Lisa S Meredith
Biographic Data
| ID | 330095 |
|---|---|
| NAME | Lisa S Meredith |
| GIVEN NAMES | Lisa S |
| FAMILY NAME | Meredith |
| SIGNATURE | MEREDITH L S |
| AFFILIATIONS | RAND Corporation |
| ORCID | 0000-0003-4523-7098 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 33 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Inappropriate Patient Behavior
Mis-implementation of evidence-based behavioural health practices in primary care
Multi-level determinants contributed to EBP mis-implementation in FQHCs, limiting the ability of these health systems to benefit from knowledge exchange. To minimize mis-implementation, knowledge exchange strategies should be designed around common, core barriers but also flexible enough to address a variety of site-specific contextual factors and should be tailored to relevant audiences such as providers, patients, and/or leadership
Trauma-informed Collaborative Care for African American Primary Care Patients in Federally Qualified Health Centers
BACKGROUND: African Americans have nearly double the rate of posttraumatic stress disorder (PTSD) compared with other racial/ethnic groups. OBJECTIVE: To understand whether trauma-informed collaborative care (TICC) is effective for improving PTSD among African Americans in New Orleans who receive their care in Federally Qualified Health Centers (FQHCs). DESIGN AND METHOD: In this pilot randomized controlled trial, we assigned patients within a si…
Discontinuity of Women Veterans’ Care in Patient-Centered Medical Homes
After Hurricane Maria
To support development of Puerto Rico's short- and long-term recovery and resilience plan, experts conducted a comprehensive assessment of the commonwealth's challenges and the damage caused by the 2017 hurricanes. They identified short- and longer-term needs for Puerto Rico to recover and to build resilience to future storms; economic, social, and environmental trends; and ongoing governance challenges. This report summarizes their work
Understanding Gender Sensitivity of the Health Care Workforce at the Veterans Health Administration
Communication Among Team Members Within the Patient-centered Medical Home and Patient Satisfaction With Providers
BACKGROUND: The Patient-centered Medical Home (PCMH) uses team-based care to improve patient outcomes, including satisfaction. The quality of patients' communication with their primary care providers (PCPs) is a key determinant of patient satisfaction. A shift to team-based care could disrupt the therapeutic relationship between patients and their PCPs and reduce patient satisfaction if communication and coordination among primary care team membe…
Primary Care Providers with More Experience and Stronger Self-Efficacy Beliefs Regarding Women Veterans Screen More Frequently for Interpersonal Violence
Attitudes, Practices, and Experiences with Implementing a Patient-Centered Medical Home for Women Veterans
Emotional Exhaustion in Primary Care During Early Implementation of the VA’s Medical Home Transformation
Objective: Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies. Emotional exhaustion (EE) among workers can accompany major organizational change, threatening its success. Yet little guidance exists about the magnitude of associations with EE during primary care transformation. We assessed EE during the initial phase …
Building Community Resilience to Disasters
Examines ways in which communities can improve their ability to withstand and recover from adversity
Perceived Barriers to Treatment for Adolescent Depression
BACKGROUND AND OBJECTIVE: Adolescent depression is common, disabling, and is associated with academic, social, behavioral, and health consequences. Despite the availability of evidence-based depression care, few teens receive it, even when recognized by primary care clinicians. Perceived barriers such as teen worry about what others think or parent concerns about cost and access to care may contribute to low rates of care. We sought to better und…
System Factors Affect the Recognition and Management of Posttraumatic Stress Disorder by Primary Care Clinicians
BACKGROUND: Posttraumatic stress disorder (PTSD) is common with an estimated prevalence of 8% in the general population and up to 17% in primary care patients. Yet, little is known about what determines primary care clinician's (PCC's) provision of PTSD care. OBJECTIVE: To describe PCC's reported recognition and management of PTSD and identify how system factors affect the likelihood of performing clinical actions with regard to patients with PTS…
Balancing Participation and Expertise
In a longitudinal qualitative study, the authors evaluated two health care quality improvement (QI) methods that emphasized either participation (local approach) or expertise (central approach). They followed teams using these approaches to develop depression care QI programs for primary care practices over several years, observing their processes and outcomes and learning about participants' perceptions, beliefs, and experiences. Concordant with…
Does patient–provider gender concordance affect mental health care received by primary care patients with major depression
Primary Care Patients’ Involvement in Decision-Making Is Associated With Improvement in Depression
BACKGROUND: Depression is undertreated in primary care settings. Little research investigates the impact of patient involvement in decisions on guideline-concordant treatment and depression outcomes. OBJECTIVE: The objective of this study was to determine whether patient involvement in decision-making is associated with guideline-concordant care and improvement in depression symptoms. DESIGN: Prospective cohort study. SETTING: Multisite, nationwi…
Connoisseurs of Care? Unannounced Standardized Patients’ Ratings of Physicians
BACKGROUND: Patient satisfaction surveys can be informative, but bias and poor response rates may limit their utility as stable measures of physician performance. Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior. OBJECTIVES: We sought to understand the reliability of unannounced SPs in rating primary care physicians when covertly …
Primary Care Provider Attitudes are Associated With Smoking Cessation Counseling and Referral
OBJECTIVE: Most primary care providers (PCPs) endorse the importance of smoking cessation, but counseling rates are low. We evaluated the consistency of PCP's attitudes toward smoking cessation counseling and corresponding smoking-cessation behaviors. DESIGN: This was a postintervention analysis of a population-based sample from a group randomized controlled trial to improve adherence to smoking cessation guidelines. SETTING: A total of 18 VA sit…
Depression
From the RAND Corporation, Santa Monica, California. Reprints: Lisa S. Meredith, Ph.D., Senior Behavioral Scientist, RAND Corporation, Health, 1700 Main Street, Santa Monica, CA 90407. Email: [email protected]
The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care Patients
BACKGROUND: Ethnic minority patients are less likely than white patients to receive guideline-concordant care for depression. It is uncertain whether racial and ethnic differences exist in patient beliefs, attitudes, and preferences for treatment. METHODS: A telephone survey was conducted of 829 adult patients (659 non-Hispanic whites, 97 African Americans, 73 Hispanics) recruited from primary care offices across the United States who reported 1 …
Understanding the Causal Relationship Between Patient-Reported Interpersonal and Technical Quality of Care for Depression
OBJECTIVES: Patient ratings of their health care experience have become increasingly important as indicators of interpersonal quality of care. Currently the link between technical and interpersonal quality of care indicators is not well understood. The goal of this study was to examine the temporal relationship between technical quality of care for depression and interpersonal quality of care by examining their association over time. METHODS: A c…
Knowledge of Health Care Benefits Among Patients With Depression
OBJECTIVE: To evaluate the accuracy of patient self-reports of health care insurance coverage relative to actual health care benefits and to explore patient predictors of accuracy among patients with depression. METHODS: Data were analyzed from 767 patients with current depressive symptoms and disorder who completed a self-report mail survey that included questions about health insurance and for whom we also obtained actual health care benefits r…
The Road to Eliminating Disparities in Health Care
From RAND, Santa Monica, California. Address correspondence and reprint requests to: Lisa S. Meredith, PhD, Behavioral Scientist, RAND Health Program, 1700 Main Street, Santa Monica, CA 90407. E-mail: [email protected] See page 743
Effects of Cost-Containment Strategies Within Managed Care on Continuity of the Relationship Between Patients With Depression and Their Primary Care Providers
BACKGROUND: Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE: To evaluate the effects of cost containment strategies on the continuity of the relationship between their patients with depression and their PCPs. DESIGN: Observational analysis of a 2-year pane…
Are Better Ratings of the Patient-Provider Relationship Associated With Higher Quality Care for Depression
BACKGROUND: The interpersonal patient-provider relationship (PPR) is an essential part of health care quality, particularly for patients with depression, yet little is known neither about how to measure this relationship nor about its association with quality of care. OBJECTIVES: To evaluate properties of patient rating measures, understand the relation between 2 types of ratings, and determine the association of ratings with quality depression c…
Balancing Participation and Expertise
In a longitudinal qualitative study, the authors evaluated two health care quality improvement (QI) methods that emphasized either participation (local approach) or expertise (central approach). They followed teams using these approaches to develop depression care QI programs for primary care practices over several years, observing their processes and outcomes and learning about participants' perceptions, beliefs, and experiences. Concordant with…
Part Two. Validity Studies
RICHARDS, TONI PHD; LURIE, NICOLE MD; ROGERS, WILLIAM H. PHD; BROOK, ROBERT H. MD, SCD; MONSIVAIS, GEORGE I. MA; MEREDITH, LISA MA
Social support and stressful life events
Switches Between Prepaid and Fee-For-Service Health Systems Among Depressed Outpatients
We analyzed switches between prepaid and fee-for-service health care plans among depressed outpatients in the longitudinal part of the Medical Outcomes Study. Patients of mental health specialists in fee-for-service plans had the lowest adjusted rate of plan switching (8.1%), compared to fee-for-service general medical patients (13.5%) and prepaid patients of both types of providers (10.1% to 11.7%). Although there were no substantial differences…
Variation and Quality of Self-Report Health Data
Variation in the sociodemographic, system, and disease characteristics of Asians and Pacific Islanders compared with other ethnic groups and the quality of standard self-report measures of health and functioning by ethnic groups were examined. Secondary analysis of self-report data from the Medical Outcomes Study, an observational study of adult outpatients who received care in either prepaid or fee-for-service plans, was used to compare 527 Asia…
Provider Choice and Continuity for the Treatment of Depression
The role of specialist versus generalist providers regularly surfaces in health-care reform debates about costs and quality of care. By changing incentives to seek and deliver care, different payments systems can affect both the probability of initial specialty care and the duration of this patient-provider relationship. The authors compare provider selection (psychiatrist, nonphysician mental-health specialist, general medical provider) and dura…
Who is at risk of nondetection of mental health problems in primary care?
Impact of Disseminating Quality Improvement Programs for Depression in Managed Primary Care
CONTEXT: Care of patients with depression in managed primary care settings often fails to meet guideline standards, but the long-term impact of quality improvement (QI) programs for depression care in such settings is unknown. OBJECTIVE: To determine if QI programs in managed care practices for depressed primary care patients improve quality of care, health outcomes, and employment. DESIGN: Randomized controlled trial initiated from June 1996 to …
Development of a brief scale to measure acculturation among Japanese Americans
Objective: To introduce a brief scale for measuring the level of acculturation among Japanese Americans and to describe its development and utility. We also evaluate the relationship of demographic characteristics with acculturation in one sample of Japanese Americans. Participants and Data Collection Methods: Pilot survey of a convenience sample of 70 Japanese American adults and survey of a random sample of 1,097 members of Japanese American Co…
Effects of Cost-Containment Strategies Within Managed Care on Continuity of the Relationship Between Patients With Depression and Their Primary Care Providers
BACKGROUND: Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE: To evaluate the effects of cost containment strategies on the continuity of the relationship between their patients with depression and their PCPs. DESIGN: Observational analysis of a 2-year pane…
Are Better Ratings of the Patient-Provider Relationship Associated With Higher Quality Care for Depression
BACKGROUND: The interpersonal patient-provider relationship (PPR) is an essential part of health care quality, particularly for patients with depression, yet little is known neither about how to measure this relationship nor about its association with quality of care. OBJECTIVES: To evaluate properties of patient rating measures, understand the relation between 2 types of ratings, and determine the association of ratings with quality depression c…
Understanding the Causal Relationship Between Patient-Reported Interpersonal and Technical Quality of Care for Depression
OBJECTIVES: Patient ratings of their health care experience have become increasingly important as indicators of interpersonal quality of care. Currently the link between technical and interpersonal quality of care indicators is not well understood. The goal of this study was to examine the temporal relationship between technical quality of care for depression and interpersonal quality of care by examining their association over time. METHODS: A c…
Knowledge of Health Care Benefits Among Patients With Depression
OBJECTIVE: To evaluate the accuracy of patient self-reports of health care insurance coverage relative to actual health care benefits and to explore patient predictors of accuracy among patients with depression. METHODS: Data were analyzed from 767 patients with current depressive symptoms and disorder who completed a self-report mail survey that included questions about health insurance and for whom we also obtained actual health care benefits r…
The Road to Eliminating Disparities in Health Care
From RAND, Santa Monica, California. Address correspondence and reprint requests to: Lisa S. Meredith, PhD, Behavioral Scientist, RAND Health Program, 1700 Main Street, Santa Monica, CA 90407. E-mail: [email protected] See page 743
The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care Patients
BACKGROUND: Ethnic minority patients are less likely than white patients to receive guideline-concordant care for depression. It is uncertain whether racial and ethnic differences exist in patient beliefs, attitudes, and preferences for treatment. METHODS: A telephone survey was conducted of 829 adult patients (659 non-Hispanic whites, 97 African Americans, 73 Hispanics) recruited from primary care offices across the United States who reported 1 …
Depression
From the RAND Corporation, Santa Monica, California. Reprints: Lisa S. Meredith, Ph.D., Senior Behavioral Scientist, RAND Corporation, Health, 1700 Main Street, Santa Monica, CA 90407. Email: [email protected]
Primary Care Provider Attitudes are Associated With Smoking Cessation Counseling and Referral
OBJECTIVE: Most primary care providers (PCPs) endorse the importance of smoking cessation, but counseling rates are low. We evaluated the consistency of PCP's attitudes toward smoking cessation counseling and corresponding smoking-cessation behaviors. DESIGN: This was a postintervention analysis of a population-based sample from a group randomized controlled trial to improve adherence to smoking cessation guidelines. SETTING: A total of 18 VA sit…
Does patient–provider gender concordance affect mental health care received by primary care patients with major depression
Primary Care Patients’ Involvement in Decision-Making Is Associated With Improvement in Depression
BACKGROUND: Depression is undertreated in primary care settings. Little research investigates the impact of patient involvement in decisions on guideline-concordant treatment and depression outcomes. OBJECTIVE: The objective of this study was to determine whether patient involvement in decision-making is associated with guideline-concordant care and improvement in depression symptoms. DESIGN: Prospective cohort study. SETTING: Multisite, nationwi…
Connoisseurs of Care? Unannounced Standardized Patients’ Ratings of Physicians
BACKGROUND: Patient satisfaction surveys can be informative, but bias and poor response rates may limit their utility as stable measures of physician performance. Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior. OBJECTIVES: We sought to understand the reliability of unannounced SPs in rating primary care physicians when covertly …
Balancing Participation and Expertise
In a longitudinal qualitative study, the authors evaluated two health care quality improvement (QI) methods that emphasized either participation (local approach) or expertise (central approach). They followed teams using these approaches to develop depression care QI programs for primary care practices over several years, observing their processes and outcomes and learning about participants' perceptions, beliefs, and experiences. Concordant with…
Perceived Barriers to Treatment for Adolescent Depression
BACKGROUND AND OBJECTIVE: Adolescent depression is common, disabling, and is associated with academic, social, behavioral, and health consequences. Despite the availability of evidence-based depression care, few teens receive it, even when recognized by primary care clinicians. Perceived barriers such as teen worry about what others think or parent concerns about cost and access to care may contribute to low rates of care. We sought to better und…
System Factors Affect the Recognition and Management of Posttraumatic Stress Disorder by Primary Care Clinicians
BACKGROUND: Posttraumatic stress disorder (PTSD) is common with an estimated prevalence of 8% in the general population and up to 17% in primary care patients. Yet, little is known about what determines primary care clinician's (PCC's) provision of PTSD care. OBJECTIVE: To describe PCC's reported recognition and management of PTSD and identify how system factors affect the likelihood of performing clinical actions with regard to patients with PTS…
Building Community Resilience to Disasters
Examines ways in which communities can improve their ability to withstand and recover from adversity
Emotional Exhaustion in Primary Care During Early Implementation of the VA’s Medical Home Transformation
Objective: Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies. Emotional exhaustion (EE) among workers can accompany major organizational change, threatening its success. Yet little guidance exists about the magnitude of associations with EE during primary care transformation. We assessed EE during the initial phase …
Primary Care Providers with More Experience and Stronger Self-Efficacy Beliefs Regarding Women Veterans Screen More Frequently for Interpersonal Violence
Medicine (29 works) · Family medicine (18 works) · Psychology (17 works) · Health care (15 works) · Nursing (14 works) · Primary Care and Health Outcomes (13 works) · Psychiatry (13 works) · Mental Health Treatment and Access (12 works) · Primary care (11 works) · Depression (economics) (10 works)