining health plan performance indicators into simpler composite measures. Medicare & Medicaid Research Review 2002, 23: 101-15. PMID: 12500473, PMCID: PMC4194755.Peer-Reviewed Original ResearchMeSH KeywordsAgedCenters for Medicare and Medicaid Services, U.S.Factor Analysis, StatisticalHealth Benefit Plans, EmployeeHealth Care SurveysHealth Services AccessibilityHumansManaged Care ProgramsMedicare Part BMedicare Part COffice VisitsPatient SatisfactionQuality Indicators, Health CareUnited StatesVaccination
2001
Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites?
Schneider E, Cleary P, Zaslavsky A, Epstein A. Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites? JAMA 2001, 286: 1455-1460. PMID: 11572737, DOI: 10.1001/jama.286.12.1455.Peer-Reviewed Original ResearchConceptsInfluenza vaccinationRacial disparitiesService insuranceCare enrolleesAfrican AmericansMedicare Current Beneficiary SurveyWhite Medicare beneficiariesSubstantial racial disparitiesUS cohortPreventive servicesMedicare beneficiariesPercentage of respondentsVaccinationHealth servicesBeneficiary SurveyPercentage point differenceCareHigh rateInsurance groupsEnrolleesDisparitiesWhitesInsuranceAmericansPoint difference
2000
Racial Disparities in Access to Renal Transplantation — Clinically Appropriate or Due to Underuse or Overuse?
Epstein A, Ayanian J, Keogh J, Noonan S, Armistead N, Cleary P, Weissman J, David-Kasdan J, Carlson D, Fuller J, Marsh D, Conti R. Racial Disparities in Access to Renal Transplantation — Clinically Appropriate or Due to Underuse or Overuse? New England Journal Of Medicine 2000, 343: 1537-1544. PMID: 11087884, PMCID: PMC4598055, DOI: 10.1056/nejm200011233432106.Peer-Reviewed Original ResearchConceptsWaiting listRenal transplantationRacial disparitiesEnd-stage renal diseaseAppropriateness of patientsRate of referralAppropriate candidatesChart reviewClinical characteristicsDevelopment of interventionsRenal diseaseTransplantation centersWhite patientsBlack patientsAppropriateness CriteriaInappropriate careClinical appropriatenessSurgical proceduresPatientsTransplantationSpecific causesInappropriate candidatesExpert panelDistrict of ColumbiaRacial differencesDimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans
Zaslavsky A, Beaulieu N, Landon B, Cleary P. Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans. Medical Care 2000, 38: 162-174. PMID: 10659690, DOI: 10.1097/00005650-200002000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overConsumer BehaviorDiagnosis-Related GroupsFactor Analysis, StatisticalFemaleHealth Care SurveysHealth Services AccessibilityHealth StatusHumansMaleManaged Care ProgramsMedicareMiddle AgedPatient Education as TopicQuality Assurance, Health CareRegression AnalysisSocioeconomic FactorsUnited StatesConceptsManaged care health planHealth plansHealth plan levelDelivery of careHealth-promoting activitiesHealth Plans SurveySpecialist careMedicare beneficiariesOverall ratingDoctor's officeConsumer AssessmentGlobal ratingCareMedical servicesPlans SurveyReport itemsCAHPSReportSurvey itemsPlan variabilityConsumer ReportsCorresponding groupMembers' ratingsDeliveryGroup
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 men
1992
The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues.
Fahs M, Fulop G, Strain J, Sacks H, Muller C, Cleary P, Schmeidler J, Turner B. The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues. American Journal Of Public Health 1992, 82: 576-8. PMID: 1546777, PMCID: PMC1694095, DOI: 10.2105/ajph.82.4.576.Peer-Reviewed Original ResearchAcquired Immunodeficiency SyndromeAdultFemaleHealth Care CostsHealth Services AccessibilityHealth Services ResearchHospital UnitsHospitals, TeachingHumansLength of StayLogistic ModelsMaleNew York CityNursing Staff, HospitalOutcome Assessment, Health CarePatient AdmissionPatient DischargePersonnel TurnoverSeverity of Illness Index
1991
Factors affecting the availability and use of hemodialysis facilities.
Cleary P, Schlesinger M, Blumenthal D. Factors affecting the availability and use of hemodialysis facilities. Medicare & Medicaid Research Review 1991, 13: 49-55. PMID: 10122361, PMCID: PMC4193220.Peer-Reviewed Original Research
1987
Seeking Help for Psychologic Problems
Greenley J, Mechanic D, Cleary P. Seeking Help for Psychologic Problems. Medical Care 1987, 25: 1113-1128. PMID: 3695641, DOI: 10.1097/00005650-198712000-00001.Peer-Reviewed Original ResearchConceptsMultispecialty clinicPsychologic problemsLarge multispecialty clinicMedical record dataMental health servicesMental health service usersPrepaid medical planRepresentative community sampleHealth service usersPsychologic distressPsychologic symptomsSatellite clinicsMental health usersPsychiatric servicesEligible populationAlcohol consumptionClinic usersHealth servicesMultivariate analysisObsessive-compulsive symptomsSymptomsClinicRecord dataMedical planHealth users