Research Topics
| Dean SchillingerSummaryAffiliation: University of California Country: USA Publications
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Publications
The importance of establishing regimen concordance in preventing medication errors in anticoagulant careDean Schillinger
University of California, San Francisco Division of General Internal Medicine, San Francisco, California 94110, USA
J Health Commun 11:555-67. 2006..To promote safe and effective care, clinicians should separately determine adherence and regimen concordance during routine medication assessments. Systems need to be developed to ensure concordance in medication regimens...
Effects of self-management support on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical trialDean Schillinger
Division of General Internal Medicine, University of California, San Francisco, San Francisco, California, USA
Diabetes Care 32:559-66. 2009..We examined the effects of two SMS strategies across outcomes corresponding to the Chronic Care Model...- A piece of my mind. Patagonia pastoraleDean Schillinger
JAMA 296:1567-8. 2006 - Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessmentDean Schillinger
University of California San Francisco, Center for Vulnerable Populations, Division of General Internal Medicine, San Francisco General Hospital, San Francisco, California 94110, USA
J Health Commun 11:651-64. 2006..Visual aids may improve the accuracy of medication assessment, especially for patients with communication barriers... - Genetic testing for vulnerable populations: what kinds of communication we need and do not needDean Schillinger
University of California, San Francisco, Center for Vulnerable Populations, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA
Am J Bioeth 8:12-4. 2008 - Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care systemDean Schillinger
University of California, San Francisco Department of Medicine, Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, CA 94110, USA
Health Educ Behav 35:664-82. 2008..These results provide important insights for health communication and translational research with respect to realizing the public health benefits of SMS and can inform system-level planning to reduce health disparities... - Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetesDean Schillinger
Center for Vulnerable Populations, University of California San Francisco, San Francisco, CA, USA
Public Health Rep 121:245-54. 2006..We sought to determine whether literacy mediates the relationship between education and glycemic control among diabetes patients... - The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptomsDavid W Baker
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
J Card Fail 17:789-96. 2011..The optimal strategy for promoting self-care for heart failure (HF) is unclear... 
Unraveling the relationship between literacy, language proficiency, and patient-physician communicationRebecca L Sudore
San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
Patient Educ Couns 75:398-402. 2009..To examine whether the effect of health literacy (HL) on patient-physician communication varies with patient-physician language concordance and communication type...- Glycemic and lipid control among patients with diabetes at six U.S. public hospitalsLisa D Chew
Department of Medicine, Division of General Internal Medicine, University of Washington Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104, USA
J Health Care Poor Underserved 19:1060-75. 2008..While public hospital systems care for large numbers of socioeconomically vulnerable and ethnically diverse populations who have diabetes, little is known about the quality of diabetes care provided in these sites... - Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failureDarren A DeWalt
Division of General Internal Medicine, University of North Carolina School of Medicine, 5041 Old Clinic Bldg, CB 7110, Chapel Hill, NC 27599, USA
Circulation 125:2854-62. 2012..Self-care training can reduce hospitalization for heart failure (HF), and more intensive intervention may benefit more vulnerable patients, including those with low literacy... - Disparities in undiagnosed diabetes among United States-Mexico border populationsPamela Stoddard
Institute for Health Policy Studies, University of California, San Francisco, California, USA
Rev Panam Salud Publica 28:198-206. 2010..S.)-Mexico border, examine explanations for differences between groups, and investigate differences in metabolic outcomes by diagnosis status... - Communication and medication refill adherence: the Diabetes Study of Northern CaliforniaNeda Ratanawongsa
General Internal Medicine and UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, University of California, San Francisco UCSF, San Francisco, CA 94110, USA
JAMA Intern Med 173:210-8. 2013..Studies linking communication between patients and health care providers to adherence often use self-reported adherence and have not explored differences across communication domains or therapeutic indications... - Primary care provider perceptions of the effectiveness of two self-management support programs for vulnerable patients with diabetesNeda Ratanawongsa
Division of General Internal Medicine, University of California, San Francisco, San Francisco, California 94110, USA
J Diabetes Sci Technol 6:116-24. 2012..We conducted this study to assess PCPs' perspectives on the effectiveness of two language-concordant diabetes self-management support programs... - Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE)Alicia Fernandez
Department of Medicine, University of California, San Francisco, CA, USA
J Gen Intern Med 26:170-6. 2011..A significant proportion of US Latinos with diabetes have limited English proficiency (LEP). Whether language barriers in health care contribute to poor glycemic control is unknown... - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond accessUrmimala Sarkar
Center for Vulnerable Populations at San Francisco General Hospital, University of California San Francisco, San Francisco, California, USA
J Am Med Inform Assoc 18:318-21. 2011..3 (1.9 to 2.7)). Those most at risk for poor diabetes outcomes may fall further behind as health systems increasingly rely on the internet and limit current modes of access and communication... - Closing the loop: physician communication with diabetic patients who have low health literacyDean Schillinger
Primary Care Research Center, Department of Medicine, University of California San Francisco, San Francisco General Hospital, 94110, USA
Arch Intern Med 163:83-90. 2003..It is not known how frequently physicians apply this interactive educational strategy, or whether it is associated with improved health outcomes... - Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failureAurelia Macabasco-O'Connell
UCLA School of Nursing, University of California, Olive View UCLA Medical Center Los Angeles, 700 Tiverton Ave, 4 242 Factor Blvd, Los Angeles, CA 90095, USA
J Gen Intern Med 26:979-86. 2011..We sought to examine the relationship between literacy and heart failure-related quality of life (HFQOL), and to explore whether literacy-related differences in knowledge, self-efficacy and/or self-care behavior explained the relationship... - Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patientsUrmimala Sarkar
Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94143 1211, USA
J Gen Intern Med 23:459-65. 2008..We used the implementation of an automated telephone self-management support program for diabetes patients as an opportunity to monitor patient safety... - Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adultsRebecca L Sudore
Division of Geriatrics, University of California at San Franciso, and San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
J Am Geriatr Soc 56:1006-13. 2008..To assess engagement in multiple steps of the advance care planning (ACP) process 6 months after exposure to an advance directive. In this study, ACP is conceptualized similarly to the behavior change model... - Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systemsUrmimala Sarkar
Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, United States
Patient Educ Couns 70:102-10. 2008..We explored the possible role of a perceived communication need in influencing interest in self-management support... - Goal setting in diabetes self-management: taking the baby steps to successDarren A DeWalt
Division of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Patient Educ Couns 77:218-23. 2009..To evaluate the usefulness of a diabetes self-management guide and a brief counseling intervention in helping patients set and achieve their behavioral goals... - Quality of anticoagulation control: do race and language matter?Vijay Kumar Bhandari
Department of Internal Medicine, University of California at San Francisco UCSF, San Francisco, CA 94117, USA
J Health Care Poor Underserved 19:41-55. 2008..Future research should examine mechanisms by which race/ethnicity and language affect quality of anticoagulation and evaluate programs to improve treatment in diverse communities... - A visual medication schedule to improve anticoagulation control: a randomized, controlled trialEdward L Machtinger
Division of General Internal Medicine, University of California, San Francisco UCSF, USA
Jt Comm J Qual Patient Saf 33:625-35. 2007..Misunderstanding between clinicians and patients may lead to medication-related errors and poor clinical outcomes, particularly in anticoagulant care... - Physician notification of their diabetes patients' limited health literacy. A randomized, controlled trialHilary K Seligman
Primary Care Research Center, San Francisco General Hospital, University of California San Francisco, CA 94143, USA
J Gen Intern Med 20:1001-7. 2005..However, instituting screening programs without specific training and/or system-wide support for physicians and patients is unlikely to be a powerful tool in improving diabetes outcomes... - Functional health literacy and the quality of physician-patient communication among diabetes patientsDean Schillinger
Primary Care Research Center, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, San Francisco, CA 94110, USA
Patient Educ Couns 52:315-23. 2004..Research is needed to identify strategies to improve communication for this group of patients... - Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patientsAlicia Fernandez
Department of Medicine, University of California, San Francisco, Calif 94110, USA
J Gen Intern Med 19:167-74. 2004..We studied physician-patient dyads to determine how physician self-rated Spanish-language ability and cultural competence affect Spanish-speaking patients' reports of interpersonal processes of care... - Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocolNeda Ratanawongsa
General Internal Medicine and UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, University of California, 94110, USA
BMC Health Serv Res 12:22. 2012..This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps)... - Place matters: neighborhood deprivation and cardiometabolic risk factors in the Diabetes Study of Northern California (DISTANCE)Barbara A Laraia
Department of Medicine, Division of Prevention Sciences, University of California, San Francisco, CA, USA
Soc Sci Med 74:1082-90. 2012..However, longitudinal data are needed to test the causal direction of these relationships... - Patient-physicians' information exchange in outpatient cardiac care: time for a heart to heart?Urmimala Sarkar
University of California, San Francisco Division of General Internal Medicine, UCSF Center for Vulnerable Populations, Department of Medicine, San Francisco General Hospital Medical Service, USA
Patient Educ Couns 85:173-9. 2011..Agreement between patients and physicians is an indicator of successful communication. Concordance in domains of communication among patients with heart disease and communication barriers has not been studied... - Smoking behavior among Hispanic adults with diabetes on the United States-Mexico border: a public health opportunityPamela Stoddard
Institute for Health Policy Studies, University of California, San Francisco, California, USA
Rev Panam Salud Publica 28:221-9. 2010..To examine the prevalence of smoking behaviors among adults with diabetes on the United States-Mexico border, to compare these behaviors in U.S. Hispanics and Mexicans with diabetes, and to identify explanations for group differences... - Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo storyRebecca L Sudore
Division of Geriatrics, University of California, San Francisco, San Francisco, CA, USA
J Gen Intern Med 23:1854-7. 2008..It is unknown whether health-related media stories reach diverse older adults and influence advance care planning (ACP)... - Language, literacy, and characterization of stroke among patients taking warfarin for stroke prevention: Implications for health communicationMargaret C Fang
Division of Hospital Medicine, University of California, San Francisco, CA 94143, United States
Patient Educ Couns 75:403-10. 2009..We assessed the stroke-related health literacy of anticoagulated patients to inform ways in which to improve health communication among people taking warfarin... - The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE studyYael Schenker
Department of Medicine, University of California, San Francisco, CA 94143, USA
Patient Educ Couns 81:222-8. 2010..To assess the association of limited English proficiency (LEP) and physician language concordance with patient reports of clinical interactions... - Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy?Urmimala Sarkar
Division of General Internal Medicine, University of California, San Francisco, CA 94143, USA
Diabetes Care 29:823-9. 2006..We examined the relationship between diabetes self-efficacy and self-management behavior in an urban, diverse, low-income population with a high prevalence of limited health literacy... - The literacy divide: health literacy and the use of an internet-based patient portal in an integrated health system-results from the diabetes study of northern California (DISTANCE)Urmimala Sarkar
UCSF Center for Vulnerable Populations, Department of Medicine, UCSF Division of General Internal Medicine, San Francisco General Hospital, San Francisco, California 94143 1364, USA
J Health Commun 15:183-96. 2010.... - Language barriers and understanding of hospital discharge instructionsLeah S Karliner
Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, Division of General Internal Medicine, USA
Med Care 50:283-9. 2012..Effective communication at hospital discharge is necessary for an optimal transition and to avoid adverse events. We investigated the association of a language barrier with patient understanding of discharge instructions... - Patient-physician discordance in assessments of global disease severity in rheumatoid arthritisJennifer L Barton
Department of Medicine, Division of Rheumatology, University of California, San Francisco, CA 94143, USA
Arthritis Care Res (Hoboken) 62:857-64. 2010.... - Shared decision making and the experience of partnership in primary careGeorge W Saba
Department of Family and Community Medicine, University of California, San Francisco General Hospital, San Francisco, Calif 94110, USA
Ann Fam Med 4:54-62. 2006..To determine the relationship between these perspectives, we examined shared decision making (SDM) and the subjective experience of partnership for patients and physicians in primary care... - Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetesHilary K Seligman
University of California San Francisco, San Francisco, CA 94142, USA
J Health Care Poor Underserved 21:1227-33. 2010..2, p=.007). Mean hemoglobin A1c was 9.2% among FI and 7.7% among FS participants (p=.08). Food insecurity is a barrier to diabetes self-management and a risk factor for clinically significant hypoglycemia... - Heterogeneity of diabetes outcomes among asians and pacific islanders in the US: the diabetes study of northern california (DISTANCE)Alka M Kanaya
Division of General Internal Medicine, Women s Health Clinical Research Center, University of California, San Francisco, California, USA
Diabetes Care 34:930-7. 2011..Diabetes outcomes among Asian and Pacific Islander subgroups have not been disaggregated... - Validation of self-reported health literacy questions among diverse English and Spanish-speaking populationsUrmimala Sarkar
San Francisco Center for Vulnerable Populations, San Francisco General Hospital, University of California, San Francisco, CA, USA
J Gen Intern Med 26:265-71. 2011..Self-reported HL questions have not been validated among Spanish-speaking and diverse English-speaking populations... - Uncertainty about advance care planning treatment preferences among diverse older adultsRebecca L Sudore
Veterans Affairs Medical Center, Department of Medicine, University of California, San Francisco, San Francisco, California 94121, USA
J Health Commun 15:159-71. 2010..Culturally sensitive, literacy-appropriate tools are needed to address decisional uncertainty and to help patients prepare for decision making about their future health care... - Getting under the skin of clinical inertia in insulin initiation: the Translating Research Into Action for Diabetes (TRIAD) Insulin Starts ProjectNeda Ratanawongsa
General Internal Medicine and UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, University of California, San Francisco, 1001 Potrero Avenue, Box 1364, San Francisco, CA 94110, USA
Diabetes Educ 38:94-100. 2012..Studies suggest that many patients with poorly controlled type 2 diabetes do not receive insulin initiation by PCPs... - The influence of indigenous status and community indigenous composition on obesity and diabetes among Mexican adultsPamela Stoddard
Santa Clara County Public Health Department, San Jose, CA, USA
Soc Sci Med 73:1635-43. 2011..Identifying the sources of protective effects of individual and community indigenous characteristics relative to these health conditions should be a priority, given global implications for prevention... - Accuracy of physician self-report of Spanish language proficiencyAnne Rosenthal
Maxine Hall Health Center, San Francisco Department of Public Health, San Francisco, CA, 94115, USA
J Immigr Minor Health 13:239-43. 2011..In settings where no financial or other incentives are linked to language skills, simple questions may be a useful way to assess physician language proficiency... - Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic reviewYael Schenker
Department of Medicine, University of California, San Francisco, CA 94143, USA
Med Decis Making 31:151-73. 2011..Little is known about the effectiveness of interventions to improve comprehension or the extent to which such interventions address different elements of understanding in informed consent... - Hypoglycemia is more common among type 2 diabetes patients with limited health literacy: the Diabetes Study of Northern California (DISTANCE)Urmimala Sarkar
UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, CA, USA
J Gen Intern Med 25:962-8. 2010..Limited health literacy (HL) is common among patients with type 2 diabetes, may impede diabetes self-management, and thus HL could increase the risk of hypoglycemia... - Refocusing the lens: patient safety in ambulatory chronic disease careUrmimala Sarkar
Division of General Internal Medicine, University of California, San Fransisco, USA
Jt Comm J Qual Patient Saf 35:377-83, 341. 2009..A framework, provided in the context of the Chronic Care Model, outlines the multifaceted approach needed for ambulatory care... - Cost-effectiveness of automated telephone self-management support with nurse care management among patients with diabetesMargaret A Handley
Department of Epidemiology and Biostatistics, Division of Preventive Medicine and Public Health, University of California, San Francisco, San Francisco General Hospital, San Francisco, CA 94110, USA
Ann Fam Med 6:512-8. 2008.... - The influence of depressive symptoms on clinician-patient communication among patients with type 2 diabetesSara L Swenson
Department of Internal Medicine, California Pacific Medical Center, San Francisco, California 94118, USA
Med Care 46:257-65. 2008..We investigated whether diabetes patients with depressive symptoms, compared with those without depressive symptoms, report worse clinician-patient communication, and which domains of communication are most affected... - Facilitating behavior change with low-literacy patient education materialsHilary K Seligman
Division of General Internal Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94143, USA
Am J Health Behav 31:S69-78. 2007..To describe a process for developing low-literacy health education materials that increase knowledge and activate patients toward healthier behaviors... - Health literacy and anticoagulation-related outcomes among patients taking warfarinMargaret C Fang
Division of General Internal Medicine, University of California at San Francisco, San Francisco, CA, USA
J Gen Intern Med 21:841-6. 2006..Little is known about whether health literacy affects anticoagulation-related outcomes... - Navigating the terrain between research and practice: a Collaborative Research Network (CRN) case study in diabetes researchMargaret A Handley
Department of Family and Community Medicine, San Francisco General Hospital, University of California San Francisco, 995 Portrero Avenue, San Francisco, CA 94110, USA
J Am Board Fam Med 19:85-92. 2006.... - Babel babble: physicians' use of unclarified medical jargon with patientsCesar M Castro
Department of Medicine, University of California, San Francisco Center for Vulnerable Populationns, San Francisco General Hospital, San Francisco, CA, USA
Am J Health Behav 31:S85-95. 2007..To describe physicians use of jargon with diabetes patients with limited health literacy... - Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging studyRebecca L Sudore
San Francisco VA Medical Center, 4150 Clement Street 151R, San Francisco, CA 94121, USA
J Gen Intern Med 27:1674-81. 2012..Little is known about the symptom burden experienced by adults with type 2 diabetes and the need for symptom palliation... - Association of health literacy with diabetes outcomesDean Schillinger
University of California, San Francisco, Primary Care Research Center, Department of Medicine, San Francisco General Hospital, San Francisco, CA 94110, USA
JAMA 288:475-82. 2002..Little is known about the extent to which health literacy affects clinical health outcomes... - Use of a modified informed consent process among vulnerable patients: a descriptive studyRebecca L Sudore
Division of Geriatrics, San Francisco Veterans Administration Medical Center, University of California, San Francisco, CA 94121, USA
J Gen Intern Med 21:867-73. 2006..Little is known about patient characteristics associated with comprehension of consent information, and whether modifications to the consent process can promote understanding... - Older African Americans' perceptions of pharmacistsSharon L Youmans
Department of Clinical Pharmacy, School of Pharmacy, University of California San Francisco, 94143 0622, USA
Ethn Dis 17:284-90. 2007..To describe older African Americans' communication with pharmacists and their opinions, beliefs, perceptions, and attitudes about the role of the community pharmacist... - Identification of limited English proficient patients in clinical careLeah S Karliner
Division of General Internal Medicine and Medical Effectiveness Research Center for Diverse Populations, Department of Medicine, University of California San Francisco, San Francisco, CA 94143 0320, USA
J Gen Intern Med 23:1555-60. 2008..Standardized means to identify patients likely to benefit from language assistance are needed... - Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trialDarren A DeWalt
Cecil G Sheps Center for Health Services Research, Division of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
BMC Health Serv Res 9:99. 2009..This study compares a single session self-management HF training program against a multiple session training intervention and examines whether their effects differ by literacy level... - The wrong tool for the job: diabetes public health programs and practice guidelinesUrmimala Sarkar
Division of General Internal Medicine and Center for Vulnerable Populations, San Francisco General Hospital, University of California, San Francisco, CA 94143 1364, USA
Am J Public Health 101:1871-3. 2011..An opportunity exists for state diabetes control programs to better align guidelines with public health goals... - Literacy and health communication: reversing the 'inverse care law'Dean Schillinger
University of California, San Francisco, USA
Am J Bioeth 7:15-8; discussion W1-2. 2007 - Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic statusChristine Dehlendorf
Department of Family and Community Medicine, University of California, San Francisco, CA, USA
Am J Obstet Gynecol 203:319.e1-8. 2010..This study investigated the effect of these factors on recommendations for contraception... - Current and future directions in Medi-Cal chronic disease care management: a view from the topL Elizabeth Goldman
University of California Department of Medicine, San Francisco, CA 94143, USA
Am J Manag Care 13:263-8. 2007..To determine the extent to which Medicaid managed care (MMC) organizations are engaged in chronic disease care management (CDCM), tailor CDCM for diverse populations, or plan to expand CDCM... - Functional health literacy and medication use: the pharmacist's roleSharon L Youmans
Department of Clinical Pharmacy, School of Pharmacy, University of California-San Francisco, San Francisco, CA 94143-0622, USA
Ann Pharmacother 37:1726-9. 2003 - Racial disparities in outcomes of inpatient stroke rehabilitationVijay K Bhandari
School of Medicine, University of California, San Francisco, CA, USA
Arch Phys Med Rehabil 86:2081-6. 2005..Future research in stroke rehabilitation should explore the consistency of these findings across settings and if they are confirmed, identify explanatory mediators to better inform efforts to eliminate racial disparities... - Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritisJennifer L Barton
Division of Rheumatology, University of California, San Francisco, California 94143, USA
J Rheumatol 36:2635-41. 2009..This metaanalysis examines the degree of concordance in joint counts between trained assessors and patients with rheumatoid arthritis (RA)... - Blood pressure control, hypertension, awareness, and treatment in adults with diabetes in the United States-Mexico border regionMaya Vijayaraghavan
Division of General Internal Medicine, University of California San Francisco, San Francisco, California, USA
Rev Panam Salud Publica 28:164-73. 2010..S. side of the border ("all U.S. adults," "U.S.-born Hispanics," and "Mexican immigrants")... - Limited literacy and mortality in the elderly: the health, aging, and body composition studyRebecca L Sudore
University of California, San Francisco, CA 94121, USA
J Gen Intern Med 21:806-12. 2006..While limited literacy is common and its prevalence increases with age, no prospective study has assessed whether limited literacy is associated with mortality in older adults... - Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse populationJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, Mich 48113 0170, USA
J Gen Intern Med 18:624-33. 2003..However, the relative impact of general versus disease-specific communication on self-management is poorly understood, as are the determinants of these 2 communication dimensions... - Diabetes websites accredited by the Health On the Net Foundation Code of Conduct: readable or not?Sanja Kusec
Andrija Stampar School of Public Health, Medical School, University of Zagreb, Croatia
Stud Health Technol Inform 95:655-60. 2003..It is suggested that the readability level, and the name of the formula used, be used on the websites themselves to help the Internet users decide which sites could be of the greatest benefit to them... - Health insurance status, cost-related medication underuse, and outcomes among diabetes patients in three systems of careJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, Michigan 48113 0170, USA
Med Care 42:102-9. 2004..Chronically ill patients often experience difficulty paying for their medications and, as a result, use less than prescribed... - Does lower diabetes-related numeracy lead to increased risk for hypoglycemic events?Urmimala Sarkar
Ann Intern Med 149:594; author reply 594. 2008 - Social context of work injury among undocumented day laborers in San FranciscoNicholas Walter
School of Medicine, University of California-San Francisco, USA
J Gen Intern Med 17:221-9. 2002.... - Health care discrimination, processes of care, and diabetes patients' health statusJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Patient Educ Couns 60:41-8. 2006.... - Talk with your pharmacists--they are there to helpSharon L Youmans
Ethn Dis 17:420. 2007 - Misunderstanding prescription labels: the genie is out of the bottleDean Schillinger
Ann Intern Med 145:926-8. 2006 - An advance directive redesigned to meet the literacy level of most adults: a randomized trialRebecca L Sudore
Division of Geriatrics, University of California San Francisco and the San Francisco Veterans Affairs Medical Center, CA 94121, USA, United States
Patient Educ Couns 69:165-95. 2007..To determine whether an advance directive redesigned to meet most adults' literacy needs (fifth grade reading level with graphics) was more useful for advance care planning than a standard form (>12th grade level)... - Using action plans to help primary care patients adopt healthy behaviors: a descriptive studyMargaret Handley
Department of Family and Community Medicine, University of California at San Francisco, USA
J Am Board Fam Med 19:224-31. 2006..CONCLUSIONS: Most patients reported making a behavior change based on an action plan, suggesting that action plans may be a useful strategy to encourage behavior change for patients seen in primary care... - Behavior-change action plans in primary care: a feasibility study of cliniciansKate MacGregor
Department of Family and Community Medicine, University of California at San Francisco, USA
J Am Board Fam Med 19:215-23. 2006..CONCLUSIONS: Collaborative goal-setting between clinicians and patients for improved health behaviors is viewed favorably by clinicians in primary care. Time constraints could be addressed by delegating goal-setting to other caregivers... - Genetics of warfarin responseDean Schillinger
N Engl J Med 358:2741-2; author reply 2743-4. 2008 - How health care systems can begin to address the challenge of limited literacyMichael K Paasche-Orlow
Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA
J Gen Intern Med 21:884-7. 2006 - Literacy and language: disentangling measures of access, utilization, and qualityDean Schillinger
J Gen Intern Med 19:288-90. 2004 - Front-line bureaucracies and the moral mechanics of US health careNicholas Walter
Med Care 42:303-5. 2004