Medical anthropologist Clarissa Hsu, PhD, has been doing Kaiser Permanente research since 2001, and became an official member of the faculty in 2011. She conducts research using a holistic approach that unites the cultural, social, and political factors that shape health and health care. Dr. Hsu was one of the first researchers to receive funding from the national Patient-Centered Outcomes Research Institute (PCORI), which supports studies on issues that are a high priority for patients, caregivers, and clinicians. PCORI-funded research follows an innovative model, including patient input at all steps in the research process. Dr. Hsu and her team christened her PCORI project LINCC: Learning to Integrate Neighborhoods and Clinical Care.
The LINCC project designed, piloted, and evaluated a new primary care role: connecting patients to community resources. This new community resource specialist role was spread throughout Kaiser Permanente Washington, with a robust evaluation and implementation support co-led by Dr. Hsu through KPWHRI’s Center for Accelerating Care Transformation. LINCC also resulted in the creation of valuable health care resources, including an article on having patients as co-investigators, as well as a guide and set of care-design templates for engaging a cohort of patients in co-designing care.
Dr. Hsu is also at the forefront of other prevalent health issues, working to document, design, evaluate, and disseminate new approaches and best practices. She seeks to help chronic pain patients taper off and find alternatives to opioids. She also works to improve how care delivery systems interact with patients and family members around sensitive and complex topics such as dementia diagnoses, use of antipsychotics in youth, blood pressure diagnosis and control, cannabis use, and childhood vaccinations.
Dr. Hsu is an affiliate professor at the University of Washington School of Public Health.
Patient experiences with complementary and alternative medicine
Figueroa Gray M, Hsu C, Kiel L, Dublin S. Getting through the day: a pilot qualitative study of U.S. women's experiences making decisions about anti-nausea medication during pregnancy. BMC Pregnancy Childbirth. 2018;18(1):475. doi: 10.1186/s12884-018-2093-6. PubMed
Hsu C, Hertel E, Johnson E, Cahill C, Lozano P, Ross TR, Ehrlich K, Coleman K, BlueSpruce J, Cheadle A, Matthys J, Chapdelaine M, Gray M, Tufte J, Robbins M. Evaluation of the Learning to Integrate Neighborhoods and Clinical Care project: findings from implementing a new lay role into primary care teams to address social determinants of health. Perm J. 2018; 22:18-101.Published online 2018 Oct 22.doi: 10.7812/TPP/18-101.
Hsu C, Evers S, Balderson BH, Sherman KJ, Foster NE, Estlin K, Levine M, Cherkin D. Adaptation and implementation of the STarT back risk stratification strategy in a US health care organization: a process evaluation. Pain Med. 2018 Sep 28. pii: 5110194. doi: 10.1093/pm/pny170. [Epub ahead of print]. PubMed
Blasi PR, Cromp D, McDonald S, Hsu C, Coleman K, Flinter M, Wagner EH. Approaches to behavioral health integration at high performing primary care practices. J Am Board Fam Med. 2018;31(5):691-701. doi: 10.3122/jabfm.2018.05.170468. PubMed
Cherkin D, Balderson B, Wellman R, Hsu C, Sherman KJ, Evers SC, Hawkes R, Cook A, Levine MD, Piekara D, Rock P, Estlin KT, Brewer G, Jensen M, LaPorte AM, Yeoman J, Sowden G, Hill JC, Foster NE. Effect of Low Back Pain Risk-Stratification Strategy on Patient Outcomes and Care Processes: the MATCH Randomized Trial in Primary Care. LID - 10.1007/s11606-018-4468-9 [doi] J Gen Intern Med. 2018 May 22. pii: 10.1007/s11606-018-4468-9. doi: 10.1007/s11606-018-4468-9 [Epub ahead of print] PubMed
Hartzler AL, Tuzzio L, Hsu C, Wagner EH. Roles and functions of community health workers in primary care. Ann Fam Med. 2018 May;16(3):240-245. doi: 10.1370/afm.2208. PubMed
Parchman M, Hsu C, Fagnan L, van Borkulo N, Tuzzio L. Building a learning health care organization: external facilitation tailors support to the learning capacity of primary care settings. J Patient Cent Res Rev. 2017;4:187.
Evers S, Hsu C, Sherman KJ, Balderson B, Hawkes R, Brewer G, La Porte AM, Yeoman J, Cherkin D. Patient perspectives on communication with primary care providers about chronic low back pain. Perm J. 2017;21. doi: 10.7812/TPP/16-177. PubMed
Schoeppe J, Cheadle A, Melton M, Faubion T, Miller C, Matthys J, Hsu C. The Immunity Community: a community engagement strategy for reducing vaccine hesitancy. Health Promot Pract. 2017 Sep;18(5):654-661. doi: 10.1177/1524839917697303. Epub 2017 Apr 11. PubMed
Flinter M, Hsu C, Cromp D, Ladden MD, Wagner EH. Registered nurses in primary care: emerging new roles and contributions to team-based care in high-performing practices. J Ambulatory Care Manage. 2017 Mar 20. doi: 10.1097/JAC.0000000000000193. [Epub ahead of print]. PubMed
Clarissa Hsu, PhD, and colleagues asked parents why they decline or delay vaccinating their children to explore ways to overcome barriers to getting vaccinated.
The Patient-Centered Outcomes Research Institute plans to award $4.75 million to compare ways to raise COVID-19 immunization rates.
Can lessons from Immunity Community help build acceptance of COVID-19 vaccines? Clarissa Hsu, PhD, thinks so.
Study ends but benefits for Kaiser Permanente members continue — thanks to a new support role in the regions’ clinics, writes Dr. Clarissa Hsu.
Partnering with Patients as Equals in Co-Designing Primary Care: Examples and Tools from the LINCC Project
Healthcare Innovation, July 25, 2022