Research Topics
| Paul D ClearySummaryAffiliation: Harvard University Country: USA Publications
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Publications
A hospitalization from hell: a patient's perspective on qualityPaul D Cleary
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115 5899, USA
Ann Intern Med 138:33-9. 2003..S. hospitals. Relatively easy and inexpensive ways to avoid many of these problems are discussed, such as reducing variability in non-urgent procedures and routinely asking patients about their experiences and suggestions for improvement...- Physicians and electronic health records: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 167:507-12. 2007..Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions... - Gender differences in quality of HIV care in Ryan White CARE Act-funded clinicsLisa R Hirschhorn
Harvard Medical School Division of AIDS, The Landmark Center, Harvard Medical School, Boston, Massachusetts 02215, USA
Womens Health Issues 16:104-12. 2006..We examined differences in care received by HIV-infected women and men in a national sample of Ryan White CARE Act-funded clinics and explored the influence of clinic characteristics on care quality... 
Relationship between use of electronic health record features and health care quality: results of a statewide surveyEric G Poon
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Med Care 48:203-9. 2010..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features...
Physicians' use of key functions in electronic health records from 2005 to 2007: a statewide surveySteven R Simon
MPH Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
J Am Med Inform Assoc 16:465-70. 2009..System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions...- Peace of mind and sense of purpose as core existential issues among parents of children with cancerJennifer W Mack
Department of Medicine, Children s Hospital, Boston, Massachusetts, USA
Arch Pediatr Adolesc Med 163:519-24. 2009..To evaluate issues experienced by parents of children with cancer and factors related to parents' ability to find peace of mind... - Physician specialization and the quality of care for human immunodeficiency virus infectionBruce E Landon
Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Arch Intern Med 165:1133-9. 2005..We sought to assess the relationship between specialty training and expertise and the quality of care delivered to patients with HIV infection... - A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapyIra B Wilson
Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Massachusetts, USA
Med Care 43:12-20. 2005..CONCLUSION: In 1996 there were wide variations in rates of HAART use by site of care. Low-volume sites that do not specialize in HIV care should take measures to ensure that HIV expertise is available to their patients... - Safety Climate and Medical Errors in 62 US Emergency DepartmentsCarlos A Camargo
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA Mongan Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, MA Electronic address
Ann Emerg Med 60:555-563.e20. 2012..We describe the incidence and types of medical errors in emergency departments (EDs) and assess the validity of a survey instrument that identifies systems factors contributing to errors in EDs... - Correlations among measures of quality in HIV care in the United States: cross sectional studyIra B Wilson
Department of Medicine, Institute for Clinical Research and Health Care Policy, Tufts New England Medical Center, Boston, MA 02111, USA
BMJ 335:1085. 2007..To determine whether a selected set of indicators can represent a single overall quality construct... - Predictors and consequences of negative physician attitudes toward HIV-infected injection drug usersLin Ding
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Arch Intern Med 165:618-23. 2005..Providing education or experience-based exercises or ensuring that clinicians have adequate time to deal with complex problems might result in better attitudes and higher quality of care... - Hope and prognostic disclosureJennifer W Mack
Center for Outcomes and Policy Research, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
J Clin Oncol 25:5636-42. 2007..Physicians sometimes selectively convey prognostic information to support patients' hopes. However, the relationship between prognostic disclosure and hope is not known... - Reported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS careLisa R Hirschhorn
John Snow, JSI Research and Training Institute, Boston, MA, USA
AIDS Care 21:799-807. 2009..Additional work also is needed to better define and measure the essential characteristics of coordinated and integrated networks of care and assess whether those characteristics are related to access and quality of care and services... - Quality of HIV care provided by nurse practitioners, physician assistants, and physiciansIra B Wilson
Tufts New England Medical Center, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts 02111, USA
Ann Intern Med 143:729-36. 2005..Nurse practitioners (NPs) and physician assistants (PAs) are primary care providers for patients with HIV in some clinics, but little is known about the quality of care that they provide... - Professionalism in medicine: results of a national survey of physiciansEric G Campbell
Massachusetts General Hospital, Institute for Health Policy, Boston, Massachusetts 02114, USA
Ann Intern Med 147:795-802. 2007..Although there have been efforts to define and promote professionalism, few data are available on physician attitudes toward and conformance with professional norms... - Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal diseaseLeRoi S Hicks
Department of Medicine, Division of General Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
Qual Life Res 13:1129-37. 2004..Racial differences in preferences for renal transplantation among men may be associated with their levels of physical activity... - Parents' roles in decision making for children with cancer in the first year of cancer treatmentJennifer W Mack
Center for Outcomes and Policy Research, Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
J Clin Oncol 29:2085-90. 2011..To evaluate the extent to which parents of children with cancer are involved in decision making in the ways they prefer during the first year of treatment... - Understanding of prognosis among parents of children with cancer: parental optimism and the parent-physician interactionJennifer W Mack
Department of Pediatric Oncology, and the Center for Outcomes and Policy Research, Dana Farber Cancer Institute, Boston, MA 02115, USA
J Clin Oncol 25:1357-62. 2007..We assessed understanding of likelihood of cure and functional outcome among parents of children with cancer and sought to identify factors that place parents at risk for overly optimistic beliefs about prognosis... - Development of and Field Test Results for the CAHPS PCMH SurveySarah Hudson Scholle
National Committee for Quality Assurance, Washington, DC Department of Health Care Policy, Harvard Medical School, Boston, MA Westat, Rockville, MD Center for Survey Research, University of Massachusetts, Boston, MA RAND Corporation, Santa Monica Department of Medicine, University of California Los Angeles, Los Angeles, CA Yale School of Public Health Yale School of Medicine, New Haven, CT
Med Care 50:S2-S10. 2012..To develop and evaluate survey questions that assess processes of care relevant to Patient-Centered Medical Homes (PCMHs)... - Physician specialization and antiretroviral therapy for HIVBruce E Landon
Received from the Division of General Medicine, Beth Israel Deaconess Medical Center BEL and the Department of Health Care Policy BEL, PDC, Harvard Medical School, Boston, Mass 02115, USA
J Gen Intern Med 18:233-41. 2003..The changing nature of HIV care has important implications for the types of physicians that can best care for patients with HIV infection... - Case-mix adjustment of the CAHPS Hospital SurveyAlan M Zaslavsky
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115-5899, USA
Health Serv Res 40:2162-81. 2005..CONCLUSIONS: Case-mix adjustment has a small impact on hospital ratings, but can lead to important reductions in the bias in comparisons between hospitals... - Exploratory factor analyses of the CAHPS Hospital Pilot Survey responses across and within medical, surgical, and obstetric servicesAlan M Zaslavsky
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115-5899, USA
Health Serv Res 40:2078-95. 2005..When studying individual-level variability, a more differentiated structure is probably more appropriate... - Comparison of performance of traditional Medicare vs Medicare managed careBruce E Landon
Department of Health Care Policy, Harvard Medical School, Boston, Mass 02115, USA
JAMA 291:1744-52. 2004..Since 2000, the Centers for Medicare & Medicaid Services (CMS) has been collecting information on beneficiaries' experiences with health care for Medicare managed care (MMC) and traditional fee-for-service (FFS) Medicare... - Perceptions of cancer-related information among cancer survivors: a report from the American Cancer Society's Studies of Cancer SurvivorsD Keith McInnes
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Cancer 113:1471-9. 2008..Sources of cancer-related information are rapidly increasing, but little is known about whether the health information available to cancer survivors meets their needs... - Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicineMark Meterko
HSR and D Center for Organization, Leadership and Management Research, VA Boston Healthcare System 152 M, Boston, MA, USA
Health Serv Res 45:1188-204. 2010..The present study was undertaken to test the influence of both PCC and technical care quality on outcomes among AMI patients... - The relationship between patients' perception of care and measures of hospital quality and safetyThomas Isaac
Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA
Health Serv Res 45:1024-40. 2010..We used data from the Hospital Quality Alliance to assess technical performance in medical and surgical processes of care and calculated Patient Safety Indicators to measure medical and surgical complication rates... - The impact of a quality improvement program on systems, processes, and structures in medical clinicsD Keith McInnes
Department of Health Care Policy, Division of General Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Care 45:463-71. 2007..We sought to assess whether participation in a quality-improvement collaborative changed care processes, systems, and organization of outpatient human immunodeficiency virus (HIV) clinics... - Plan, geographical, and temporal variation of consumer assessments of ambulatory health careAlan M Zaslavsky
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115-5899, USA
Health Serv Res 39:1467-85. 2004.... - Quality of health care for children: role of health and chronic illness in inpatient care experiencesJennifer W Mack
Dana Farber Cancer Institute, Boston, MA 02115, USA
Arch Pediatr Adolesc Med 161:828-34. 2007..To assess how parent reports about the inpatient care of their children vary according to the health status of children with and without chronic conditions... - Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrumentLoel S Solomon
Health Policy, Harvard University, Boston, Massachusetts 02150, USA
Med Care 43:53-60. 2005..CONCLUSIONS: The G-CAHPS instrument provides an assessment of selected aspects of care that are important to consumers and could be a useful complement to the plan-level CAHPS instrument... - Development of a new patient-based measure of pediatric ambulatory carePatricia Gallagher
Center for Survey Research, University of Massachusetts, Boston, Massachusetts, USA
Pediatrics 124:1348-54. 2009..The objective of this study was to develop and test an Ambulatory Pediatric CAHPS survey that focuses on clinicians and groups and includes measures of developmental and preventive care... - The National Emergency Department Safety Study: study rationale and designAshley F Sullivan
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Acad Emerg Med 14:1182-9. 2007..NEDSS is the first comprehensive national study of the frequency and types of medical errors in EDs. This article describes the methods used to develop and implement the study... - Guideline recommendations for treatment of schizophrenia: the impact of managed careBarbara Dickey
Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Arch Gen Psychiatry 60:340-8. 2003..The purpose of this study was to compare the treatment of schizophrenia for disabled Medicaid beneficiaries who were and were not enrolled in managed care... - Factors affecting influential discussions among physicians: a social network analysis of a primary care practiceNancy L Keating
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Gen Intern Med 22:794-8. 2007..Physicians often rely on colleagues for new information and advice about the care of their patients... - Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV studyBruce E Landon
Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02115, USA
Ann Intern Med 140:887-96. 2004..Multi-institution collaborative quality improvement programs are a well-established and broadly applicable quality improvement strategy, but there is little systematic assessment their effectiveness... - Physicians' beliefs about racial differences in referral for renal transplantationJohn Z Ayanian
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
Am J Kidney Dis 43:350-7. 2004..A better understanding of physicians' views about racial differences in access to transplantation may help reduce disparities in care... - A national survey of physician-industry relationshipsEric G Campbell
Institute for Health Policy, Massachusetts General Hospital Partners Health Care System and Harvard Medical School, Boston, MA 02114, USA
N Engl J Med 356:1742-50. 2007..We surveyed physicians to collect information about their financial associations with industry and the factors that predict those associations... - The World Health Organization Health and Work Performance Questionnaire (HPQ)Ronald C Kessler
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
J Occup Environ Med 45:156-74. 2003..The paper closes with a brief discussion of the calibration methodology used to monetize HPQ reports and of future directions in substantive research based on the HPQ... - Specialty training and specialization among physicians who treat HIV/AIDS in the United StatesBruce E Landon
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
J Gen Intern Med 17:12-22. 2002..To assess the association of specialty training and experience in the care of HIV disease with HIV-specific knowledge, referral patterns, and HIV-related education activities... - Evolving dissatisfaction among primary care physiciansBruce E Landon
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Am J Manag Care 8:890-901. 2002..To examine trends in career satisfaction among physicians working with managed care plans... - Correlates of electronic health record adoption in office practices: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA
J Am Med Inform Assoc 14:110-7. 2007..We sought to measure the correlates of EHR adoption... - HIV patients' experiences with inpatient and outpatient care: results of a national surveyIra B Wilson
Division of Clinical Care Research, Department of Medicine, Tufts New England Medical Center 345, 750 Washington Street, Boston, MA 02111, USA
Med Care 40:1149-60. 2002..Little is known about HIV patients' care experiences... - Factors affecting response rates to the Consumer Assessment of Health Plans Study surveyAlan M Zaslavsky
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Care 40:485-99. 2002..Further efforts to explore the determinants of response rates are warranted... - Dimensions of plan performance for sick and healthy members on the Consumer Assessments of Health Plans Study 2.0 surveyAlan M Zaslavsky
Department of Health Care Policy, Harvard Medical School, Harvard University, Boston, Massachusetts 02115, USA
Med Care 40:951-64. 2002..The quality of health plan care may differ for members in good and poor health... - How are patients' specific ambulatory care experiences related to trust, satisfaction, and considering changing physicians?Nancy L Keating
Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, Mass, USA
J Gen Intern Med 17:29-39. 2002..Few data are available regarding the consequences of patients' problems with interpersonal aspects of medical care... - Communication about prognosis between parents and physicians of children with cancer: parent preferences and the impact of prognostic informationJennifer W Mack
Departments of Pediatric Oncology, Center for Outcomes and Policy Research, Dana Farber Cancer Institute, Boston, MA 02115, USA
J Clin Oncol 24:5265-70. 2006..We aimed to determine parent preferences for prognostic information about their children with cancer and the results of receiving such information... - Delivering HIV services to vulnerable populations: an evaluation and research agendaMartha M McKinney
Community Health Solutions, Inc, Richmond, KY 40475, USA
Public Health Rep 117:114-22. 2002.... - The influence of patient characteristics on ratings of managed behavioral health careMatthew J Carlson
Oregon Health Sciences University, USA
J Behav Health Serv Res 29:481-9. 2002..These results are consistent with other research that illustrates the importance of adjusting health care ratings for patient characteristics when comparing plans... - Evaluating the use of a modified CAHPS survey to support improvements in patient-centred care: lessons from a quality improvement collaborativeElizabeth Davies
King s College London School of Medicine, Thames Cancer Registry, London, UK
Health Expect 11:160-76. 2008.... - Medical clinic characteristics and access to behavioral health services for persons with HIVMichael E Ohl
Department of Internal Medicine, University of Missouri Columbia, Missouri, USA
Psychiatr Serv 59:400-7. 2008..Many persons with HIV do not receive needed behavioral health services. This study examined the impact of medical clinic characteristics on access to mental health and substance abuse care for persons with HIV... - The effect of care team composition on the quality of HIV careHector P Rodriguez
University of Washington, Seattle, USA
Med Care Res Rev 65:88-113. 2008..These findings indicate both advantages and disadvantages to having multiple clinicians. More effort should be devoted to facilitating coordination when multiple clinicians provide care... - Variation in patient-reported quality among health care organizationsLoel S Solomon
Health Care Financ Rev 23:85-100. 2002..There was significant variation among RSOs, groups and sites, with practice sites explaining the greatest share of variation for most measures... - Combining health plan performance indicators into simpler composite measuresAlan M Zaslavsky
Health Care Financ Rev 23:101-15. 2002..These summaries are substantively interpretable, internally consistent, and describe the majority of variation among units in the performance scores analyzed... - What do collaborative improvement projects do? Experience from seven countriesTim Wilson
RCGP Quality Unit, Royal College of General Practitioners, London, United Kingdom
Jt Comm J Qual Saf 29:85-93. 2003..There are large variations in the way collaboratives are structured and run, but there is no widely accepted framework for describing the components of collaboratives. Thus, it is difficult to study which approaches are most effective... - Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan PerformancesMinah Kim
Institute for Health Policy, Massachusetts General Hospital, USA
Med Care 43:44-52. 2005..Users should consider estimating separate models for Medicaid and commercially insured respondents. Such models should adjust for child health status, parent age, and parent education... - The reliability of survey assessments of characteristics of medical clinicsPeter V Marsden
Department of Sociology, Harvard University, Cambridge, MA 02138, USA
Health Serv Res 41:265-83. 2006..Studies of such characteristics should report the organizational level reliability of the measures used... - Psychometric properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 adult core surveyJ Lee Hargraves
Center for Studying Health System Change, Washington, DC 20024, USA
Health Serv Res 38:1509-27. 2003..The five-dimension model of consumer assessments best fits the data among the privately insured; therefore, consumer reports using CAHPS surveys should provide feedback using five composites... - Voluntary physician switching by human immunodeficiency virus-infected individuals: a national study of patient, physician, and organizational factorsHector P Rodriguez
Harvard University, Cambridge, Massachusetts, USA
Med Care 45:189-98. 2007..We sought to assess which patient, physician, and organizational factors are related to voluntary physician switching among human immunodeficiency virus (HIV)-infected patients... - Disparities in HIV treatment and physician attitudes about delaying protease inhibitors for nonadherent patientsMitchell D Wong
Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, California 90095 1736, USA
J Gen Intern Med 19:366-74. 2004..Current HIV treatment guidelines recommend delaying antiretroviral therapy for nonadherent patients, which some fear may disproportionately affect certain populations and contribute to disparities in care... - Methods used to streamline the CAHPS Hospital SurveySan Keller
American Institutes for Research (AIR, Chapel Hill, NC 27510, USA
Health Serv Res 40:2057-77. 2005.... - Similarities and differences in choosing health plansPamela Farley Short
Pennsylvania State University, 116 Henderson Building, University Park, PA 16802, USA
Med Care 40:289-302. 2002..Increasingly, consumers have multiple health insurance options. New information is being developed to help consumers with these choices... - Pain, medication use, and health-related quality of life in older persons with postherpetic neuralgia: results from a population-based surveyGerry Oster
Policy Analysis Inc, Brookline, Massachusetts 02445, USA
J Pain 6:356-63. 2005..Our study highlights the need for improved management of this disease... - Patterns of coping among persons with HIV infection: configurations, correlates, and changeJohn A Fleishman
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20852, USA
Am J Community Psychol 32:187-204. 2003..Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping... - Beneficiary reported experience and voluntary disenrollment in Medicare managed careTerry R Lied
Health Care Financ Rev 25:55-66. 2003..The results demonstrate that voluntary disenrollment rates are strongly related to direct measures of patient experiences with care and are an important complement to other measures of health plan performance...