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
2012
Multilevel 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
2009
Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicare
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
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
2002
Similarities and Differences in Choosing Health Plans
Short P, McCormack L, Hibbard J, Shaul JA, Harris-Kojetin L, Fox MH, Damiano P, Uhrig JD, Cleary PD. Similarities and Differences in Choosing Health Plans. Medical Care 2002, 40: 289-302. PMID: 12021685, DOI: 10.1097/00005650-200204000-00005.Peer-Reviewed Original ResearchConceptsHealth plansMedicaid recipientsCAHPS reportsHealth Plans StudyEnrollment materialsMedicare health plansType of insuranceEmployer-sponsored insuranceConsumer AssessmentHealth insurance optionsMedicaidSignificant differencesMedicarePercentage of consumersInformation interventionCAHPSRecipientsReportPlan selection processPlan study
1999
Development of a Consumer Survey for Behavioral Health Services
Eisen S, Shaul J, Clarridge B, Nelson D, Spink J, Cleary P. Development of a Consumer Survey for Behavioral Health Services. Psychiatric Services 1999, 50: 793-798. PMID: 10375149, DOI: 10.1176/ps.50.6.793.Peer-Reviewed Original ResearchConceptsBehavioral health servicesHealth servicesInsurance plansSubstance abuse servicesConsumer satisfaction surveyMedicaid plansAbuse servicesMental healthConsumer AssessmentCommercial plansSatisfaction instrumentSatisfaction surveyConsumer focus groupsFurther testingFocus groupsGroupDiverse sampleFuture effortsService instrumentReporting formatCarePsychometric Properties of the CAHPS™ 1.0 Survey Measures
Hays R, Shaul J, Williams V, Lubalin J, Harris-Kojetin L, Sweeny S, Cleary P. Psychometric Properties of the CAHPS™ 1.0 Survey Measures. Medical Care 1999, 37: ms22-ms31. PMID: 10098556, DOI: 10.1097/00005650-199903001-00003.Peer-Reviewed Original ResearchConceptsPrivate health insuranceHealth insurancePrivate health insurance coverageHealth plan ratingHealth plansHealth insurance coverageCAHPS global ratingConsumers' willingnessHealth Plans StudyPlan ratingsConsumer surveyInsurance coverageWillingnessHealth plan performanceSurvey measuresInsurancePlan performanceConsumersSample of individualsMedicaidCAHPS measuresHealth plan levelQuality of carePsychometric propertiesExcellent psychometric properties
1980
A Model of Rural Health Care
Mechanic D, Greenley J, Cleary P, Hoeper E, Wenzel F. A Model of Rural Health Care. Medical Care 1980, 18: 597-608. PMID: 6995723, DOI: 10.1097/00005650-198006000-00003.Peer-Reviewed Original Research