2020
A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers
Nembhard IM, Buta E, Lee YSH, Anderson D, Zlateva I, Cleary PD. A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers. BMC Health Services Research 2020, 20: 137. PMID: 32093664, PMCID: PMC7038598, DOI: 10.1186/s12913-020-4986-0.Peer-Reviewed Original ResearchConceptsHigh-risk patientsCare coordinationCare experiencesOffice visitsSix-month effectsCare coordination programSame health systemCommunity health centersPatient office visitsPatient care experiencesLow-resource settingsMonths of useMonths of implementationPre-post designHealth centersPatient reportsPatient experiencePatientsProgram enrolleesHealthcare providersQuasi-experimental studyClinical staffHealth systemCoordination programStudy outcomes
2018
International variations in trust in health care systems
Zhao D, Zhao H, Cleary PD. International variations in trust in health care systems. The International Journal Of Health Planning And Management 2018, 34: 130-139. PMID: 30109894, DOI: 10.1002/hpm.2597.Peer-Reviewed Original ResearchConceptsGross national incomeHealth care expendituresNational incomeEconomic circumstancesCare expendituresInternational Social Survey ProgrammeHealth care systemCountry gross national incomeHigh health expendituresLower health care expendituresIntercountry variabilityHealth expenditurePublic trustHealth Care SurveyCare systemCapitaIntercountry differencesIncomeExpenditureCountriesRespondent's educationSurvey programLess trustInternational variationTrust
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
2015
Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting
Elliott MN, Cohea CW, Lehrman WG, Goldstein EH, Cleary PD, Giordano LA, Beckett MK, Zaslavsky AM. Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting. Health Services Research 2015, 50: 1850-1867. PMID: 25854292, PMCID: PMC4693845, DOI: 10.1111/1475-6773.12305.Peer-Reviewed Original ResearchConceptsHospital care experiencesAdult inpatientsHospital characteristicsPublic reportingLinear mixed-effects regression modelsMixed effects regression modelsPatient characteristicsHCAHPS measuresHospital careHospital typePatient experienceHCAHPS scoresHospitalMeaningful improvementsCare experiencesPatient mixLarge hospitalsU.S. hospitalsPercent decreaseInpatientsNational probability sampleGreater improvementProbability sampleNarrowing GapsRegression modelsThe 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
2014
Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients
Weidmer BA, Cleary PD, Keller S, Evensen C, Hurtado MP, Kosiak B, Gallagher PM, Levine R, Hays RD. Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients. American Journal Of Kidney Diseases 2014, 64: 753-760. PMID: 24998035, PMCID: PMC4356523, DOI: 10.1053/j.ajkd.2014.04.021.Peer-Reviewed Original ResearchConceptsGlobal ratingCenter carePatient experienceKidney doctorEnd-stage renal disease prospective payment systemIn-Center Hemodialysis PatientsMeasurement propertiesDialysis patientsHemodialysis patientsDialysis centersMulti-item scalesUS CentersPatientsDialysis facilitiesHealthcare providersAbstractTextInternal consistency reliabilityStudy designConsumer AssessmentMedicaid ServicesProspective payment systemCareFormative researchConsistency reliabilityAMPThe Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey
Drake KM, Hargraves JL, Lloyd S, Gallagher PM, Cleary PD. The Effect of Response Scale, Administration Mode, and Format on Responses to the CAHPS Clinician and Group Survey. Health Services Research 2014, 49: 1387-1399. PMID: 24471975, PMCID: PMC4239855, DOI: 10.1111/1475-6773.12160.Peer-Reviewed Original Research
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProvidersImproving the quality of mental health care in Multiple Sclerosis
Minden S, Ding L, Cleary P, Frankel D, Glanz B, Healy B, Rintell D. Improving the quality of mental health care in Multiple Sclerosis. Journal Of The Neurological Sciences 2013, 335: 42-47. PMID: 24183855, DOI: 10.1016/j.jns.2013.08.021.Peer-Reviewed Original ResearchConceptsMental health treatmentMental health professionalsMultiple sclerosisMental health careHealth treatmentHealth professionalsMental health problemsMS centersCare providersHealth problemsMental health treatment experiencesMS care providersPercent of patientsHealth careHealth Outcomes SurveySerious mental illnessBetter mental health careExperience of careKessler-6 scaleMS careMS patientsTreatment optionsOutcome SurveyTreatment experiencePatientsCare Experiences of Managed Care Medicare Enrollees Near the End of Life
Elliott MN, Haviland AM, Cleary PD, Zaslavsky AM, Farley DO, Klein DJ, Edwards CA, Beckett MK, Orr N, Saliba D. Care Experiences of Managed Care Medicare Enrollees Near the End of Life. Journal Of The American Geriatrics Society 2013, 61: 407-412. PMID: 23379270, DOI: 10.1111/jgs.12121.Peer-Reviewed Original ResearchConceptsCare experiencesSocial Security Administration death recordsParticipants' experiencesIndividual experiencesBad experiencesExperienceRepresentative sampleFuture researchEnd of lifeIndividual deathSurvey completionSurveyHealthcare providersGood experienceRaceEthnicityPrescription drug coverageEducationRetrospective reportsGeographic regions
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 ratingDevelopment 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 inputClinicians
2011
Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth
Steffenson AE, Pettifor AE, Seage GR, Rees HV, Cleary PD. Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth. Sexually Transmitted Diseases 2011, 38: 459-466. PMID: 21258268, PMCID: PMC3763704, DOI: 10.1097/olq.0b013e3182080860.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHuman immunodeficiency virus (HIV) riskSpread of HIVPrevalence of concurrencyConsistent condom useOlder South AfricansConcurrent sexual partnershipsHIV infectionImmunodeficiency virusMedian lengthRelationship power imbalancesMultivariate analysisCondom useSexual networksPrevention effortsSexual partnershipsAttitudes/behaviorsTransactional sexMonthsWomenExperienced youthMenPrevalenceVirus riskMultiple partnersParents' Roles in Decision Making for Children With Cancer in the First Year of Cancer Treatment
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Parents' Roles in Decision Making for Children With Cancer in the First Year of Cancer Treatment. Journal Of Clinical Oncology 2011, 29: 2085-2090. PMID: 21464400, DOI: 10.1200/jco.2010.32.0507.Peer-Reviewed Original ResearchConceptsParents' preferred roleParents of childrenChild's physicianPhysician communicationPreferred roleMost parentsDana-Farber Cancer InstituteCancer treatmentFirst yearCross-sectional surveyChildren's HospitalPhysician judgmentPhysicians' perceptionsCancer InstitutePhysiciansCancerChildrenHospitalTreatmentPassive roleYearsActual roleMore passive rolesParentsRole
2009
Development of a New Patient-Based Measure of Pediatric Ambulatory Care
Gallagher P, Ding L, Ham HP, Schor EL, Hays RD, Cleary PD. Development of a New Patient-Based Measure of Pediatric Ambulatory Care. Pediatrics 2009, 124: 1348-1354. PMID: 19822587, PMCID: PMC5443558, DOI: 10.1542/peds.2009-0495.Peer-Reviewed Original ResearchConceptsPediatric ambulatory carePreventive careAmbulatory carePediatric careCAHPS surveyAmbulatory pediatric careHospital care experiencesHealth care policyPediatric instrumentsPediatric expertsNew patientsGood internal consistencyDevelopmental monitoringHealthcare providersCare experiencesConsumer AssessmentCareHealth careCare policyCliniciansInternal consistencyFocus groupsValid assessmentCognitive interviewsGroupPeace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Peace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer. JAMA Pediatrics 2009, 163: 519-524. PMID: 19487607, DOI: 10.1001/archpediatrics.2009.57.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentBostonChildChild, PreschoolCommunicationCross-Sectional StudiesCultureData CollectionExistentialismHospitals, PediatricHumansInfantMotivationNeoplasmsParentsPersonality InventoryProfessional-Family RelationsPrognosisPsychometricsQuality of LifeSpiritualityTrustConceptsChronic Illness Therapy-Spiritual WellParents of childrenPrognostic informationFunctional assessmentDana-Farber Cancer InstituteMultivariable logistic regression modelCross-sectional surveyDetailed prognostic informationLogistic regression modelsOncologist judgmentChildren's HospitalMAIN OUTCOMECancer InstituteCancerCancer treatmentPeace of mindOncologistsHospitalScoresChildrenFirst yearHigh peaceRegression modelsMedical informationSubscale responses
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 systemCase‐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 healthThe 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