Tracy A. Lieu, MD, MPH

tracy.lieu@kp.org

Tracy Lieu, MD, MPH, is a Research Scientist in the Division of Research, Kaiser Permanente Northern California and a Deputy Editor for JAMA. As DOR director from 2012-2024, she led a department of 67 faculty-level research scientists and more than 600 staff whose mission is to transform health through research on the causes of health and disease, and the best ways to deliver care for Kaiser Permanente members and for society.

Dr. Lieu is the JAMA editor for child health and liaison to the U.S. Preventive Services Task Force, with a role for the JAMA Network focused on building synergy among the network’s 13 journals.

Nationally and internationally, Dr. Lieu served on the U.S. Preventive Services Task Force and the Advisory Committee on Immunization Practices, and has chaired committees for the National Institutes of Health and the National Academies of Science, Engineering, and Medicine. Dr. Lieu’s career includes roles at the University of California, San Francisco, Penn, and Harvard, where she was the founding director of the Center for Child Health Care Studies and received the medical school’s A. Clifford Barger Award for Excellence in Mentoring. She is a professor in the Bernard J. Tyson Kaiser Permanente School of Medicine and an affiliate professor in the UCSF School of Medicine.

Dr. Lieu is a practicing pediatrician who has led seminal studies in vaccine safety and policy and decision sciences. Her current research studies how virtual care can be designed to facilitate quality and access for diverse patient populations. She is an elected member of the National Academy of Medicine.

Current Positions

Research Scientist, Kaiser Permanente Division of Research
Deputy Editor, JAMA
Professor of Health Systems Science, Bernard J. Tyson Kaiser Permanente School of Medicine
Affiliate Professor of Epidemiology and Biostatistics, University of California, San Francisco

Section Affiliations

Primary Research Interests

Virtual care and telemedicine
Applied clinical informatics
Effectiveness and delivery of primary care
Decision sciences, including decision analysis
Economic evaluation

Studies

Management of Paxlovid eVisits by Pharmacists and Primary Care Physicians

This study will compare pharmacist management of e-visit requests for Paxlovid for COVID-19 with usual care management by primary care physicians regarding costs, time, clinical outcomes, and patient and clinician satisfaction.

Investigator: Lieu, Tracy

Funder: TPMG Delivery Science Projects Program

Strategies for optimizing video care in a diverse population

This study will describe factors associated with the effective adoption of video visits in adult and family medicine after the start of the Covid-19 pandemic; identify medical centers and primary care physicians with higher-than-expected video visit rates after adjusting for patient demographics; and describe the strategies that account for their success.

Investigator: Lieu, Tracy

Funder: TPMG Delivery Science Projects Program

Email Management Strategies and Stress Among Primary Care Physicians

Email between patients and physicians has enhanced health care service but has made many primary care physicians feel overloaded. Many physicians multitask throughout the day by responding to email while seeing patients for in-person, telephone, and video visits. Many gaps in understanding exist about how to reduce stress associated with email in health care settings. The aims of this study are to 1) examine observed patterns of email management and multitasking based on computerized data, 2) describe the range of strategies physicians report using to manage email via a qualitative study, and 3) evaluate the extent to which email management patterns and strategies are associated with stress, as measured by self-report on a structured survey and heart-rate monitoring. This study’s results will offer guidance on how physicians may reduce stress associated with email management. The findings will also inform the design of a future interventional study to facilitate effective email management.

Investigator: Lieu, Tracy

Funder: The Permanente Medical Group

Publications

Promoting Child Health by Protecting the Patient-Clinician Relationship From Politics

Authors: Milstone, Aaron M;Lieu, Tracy A;Christakis, Dimitri A;et al.

JAMA Pediatr. 2024 Oct 01;178(10):969-971.

Tracy A. Lieu, MD, MPH

Current Positions

Section Affiliations

Primary Research Interests

Studies

Management of Paxlovid eVisits by Pharmacists and Primary Care Physicians

Strategies for optimizing video care in a diverse population

Email Management Strategies and Stress Among Primary Care Physicians

Publications

Promoting Child Health by Protecting the Patient-Clinician Relationship From Politics

E-Cigarette Use in Adolescents and Adults-A JAMA Collection

Training the next generation of delivery science researchers: 10-year experience of a post-doctoral research fellowship program within an integrated care system

Changes in COVID-19 Vaccine Intent Among a Diverse Population of Older Adults, June 2021-February 2022

Strategies Facilitating Video Visit Implementation by a Medical Group Serving a Diverse Population

Effect of Electronic and Mail Outreach From Primary Care Physicians for COVID-19 Vaccination of Black and Latino Older Adults: A Randomized Clinical Trial

Association of Medical Assistant-Supported Virtual Rooming With Successful Video Visit Connections

Closing Evidence Gaps in Clinical Prevention: A Report From the National Academies of Sciences, Engineering, and Medicine

A prognostic information system for real-time personalized care: Lessons for embedded researchers

DISCARDED MEDICATIONS IN VIALS ARE A SYMPTOM OF OUR HEALTH CARE SYSTEM: A CALL TO ACTION

Physician Stress During Electronic Health Record Inbox Work: In Situ Measurement With Wearable Sensors

Physicians’ electronic inbox work patterns and factors associated with high inbox work duration

Reinventing Pediatrics Through Video Care First

Evaluation of Attention Switching and Duration of Electronic Inbox Work Among Primary Care Physicians

Rethinking ethical oversight in the era of the learning health system

Feasibility of Measuring Preferences for Chemotherapy Among Early-Stage Breast Cancer Survivors Using a Direct Rank Ordering Multicriteria Decision Analysis Versus a Time Trade-Off

Primary Care Physicians’ Experiences With and Strategies for Managing Electronic Messages

Unbounded-Parent-Physician Communication in the Era of Portal Messaging

Strategies for Building Delivery Science in an Integrated Health Care System

Developing a Prognostic Information System for Personalized Care in Real Time

The impact of gene expression profile testing on confidence in chemotherapy decisions and prognostic expectations

Data Enclaves for Sharing Information Derived From Clinical and Administrative Data

Racial disparities in family-provider interactions for pediatric asthma care

Cost Effectiveness of Gene Expression Profile Testing in Community Practice

Impact of Copayment Changes on Children’s Albuterol Inhaler Use and Costs after the Clean Air Act Chlorofluorocarbon Ban

Parents’ Perspectives on How to Improve the Childhood Vaccination Process

Applied Research and Development in Health Care – Time for a Frameshift

The impact of preterm birth <37 weeks on parents and families: a cross-sectional study in the 2 years after discharge from the neonatal intensive care unit

Evaluating Frameworks That Provide Value Measures for Health Care Interventions

Parental weighting of seizure risks vs. fever risks in vaccination tradeoff decisions

Mismatching Among Guidelines, Providers, and Parents on Controller Medication Use in Children With Asthma

Breast cancer multigene testing trends and impact on chemotherapy use

Building a Governance Strategy for CER: The Patient Outcomes Research to Advance Learning (PORTAL) Network Experience

Asthma Treatments and Mental Health Visits After a Food and Drug Administration Label Change for Leukotriene Inhibitors

Building Data Infrastructure to Evaluate and Improve Quality: PCORnet

A Vaccine Study Design Selection Framework for the Postlicensure Rapid Immunization Safety Monitoring Program

Parents’ Choices and Rationales for Alternative Vaccination Schedules: A Qualitative Study

Geographic Clusters in Underimmunization and Vaccine Refusal

Primary Adherence to Controller Medications for Asthma is Poor

Use of leukotriene receptor antagonists are associated with a similar risk of asthma exacerbations as inhaled corticosteroids

Developing a data infrastructure for a learning health system: the PORTAL network

Intussusception Risk after Rotavirus Vaccination in U.S. Infants

Responding to Vaccine Safety Signals during Pandemic Influenza: A Modeling Study

Post-licensure rapid immunization safety monitoring program (PRISM) data characterization

Statin Exposure is Associated with Decreased Asthma-Related Emergency Department Visits and Oral Corticosteroid Use

Some Families Who Purchased Health Coverage Through The Massachusetts Connector Wound Up With High Financial Burdens

The experience of massachusetts shows that consumers will need help in navigating insurance exchanges

Success Of Program Linking Data Sources To Monitor H1N1 Vaccine Safety Points To Potential For Even Broader Safety Surveillance

Risk of Confirmed Guillain-Barre Syndrome Following Receipt of Monovalent Inactivated Influenza A (H1N1) and Seasonal Influenza Vaccines in the Vaccine Safety Datalink Project, 2009-2010

The Vaccine Safety Datalink: a model for monitoring immunization safety

Active surveillance for adverse events: the experience of the Vaccine Safety Datalink project

Healthcare utilization and cost of pneumococcal disease in the United States

Near real-time surveillance for influenza vaccine safety: proof-of-concept in the Vaccine Safety Datalink Project

New vaccines against otitis media: projected benefits and cost-effectiveness

Willingness to pay for a QALY based on community member and patient preferences for temporary health states associated with herpes zoster

Community and patient values for preventing herpes zoster

Real-time vaccine safety surveillance for the early detection of adverse events

Cultural competence policies and other predictors of asthma care quality for Medicaid-insured children

Use of asthma medication dispensing patterns to predict risk of adverse health outcomes: a study of Medicaid-insured children in managed care programs

A randomized controlled trial of test-and-treat strategy for Helicobacter pylori: clinical outcomes and health care costs in a managed care population receiving long-term acid suppression therapy for physician-diagnosed peptic ulcer disease

Misunderstanding of asthma controller medications: association with nonadherence

Racial/ethnic variation in asthma status and management practices among children in managed medicaid

Impact of the change in polio vaccination schedule on immunization coverage rates: a study in two large health maintenance organizations

Variation in clinician recommendations for multiple injections during adoption of inactivated polio vaccine

Quality of life measurement clarifies the cost-effectiveness of Helicobacter pylori eradication in peptic ulcer disease and uninvestigated dyspepsia

A comparison of health care experiences for medicaid and commercially enrolled children in a large, nonprofit health maintenance organization

The hidden costs of infant vaccination

Comparing the medical expenses of children with Medicaid and commercial insurance in an HMO

Costs of otitis media in a managed care population

Projected cost-effectiveness of pneumococcal conjugate vaccination of healthy infants and young children

The cost of health conditions in a health maintenance organization