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Clarissa Hsu, PhD

TitleAssistant Investigator
InstitutionKaiser Permanente Washington
DepartmentHealth Research Institute
ORCID ORCID Icon0000-0002-4847-5596 Additional info
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    Collapse Overview 
    Collapse overview
    Medical anthropologist Clarissa Hsu, PhD, conducts research using a holistic approach that brings together 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 health studies on issues that are a high priority for patients, caregivers, and clinicians. All PCORI-funded research must include 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 team, which includes collaborators in the delivery system and two patient co-investigators is developing and testing innovative ways to include patients in primary care design. Their work includes developing a community resources specialist role for care teams.

    A longtime member of the Center for Community Health and Evaluation at Kaiser Permanente Washington Health Research Institute (KPWHRI), Dr. Hsu joined the KPWHRI faculty in 2011—bringing extensive expertise in using qualitative methods to learn about patient and provider experiences. Dr. Hsu specializes in improving health by investigating:

    - clinical transformation and health care design,
    - the effectiveness of community-based health improvement programs and health promotion policies,
    - patient-centered care, and
    - complementary and alternative medicine.

    Dr. Hsu’s work strives to improve the health of individuals and their communities by assessing and documenting, and evaluating and disseminating best practices for clinical, behavioral, and community health projects. Her work helps programs learn to evaluate their own effectiveness; explores ways to promote community-driven health improvement strategies; and increases understanding of the types of actions that lead to sustainable changes in the health of communities.

    Dr. Hsu is an affiliate professor at the University of Washington School of Public Health. At Bastyr University, she serves as a thesis advisor for master's-level midwifery students.

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Eaves ER, Hsu CW, DeBar LL, Livingston CJ, Ocker LE, McDonald SJ, Dillon-Sumner L, Ritenbaugh C. Whole Systems Within Whole Systems: The Oregon Health Plan's Expansion of Services for Back and Neck Pain. J Altern Complement Med. 2019 Mar; 25(S1):S61-S68. PMID: 30870022.
      View in: PubMed
    2. Hsu C, Gray MF, Murray L, Abraham M, Nickel W, Sweeney JM, Frosch DL, Mroz TM, Ehrlich K, Johnson B, Reid RJ. Actions and processes that patients, family members, and physicians associate with patient- and family-centered care. BMC Fam Pract. 2019 Feb 25; 20(1):35. PMID: 30803446.
      View in: PubMed
    3. Green BB, Anderson ML, Campbell J, Cook AJ, Ehrlich K, Evers S, Hall YN, Hsu C, Joseph D, Klasnja P, Margolis KL, McClure JB, Munson SA, Thompson MJ. Blood pressure checks and diagnosing hypertension (BP-CHECK): Design and methods of a randomized controlled diagnostic study comparing clinic, home, kiosk, and 24-hour ambulatory BP monitoring. Contemp Clin Trials. 2019 Apr; 79:1-13. PMID: 30634036.
      View in: PubMed
    4. 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 Dec 04; 18(1):475. PMID: 30514332.
      View in: PubMed
    5. 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. PMID: 30272177.
      View in: PubMed
    6. 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 Sep-Oct; 31(5):691-701. PMID: 30201665.
      View in: PubMed
    7. 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. J Gen Intern Med. 2018 Aug; 33(8):1324-1336. PMID: 29790073.
      View in: PubMed
    8. Hartzler AL, Tuzzio L, Hsu C, Wagner EH. Roles and Functions of Community Health Workers in Primary Care. Ann Fam Med. 2018 05; 16(3):240-245. PMID: 29760028.
      View in: PubMed
    9. 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 Ambul Care Manage. 2017 Oct/Dec; 40(4):287-296. PMID: 28323721.
      View in: PubMed
    10. Figueroa Gray M, Hsu C, Kiel L, Dublin S. "It's a Very Big Burden on Me": Women's Experiences Using Insulin for Gestational Diabetes. Matern Child Health J. 2017 Aug; 21(8):1678-1685. PMID: 28092062.
      View in: PubMed
    11. 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 09; 18(5):654-661. PMID: 28398837.
      View in: PubMed
    12. Wagner EH, Flinter M, Hsu C, Cromp D, Austin BT, Etz R, Crabtree BF, Ladden MD. Effective team-based primary care: observations from innovative practices. BMC Fam Pract. 2017 Feb 02; 18(1):13. PMID: 28148227.
      View in: PubMed
    13. Parchman ML, Von Korff M, Baldwin LM, Stephens M, Ike B, Cromp D, Hsu C, Wagner EH. Primary Care Clinic Re-Design for Prescription Opioid Management. J Am Board Fam Med. 2017 01 02; 30(1):44-51. PMID: 28062816.
      View in: PubMed
    14. 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 Physicians about Chronic Low Back Pain. Perm J. 2017; 21:16-177. PMID: 29035178.
      View in: PubMed
    15. Parchman ML, Fagnan LJ, Dorr DA, Evans P, Cook AJ, Penfold RB, Hsu C, Cheadle A, Baldwin LM, Tuzzio L. Study protocol for "Healthy Hearts Northwest": a 2?×?2 randomized factorial trial to build quality improvement capacity in primary care. Implement Sci. 2016 10 13; 11(1):138. PMID: 27737719.
      View in: PubMed
    16. Hsu C, Liss DT, Frosch DL, Westbrook EO, Arterburn D. Exploring Provider Reactions to Decision Aid Distribution and Shared Decision Making: Lessons from Two Specialties. Med Decis Making. 2017 01; 37(1):113-126. PMID: 27899745.
      View in: PubMed
    17. Jones SM, Lange J, Turner J, Cherkin D, Ritenbaugh C, Hsu C, Berthoud H, Sherman K. Development and Validation of the EXPECT Questionnaire: Assessing Patient Expectations of Outcomes of Complementary and Alternative Medicine Treatments for Chronic Pain. J Altern Complement Med. 2016 Nov; 22(11):936-946. PMID: 27689427.
      View in: PubMed
    18. Cherkin D, Balderson B, Brewer G, Cook A, Estlin KT, Evers SC, Foster NE, Hill JC, Hawkes R, Hsu C, Jensen M, LaPorte AM, Levine MD, Piekara D, Rock P, Sherman K, Sowden G, Wellman R, Yeoman J. Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomized trial protocol. BMC Musculoskelet Disord. 2016 08 24; 17(1):361. PMID: 27553626.
      View in: PubMed
    19. Johnson KE, Mroz TM, Abraham M, Figueroa Gray M, Minniti M, Nickel W, Reid R, Sweeney J, Frosch DL, Ness DL, Hsu C. Promoting Patient and Family Partnerships in Ambulatory Care Improvement: A Narrative Review and Focus Group Findings. Adv Ther. 2016 08; 33(8):1417-39. PMID: 27352378.
      View in: PubMed
    20. Robbins M, Tufte J, Hsu C. Learning to "Swim" with the Experts: Experiences of Two Patient Co-Investigators for a Project Funded by the Patient-Centered Outcomes Research Institute. Perm J. 2016; 20(2):85-8. PMID: 27083011.
      View in: PubMed
    21. Cromp D, Hsu C, Coleman K, Fishman PA, Liss DT, Ehrlich K, Johnson E, Ross TR, Trescott C, Trehearne B, Reid RJ. Barriers and facilitators to team-based care in the context of primary care transformation. J Ambul Care Manage. 2015 Apr-Jun; 38(2):125-33. PMID: 25748261.
      View in: PubMed
    22. Eaves ER, Sherman KJ, Ritenbaugh C, Hsu C, Nichter M, Turner JA, Cherkin DC. A qualitative study of changes in expectations over time among patients with chronic low back pain seeking four CAM therapies. BMC Complement Altern Med. 2015 Feb 05; 15:12. PMID: 25652396.
      View in: PubMed
    23. Bush T, Hsu C, Levine MD, Magnusson B, Miles L. Weight gain and smoking: perceptions and experiences of obese quitline participants. BMC Public Health. 2014 Nov 27; 14:1229. PMID: 25428130.
      View in: PubMed
    24. Hsu C, Lemon JM, Wong ES, Carson-Cheng E, Perkins M, Nordstrom MS, Liu CF, Sprague C, Bryson CL. Factors affecting medication adherence: patient perspectives from five veterans affairs facilities. BMC Health Serv Res. 2014 Nov 13; 14:533. PMID: 25391694.
      View in: PubMed
    25. Hsu C, Sherman KJ, Eaves ER, Turner JA, Cherkin DC, Cromp D, Schafer L, Ritenbaugh C. New perspectives on patient expectations of treatment outcomes: results from qualitative interviews with patients seeking complementary and alternative medicine treatments for chronic low back pain. BMC Complement Altern Med. 2014 Jul 30; 14:276. PMID: 25077732.
      View in: PubMed
    26. Sherman KJ, Eaves ER, Ritenbaugh C, Hsu C, Cherkin DC, Turner JA. Cognitive interviews guide design of a new CAM patient expectations questionnaire. BMC Complement Altern Med. 2014 Jan 25; 14:39. PMID: 24460709.
      View in: PubMed
    27. Ladden MD, Bodenheimer T, Fishman NW, Flinter M, Hsu C, Parchman M, Wagner EH. The emerging primary care workforce: preliminary observations from the primary care team: learning from effective ambulatory practices project. Acad Med. 2013 Dec; 88(12):1830-4. PMID: 24128622.
      View in: PubMed
    28. Grow HM, Hsu C, Liu LL, Briner L, Jessen-Fiddick T, Lozano P, Saelens BE. Understanding family motivations and barriers to participation in community-based programs for overweight youth: one program model does not fit all. J Public Health Manag Pract. 2013 Jul-Aug; 19(4):E1-E10. PMID: 23328502.
      View in: PubMed
    29. Tomoaia-Cotisel A, Scammon DL, Waitzman NJ, Cronholm PF, Halladay JR, Driscoll DL, Solberg LI, Hsu C, Tai-Seale M, Hiratsuka V, Shih SC, Fetters MD, Wise CG, Alexander JA, Hauser D, McMullen CK, Scholle SH, Tirodkar MA, Schmidt L, Donahue KE, Parchman ML, Stange KC. Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med. 2013 May-Jun; 11 Suppl 1:S115-23. PMID: 23690380.
      View in: PubMed
    30. Reid RJ, Johnson EA, Hsu C, Ehrlich K, Coleman K, Trescott C, Erikson M, Ross TR, Liss DT, Cromp D, Fishman PA. Spreading a medical home redesign: effects on emergency department use and hospital admissions. Ann Fam Med. 2013 May-Jun; 11 Suppl 1:S19-26. PMID: 23690382.
      View in: PubMed
    31. Hsu C, Liss DT, Westbrook EO, Arterburn D. Incorporating patient decision aids into standard clinical practice in an integrated delivery system. Med Decis Making. 2013 Jan; 33(1):85-97. PMID: 23300204.
      View in: PubMed
    32. Schafer LM, Hsu C, Eaves ER, Ritenbaugh C, Turner J, Cherkin DC, Sims C, Sherman KJ. Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study. BMC Complement Altern Med. 2012 Nov 27; 12:234. PMID: 23186539.
      View in: PubMed
    33. Oberg EB, Bradley R, Hsu C, Sherman KJ, Catz S, Calabrese C, Cherkin DC. Patient-reported experiences with first-time naturopathic care for type 2 diabetes. PLoS One. 2012; 7(11):e48549. PMID: 23144900.
      View in: PubMed
    34. Hsu C, Coleman K, Ross TR, Johnson E, Fishman PA, Larson EB, Liss D, Trescott C, Reid RJ. Spreading a patient-centered medical home redesign: a case study. J Ambul Care Manage. 2012 Apr-Jun; 35(2):99-108. PMID: 22415283.
      View in: PubMed
    35. Fishman PA, Johnson EA, Coleman K, Larson EB, Hsu C, Ross TR, Liss D, Tufano J, Reid RJ. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012 Oct; 52(5):703-11. PMID: 22421916.
      View in: PubMed
    36. Chubak J, Tuzzio L, Hsu C, Alfano CM, Rabin BA, Hornbrook MC, Spegman A, Von Worley A, Williams A, Nekhlyudov L. Providing care for cancer survivors in integrated health care delivery systems: practices, challenges, and research opportunities. J Oncol Pract. 2012 May; 8(3):184-9. PMID: 22942814.
      View in: PubMed
    37. Hsu C, Cherkin DC, Hoffmeyer S, Sherman KJ, Phillips WR. Patient and clinician openness to including a broader range of healing options in primary care. Ann Fam Med. 2011 Sep-Oct; 9(5):447-53. PMID: 21911764.
      View in: PubMed
    38. Jones M, Hsu C, Pearson D, Wolford D, Labby D. An alternative to pay-for-performance: one health plan's approach to quality improvement. J Healthc Qual. 2011 Jan-Feb; 33(1):22-9. PMID: 21199070.
      View in: PubMed
    39. Coleman K, Reid RJ, Johnson E, Hsu C, Ross TR, Fishman P, Larson E. Implications of reassigning patients for the medical home: a case study. Ann Fam Med. 2010 Nov-Dec; 8(6):493-8. PMID: 21060118.
      View in: PubMed
    40. Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, Trescott CE, Erikson M, Larson EB. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010 May; 29(5):835-43. PMID: 20439869.
      View in: PubMed
    41. Hsu C, Bluespruce J, Sherman K, Cherkin D. Unanticipated benefits of CAM therapies for back pain: an exploration of patient experiences. J Altern Complement Med. 2010 Feb; 16(2):157-63. PMID: 20180688.
      View in: PubMed
    42. Hsu C, Phillips WR, Sherman KJ, Hawkes R, Cherkin DC. Healing in primary care: a vision shared by patients, physicians, nurses, and clinical staff. Ann Fam Med. 2008 Jul-Aug; 6(4):307-14. PMID: 18626030.
      View in: PubMed
    43. Cheadle A, Hsu C, Schwartz PM, Pearson D, Greenwald HP, Beery WL, Flores G, Casey MC. Involving local health departments in community health partnerships: evaluation results from the partnership for the public's health initiative. J Urban Health. 2008 Mar; 85(2):162-77. PMID: 18259870.
      View in: PubMed
    44. Pearlman RA, Hsu C, Starks H, Back AL, Gordon JR, Bharucha AJ, Koenig BA, Battin MP. Motivations for physician-assisted suicide. J Gen Intern Med. 2005 Mar; 20(3):234-9. PMID: 15836526.
      View in: PubMed
    45. Sharp ND, Pineros SL, Hsu C, Starks H, Sales AE. A qualitative study to identify barriers and facilitators to implementation of pilot interventions in the Veterans Health Administration (VHA) Northwest Network. Worldviews Evid Based Nurs. 2004; 1(2):129-39. PMID: 17129326.
      View in: PubMed
    46. Back AL, Starks H, Hsu C, Gordon JR, Bharucha A, Pearlman RA. Clinician-patient interactions about requests for physician-assisted suicide: a patient and family view. Arch Intern Med. 2002 Jun 10; 162(11):1257-65. PMID: 12038944.
      View in: PubMed
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    KP Researcher Profiles is funded by Kaiser Permanente Research.