Dean Schillinger

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes
    Dean Schillinger
    Center for Vulnerable Populations, University of California San Francisco, San Francisco, CA, USA
    Public Health Rep 121:245-54. 2006
  2. ncbi request reprint Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment
    Dean 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
  3. ncbi request reprint A piece of my mind. Patagonia pastorale
    Dean Schillinger
    JAMA 296:1567-8. 2006
  4. ncbi request reprint Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system
    Dean 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
  5. ncbi request reprint The importance of establishing regimen concordance in preventing medication errors in anticoagulant care
    Dean Schillinger
    University of California, San Francisco Division of General Internal Medicine, San Francisco, California 94110, USA
    J Health Commun 11:555-67. 2006
  6. doi request reprint Genetic testing for vulnerable populations: what kinds of communication we need and do not need
    Dean 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
  7. pmc Effects of self-management support on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical trial
    Dean Schillinger
    Division of General Internal Medicine, University of California, San Francisco, San Francisco, California, USA
    Diabetes Care 32:559-66. 2009
  8. pmc The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms
    David 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
  9. doi request reprint Unraveling the relationship between literacy, language proficiency, and patient-physician communication
    Rebecca L Sudore
    San Francisco Veterans Affairs Medical Center, San Francisco, CA 94121, USA
    Patient Educ Couns 75:398-402. 2009
  10. doi request reprint Glycemic and lipid control among patients with diabetes at six U.S. public hospitals
    Lisa 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

Detail Information

Publications93

  1. pmc Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes
    Dean 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...
  2. ncbi request reprint Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment
    Dean 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...
  3. ncbi request reprint A piece of my mind. Patagonia pastorale
    Dean Schillinger
    JAMA 296:1567-8. 2006
  4. ncbi request reprint Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system
    Dean 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...
  5. ncbi request reprint The importance of establishing regimen concordance in preventing medication errors in anticoagulant care
    Dean 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...
  6. doi request reprint Genetic testing for vulnerable populations: what kinds of communication we need and do not need
    Dean 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
  7. pmc Effects of self-management support on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical trial
    Dean 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...
  8. pmc The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms
    David 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...
  9. doi request reprint Unraveling the relationship between literacy, language proficiency, and patient-physician communication
    Rebecca 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...
  10. doi request reprint Glycemic and lipid control among patients with diabetes at six U.S. public hospitals
    Lisa 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...
  11. pmc Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging study
    Rebecca 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...
  12. pmc Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure
    Darren 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...
  13. ncbi request reprint Disparities in undiagnosed diabetes among United States-Mexico border populations
    Pamela 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...
  14. pmc Communication and medication refill adherence: the Diabetes Study of Northern California
    Neda 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...
  15. pmc Primary care provider perceptions of the effectiveness of two self-management support programs for vulnerable patients with diabetes
    Neda 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...
  16. pmc 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...
  17. pmc Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access
    Urmimala 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...
  18. pmc Safety events during an automated telephone self-management support intervention
    Courtney R Lyles
    Division of General Internal Medicine at San Francisco General Hospital, Center for Vulnerable Populations, University of California San Francisco, CA 94110, USA
    J Diabetes Sci Technol 7:596-601. 2013
    ..However, less is known about between-visit interactions and patient safety among chronic illness patients treated in the outpatient setting...
  19. pmc Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study
    Courtney R Lyles
    Division of General Internal Medicine and Center for Vulnerable Populations, University of California, San Francisco, San Francisco, CA, USA
    J Am Med Inform Assoc 20:1128-31. 2013
    ..Since increased trust and communication were associated with portal use within subgroups, this suggests that patient-provider relationships encourage portal engagement. ..
  20. ncbi request reprint Functional health literacy and the quality of physician-patient communication among diabetes patients
    Dean 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...
  21. ncbi request reprint Closing the loop: physician communication with diabetic patients who have low health literacy
    Dean 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...
  22. pmc Evaluation of language concordant, patient-centered drug label instructions
    Stacy Cooper Bailey
    Health Literacy and Learning Program, Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, 750 N Lake Shore Drive, 10th Floor, Chicago, IL 60611, USA
    J Gen Intern Med 27:1707-13. 2012
    ..Despite federal laws requiring language access in healthcare settings, most US pharmacies are unable to provide prescription (Rx) medication instructions to limited English proficient (LEP) patients in their native language...
  23. pmc Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure
    Aurelia 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...
  24. pmc Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients
    Alicia 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...
  25. doi request reprint Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults
    Rebecca 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...
  26. pmc Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients
    Urmimala 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...
  27. doi request reprint 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...
  28. pmc Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems
    Urmimala 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...
  29. doi request reprint Goal setting in diabetes self-management: taking the baby steps to success
    Darren 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...
  30. ncbi request reprint A visual medication schedule to improve anticoagulation control: a randomized, controlled trial
    Edward 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...
  31. pmc Physician notification of their diabetes patients' limited health literacy. A randomized, controlled trial
    Hilary 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
    ..Because physicians have difficulty identifying these patients, some experts recommend instituting screening programs in clinical settings. It is unclear if notifying physicians of patients' limited HL improves care processes or outcomes...
  32. pmc Neighborhood deprivation and change in BMI among adults with type 2 diabetes: the Diabetes Study of Northern California (DISTANCE)
    Pamela J Stoddard
    University of California, San Francisco, CA, USA
    Diabetes Care 36:1200-8. 2013
    ..To compare associations between neighborhood deprivation and measures of BMI change among adults with type 2 diabetes...
  33. pmc 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...
  34. pmc Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol
    Neda 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)...
  35. pmc 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...
  36. pmc Language, literacy, and characterization of stroke among patients taking warfarin for stroke prevention: Implications for health communication
    Margaret 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...
  37. pmc Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story
    Rebecca 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)...
  38. ncbi request reprint Smoking behavior among Hispanic adults with diabetes on the United States-Mexico border: a public health opportunity
    Pamela 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...
  39. pmc The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study
    Yael 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...
  40. ncbi request reprint 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...
  41. pmc 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
    ....
  42. ncbi request reprint Refocusing the lens: patient safety in ambulatory chronic disease care
    Urmimala 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...
  43. pmc Elevated rates of diabetes in Pacific Islanders and Asian subgroups: The Diabetes Study of Northern California (DISTANCE)
    Andrew J Karter
    Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
    Diabetes Care 36:574-9. 2013
    ..We estimated the prevalence and incidence of diabetes among specific subgroups of Asians and Pacific Islanders (APIs) in a multiethnic U.S. population with uniform access to care...
  44. pmc Language barriers and understanding of hospital discharge instructions
    Leah 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...
  45. pmc Patient-physician discordance in assessments of global disease severity in rheumatoid arthritis
    Jennifer L Barton
    Department of Medicine, Division of Rheumatology, University of California, San Francisco, CA 94143, USA
    Arthritis Care Res (Hoboken) 62:857-64. 2010
    ....
  46. pmc Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations
    Urmimala 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...
  47. pmc 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...
  48. doi request reprint Uncertainty about advance care planning treatment preferences among diverse older adults
    Rebecca 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...
  49. pmc Shared decision making and the experience of partnership in primary care
    George 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...
  50. pmc Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes
    Hilary 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...
  51. doi request reprint Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net
    Neda Ratanawongsa
    General Internal Medicine and UCSF Center for Vulnerable Populations at San Francisco General Hospital and Trauma Center, University of California, San Francisco Drs Ratanawongsa, Handley, Sarkar, Quan, and Schillinger, and Ms Soria Department of Epidemiology and Biostatistics, Division of Preventive Medicine and Public Health, University of California, San Francisco Dr Handley San Francisco Health Plan, San Francisco, California Dr Pfeifer and California Diabetes Program, California Department of Public Health, Sacramento Dr Schillinger
    J Ambul Care Manage 37:127-37. 2014
    ..25, P = .03); changes in patient-centered processes of care and cardiometabolic outcomes did not differ. Automated telephone self-management is a strategy for improving patient-reported self-management and may also improve some outcomes. ..
  52. doi request reprint Use of the Refill Function Through an Online Patient Portal is Associated With Improved Adherence to Statins in an Integrated Health System
    Urmimala Sarkar
    Center for Vulnerable Populations Department of Medicine, Division of General Internal Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA Division of Research, Kaiser Permanente Northern California Kaiser Foundation Health Plan, Internet Services Group, Oakland, CA School of Public Health and Community Health, University of Washington, Seattle, WA
    Med Care 52:194-201. 2014
    ..Online patient portals are being widely implemented, but their impact on health behaviors are not well-studied...
  53. ncbi request reprint Association of health literacy with diabetes outcomes
    Dean 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...
  54. pmc Getting under the skin of clinical inertia in insulin initiation: the Translating Research Into Action for Diabetes (TRIAD) Insulin Starts Project
    Neda 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...
  55. doi request reprint The influence of indigenous status and community indigenous composition on obesity and diabetes among Mexican adults
    Pamela 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...
  56. ncbi request reprint Navigating the terrain between research and practice: a Collaborative Research Network (CRN) case study in diabetes research
    Margaret 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
    ....
  57. ncbi request reprint Facilitating behavior change with low-literacy patient education materials
    Hilary 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...
  58. ncbi request reprint Babel babble: physicians' use of unclarified medical jargon with patients
    Cesar 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...
  59. pmc Health literacy and anticoagulation-related outcomes among patients taking warfarin
    Margaret 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...
  60. pmc 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...
  61. pmc Cost-effectiveness of automated telephone self-management support with nurse care management among patients with diabetes
    Margaret 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
    ....
  62. pmc Accuracy of physician self-report of Spanish language proficiency
    Anne 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...
  63. doi request reprint Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review
    Yael 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...
  64. doi request reprint The influence of depressive symptoms on clinician-patient communication among patients with type 2 diabetes
    Sara 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...
  65. pmc Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention
    Courtney R Lyles
    University of California San Francisco Center for Vulnerable Populations, Division of General Internal Medicine at San Francisco General Hospital, San Francisco, California, USA
    Diabetes Care 36:1448-53. 2013
    ..Food insecurity is hypothesized to make diabetes self-management more difficult. We conducted a longitudinal assessment of food insecurity with several diabetes self-care measures...
  66. pmc Use of a modified informed consent process among vulnerable patients: a descriptive study
    Rebecca 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...
  67. ncbi request reprint Older African Americans' perceptions of pharmacists
    Sharon 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...
  68. pmc Identification of limited English proficient patients in clinical care
    Leah 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...
  69. pmc 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 trial
    Darren 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...
  70. pmc Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status
    Christine 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...
  71. ncbi request reprint 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
  72. pmc The wrong tool for the job: diabetes public health programs and practice guidelines
    Urmimala 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...
  73. ncbi request reprint Current and future directions in Medi-Cal chronic disease care management: a view from the top
    L 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...
  74. ncbi request reprint Racial disparities in outcomes of inpatient stroke rehabilitation
    Vijay K Bhandari
    School of Medicine, University of California, San Francisco, CA, USA
    Arch Phys Med Rehabil 86:2081-6. 2005
    ..To determine whether race is associated with outcomes of inpatient stroke rehabilitation...
  75. pmc Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis
    Jennifer 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)...
  76. pmc Limited literacy and mortality in the elderly: the health, aging, and body composition study
    Rebecca 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...
  77. ncbi request reprint Functional health literacy and medication use: the pharmacist's role
    Sharon 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
  78. ncbi request reprint Blood pressure control, hypertension, awareness, and treatment in adults with diabetes in the United States-Mexico border region
    Maya 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")...
  79. ncbi request reprint Health insurance status, cost-related medication underuse, and outcomes among diabetes patients in three systems of care
    John 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...
  80. ncbi request reprint 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...
  81. pmc An advance directive redesigned to meet the literacy level of most adults: a randomized trial
    Rebecca 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)...
  82. pmc Social context of work injury among undocumented day laborers in San Francisco
    Nicholas Walter
    School of Medicine, University of California San Francisco, USA
    J Gen Intern Med 17:221-9. 2002
    ..To identify ways in which undocumented day laborers' social context affects their risk for occupational injury, and to characterize the ways in which these workers' social context influences their experience of disability...
  83. pmc Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population
    John 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...
  84. ncbi request reprint Using action plans to help primary care patients adopt healthy behaviors: a descriptive study
    Margaret Handley
    Department of Family and Community Medicine, University of California at San Francisco, USA
    J Am Board Fam Med 19:224-31. 2006
    ....
  85. ncbi request reprint Talk with your pharmacists--they are there to help
    Sharon L Youmans
    Ethn Dis 17:420. 2007
  86. ncbi request reprint Health care discrimination, processes of care, and diabetes patients' health status
    John 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
    ....
  87. ncbi request reprint Misunderstanding prescription labels: the genie is out of the bottle
    Dean Schillinger
    Ann Intern Med 145:926-8. 2006
  88. doi request reprint Genetics of warfarin response
    Dean Schillinger
    N Engl J Med 358:2741-2; author reply 2743-4. 2008
  89. ncbi request reprint Behavior-change action plans in primary care: a feasibility study of clinicians
    Kate MacGregor
    Department of Family and Community Medicine, University of California at San Francisco, USA
    J Am Board Fam Med 19:215-23. 2006
    ..This study explores whether it is feasible for clinicians to engage patients with coronary heart disease (CHD) risk factors in collaborative goal-setting and concrete action planning during the primary care visit...
  90. ncbi request reprint Does lower diabetes-related numeracy lead to increased risk for hypoglycemic events?
    Urmimala Sarkar
    Ann Intern Med 149:594; author reply 594. 2008
  91. pmc Literacy and language: disentangling measures of access, utilization, and quality
    Dean Schillinger
    J Gen Intern Med 19:288-90. 2004
  92. pmc How health care systems can begin to address the challenge of limited literacy
    Michael 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
  93. ncbi request reprint Front-line bureaucracies and the moral mechanics of US health care
    Nicholas Walter
    Med Care 42:303-5. 2004