Dean Schillinger, MD

Professor in Residence

Center for Vulnerable Populations, General Internal Medicine, General Internal Medicine ZSFG

Dean Schillinger MD is an internationally recognized health communication scientist and expert in chronic disease prevention and control. He directs the UCSF Health Communications Research Program, serves as site director for an NIDDK Center for Diabetes Translational Research, and is Principal Investigator for CDC and NIH funded projects in diabetes-related policy, as well as a NIH project to develop measures of health literacy using computational linguistics and machine learning. A public health and primary care physician, he served as Chief of the UCSF Division of General Internal Medicine at San Francisco General Hospital (SFGH) from 2009-2020. Dr. Schillinger currently co-chairs a subcommittee of a federal advisory commission related to harmonizing diabetes policy across federal agencies (https://health.gov/our-work/health-care-quality/national-clinical-care-commission). In 2006, he co-founded the UCSF Center for Vulnerable Populations, whose mission is to promote the health of vulnerable populations through discovery, collaboration, advocacy and policy change. Dr. Schillinger served as Chief Medical Officer for the Diabetes Prevention and Control Program for California from 2008-13. He previously directed the ambulatory care clinics at SFGH. He co-directs a national course on Medical Care of Vulnerable and Underserved Patients and edits a textbook of the same name. Author of over 275 peer-reviewed scientific articles, he has focused his research on health communication for vulnerable populations, carrying out a number of studies exploring the impact of limited health literacy on prevention and control of diabetes and heart disease, and related interventions to improve both communication and health outcomes. He has been awarded grants from NIDDK, AHRQ, CDC, NLM and private foundations in the field of health communication science. Dr. Schillinger contributed to the 2004 IOM Report on Health Literacy and authored a 2012 IOM Publication defining the attributes of Health Literate Healthcare Organizations. He was honored with the 2003 Institute for Healthcare Advancement Research Award, the 2008 Research Award in Safety and Quality from the National Patient Safety Foundation and the Bay Area Research Mentor of the Year Award in 2010 and the 2016 Institute for Health Policy Career Mentoring Award. In 2013, he received the Everett M Rogers Award from APHA in recognition of his lifelong contributions to advancing the study and practice of public health communication. In 2017, he was honored with the San Francisco Heroes and Hearts Award. He currently serves as UCSF PI for an NIH Center for Type 2 Diabetes Translational Research, and closely collaborates with UCSF Global Health Sciences and colleagues at INSP and UNAM in Mexico to co-direct the UC-Mexico Diabetes Public Health Research Initiative. Dr. Schillinger has been instrumental in local public health regulation of sugary drinks, and served as the scientific expert for the City and County of San Francisco in defense of a lawsuit filed in Federal Court by the American Beverage Association for an injunction against the City’s ordinance to mandate health warning labels on billboards advertising sugary drinks. He also co-created a youth-led diabetes prevention social media campaign called The Bigger Picture Campaign, http://thebiggerpictureproject.org/, supported in part by the National Endowment for the Arts, NIMHD, and The California Endowment. The Bigger Picture has received numerous film and media awards, and received the 2014 Latino Coalition for a Health California Award for Youth Leadership and the Spirit of 1848 Social Justice Award from the American Public Health Association (APHA) and the 2015 UC-Community Partnership Award. In 2016, Dr. Schillinger was honored with a James L Irvine California Leadership Award for his innovative work in to improve public health literacy and address the epidemic of Type 2 diabetes. This led to the scaling of The Bigger Picture campaign with 8 spoken word programs across California; youth poets of color and their poems were recently highlighted in a 2018 JAMA publication and an associated New York Times feature story. He was recently featured in a PBS documentary, "Blood Sugar Rising," and an Arte documentary aired in Europe, "Un Monde Obèse," which has been viewed by over 4 million people.

Education
Residency, - Internal Medicine, University of California, San Francisco
Websites
Publications
  1. Employing computational linguistics techniques to identify limited patient health literacy: Findings from the ECLIPPSE study.
  2. Evaluating values-based message frames for type 2 diabetes prevention among Facebook audiences: Divergent values or common ground?
  3. Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic.
  4. Ethnographic investigation of patient-provider communication among African American men newly diagnosed with prostate cancer: a study protocol.
  5. Cost-Effectiveness Of A Workplace Ban On Sugar-Sweetened Beverage Sales: A Microsimulation Model.
  6. The Intersections Between Social Determinants of Health, Health Literacy, and Health Disparities.
  7. Design of a cluster-randomized trial of the effectiveness and cost-effectiveness of metformin on prevention of type 2 diabetes among prediabetic Mexican adults (the PRuDENTE initiative of Mexico City).
  8. From "Infodemics" to Health Promotion: A Novel Framework for the Role of Social Media in Public Health.
  9. Retailer perspectives on sugar-sweetened beverage taxes in the California Bay Area.
  10. A Root Cause Analysis of Barriers to Timely Colonoscopy in California Safety-Net Health Systems.
  11. "It Gave Me Hope" Experiences of Diverse Safety Net Patients in a Group Acupuncture Intervention for Painful Diabetic Neuropathy.
  12. Developing and Testing Automatic Models of Patient Communicative Health Literacy Using Linguistic Features: Findings from the ECLIPPSE study.
  13. Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review.
  14. Comorbid Diabetes and Severe Mental Illness: Outcomes in an Integrated Health Care Delivery System.
  15. A Randomized Clinical Trial of Group Acupuncture for Painful Diabetic Neuropathy Among Diverse Safety Net Patients.
  16. Interventions to Improve Blood Pressure Control Among Socioeconomically Disadvantaged Patients With CKD: Kidney Awareness Registry and Education Pilot Randomized Controlled Trial.
  17. Secure Messaging with Physicians by Proxies for Patients with Diabetes: Findings from the ECLIPPSE Study.
  18. Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
  19. Opinions of Primary Care Clinicians and Psychiatrists on Monitoring the Metabolic Effects of Antipsychotics.
  20. Responding to Evolving Abortion Regulations - The Critical Role of Primary Care.
  21. A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal.
  22. State Preemption to Prevent Local Taxation of Sugar-Sweetened Beverages.
  23. Using natural language processing and machine learning to classify health literacy from secure messages: The ECLIPPSE study.
  24. Sugar-Sweetened Beverage Consumption 3 Years After the Berkeley, California, Sugar-Sweetened Beverage Tax.
  25. Standardization in Diverse Populations: Implementation of Evidence-Based Practices in a Safety-Net Setting.
  26. Effective communication in the era of precision medicine: A pilot intervention with low health literacy patients to improve genetic counseling communication.
  27. Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation.
  28. Engaging Diverse English- and Spanish-Speaking Older Adults in Advance Care Planning: The PREPARE Randomized Clinical Trial.
  29. Racial/Ethnic Differences in the Response to Incentives for Quitline Engagement.
  30. The Medi-Cal Incentives to Quit Smoking Project: Impact of Statewide Outreach Through Health Channels.
  31. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers.
  32. Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital.
  33. Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.
  34. Language barriers and LDL-C/SBP control among Latinos with diabetes.
  35. Collaborative research and actions on both sides of the US-Mexico border to counteract type 2 diabetes in people of Mexican origin.
  36. Review of Metformin Use for Type 2 Diabetes Prevention.
  37. Health Literacy and Power.
  38. Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network.
  39. Efficiency, Efficacy, and Power in the Implementation of a Medication Adherence Aid.
  40. Implementation of patient-centered prescription labeling in a safety-net ambulatory care network.
  41. Diabetes and Prediabetes Prevalence by Race and Ethnicity Among People With Severe Mental Illness.
  42. Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care.
  43. Do Low Income Youth of Color See "The Bigger Picture" When Discussing Type 2 Diabetes: A Qualitative Evaluation of a Public Health Literacy Campaign.
  44. Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial.
  45. State of Diabetes Self-Management Education in the European Union Member States and Non-EU Countries: The Diabetes Literacy Project.
  46. Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.
  47. Eating with others and meal location are differentially associated with nutrient intake by sex: The Diabetes Study of Northern California (DISTANCE).
  48. Messengers of Truth and Health-Young Artists of Color Raise Their Voices to Prevent Diabetes.
  49. Cancer genetic counseling communication with low-income Chinese immigrants.
  50. A Doctor is in the House: Stakeholder Focus Groups About Expanded Scope of Practice of Community Psychiatrists.
  51. Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness.
  52. Diabetes Screening among Antipsychotic-Treated Adults with Severe Mental Illness in an Integrated Delivery System: A Retrospective Cohort Study.
  53. ASGE EndoVators Summit: Defining the role and value of endoscopic therapies in obesity management.
  54. Erratum to: Information Mismatch: Cancer Risk Counseling with Diverse Underserved Patients.
  55. Mammography Among Women With Severe Mental Illness: Exploring Disparities Through a Large Retrospective Cohort Study.
  56. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California.
  57. Multitasking and Silent Electronic Health Record Use in Ambulatory Visits.
  58. Reducing Cancer and Cancer Disparities: Lessons From a Youth-Generated Diabetes Prevention Campaign.
  59. Understanding the Cost of a New Integrated Care Model to Serve CMHC Patients Who Have Serious Mental Illness.
  60. Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN).
  61. Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All.
  62. Guidelines to Limit Added Sugar Intake.
  63. Health Literacy, Health Care Utilization, and Direct Cost of Care Among Linguistically Diverse Patients with Type 2 Diabetes Mellitus.
  64. Do Sugar-Sweetened Beverages Cause Obesity and Diabetes?
  65. Implementation Science Workshop: Barriers and Facilitators to Increasing Mammography Screening Rates in California's Public Hospitals.
  66. Mobilizing for a war on the home front against sugar-related morbidity and mortality.
  67. Performance Measurement and Target-Setting in California's Safety Net Health Systems.
  68. Food Environment and Weight Change: Does Residential Mobility Matter?: The Diabetes Study of Northern California (DISTANCE).
  69. The Living Donor: A Tale of Money, Mania, and Clinical Mastery.
  70. Diabetes Prevalence Among Racial-Ethnic Minority Group Members With Severe Mental Illness Taking Antipsychotics: Double Jeopardy?
  71. Rates of Cervical Cancer Screening Among Women With Severe Mental Illness in the Public Health System.
  72. Online patient websites for electronic health record access among vulnerable populations: portals to nowhere?
  73. Depressive symptoms and adherence to cardiometabolic therapies across phases of treatment among adults with diabetes: the Diabetes Study of Northern California (DISTANCE).
  74. Beyond the Great Recession: Was the Foreclosure Crisis Harmful to the Health of Individuals With Diabetes?
  75. Downing et al. Respond to "Foreclosures and Health in a Neighborhood Context".
  76. Information Mismatch: Cancer Risk Counseling with Diverse Underserved Patients.
  77. Adherence to Newly Prescribed Diabetes Medications Among Insured Latino and White Patients With Diabetes.
  78. Nonpsychiatric Outpatient Care for Adults With Serious Mental Illness in California: Who Is Being Left Behind?
  79. The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
  80. Low Rates of HIV Testing Among Adults With Severe Mental Illness Receiving Care in Community Mental Health Settings.
  81. Guidelines to Limit Added Sugar Intake: Junk Science or Junk Food?
  82. Confronting Complacency in the Face of Calamity: Mobilizing for the Home Front War against Diabetes.
  83. Do Sugar-Sweetened Beverages Cause Obesity and Diabetes? Industry and the Manufacture of Scientific Controversy.
  84. Identifying Spanish Language Competent Physicians: The Diabetes Study of Northern California (DISTANCE).
  85. Science and Public Health on Trial: Warning Notices on Advertisements for Sugary Drinks.
  86. Police-Recorded Crime and Perceived Stress among Patients with Type 2 Diabetes: the Diabetes Study of Northern California (DISTANCE).
  87. Improving advance care planning for English-speaking and Spanish-speaking older adults: study protocol for the PREPARE randomised controlled trial.
  88. Use of Low-Literacy Decision Aid to Enhance Knowledge and Reduce Decisional Conflict Among a Diverse Population of Adults With Rheumatoid Arthritis: Results of a Pilot Study.
  89. Computer use, language, and literacy in safety net clinic communication.
  90. Diabetes and Cardiovascular Care Among People with Severe Mental Illness: A Literature Review.
  91. Communication Barriers and the Clinical Recognition of Diabetic Peripheral Neuropathy in a Diverse Cohort of Adults: The DISTANCE Study.
  92. Associations of perceived neighborhood safety and crime with cardiometabolic risk factors among a population with type 2 diabetes.
  93. No Spillover Effect of the Foreclosure Crisis on Weight Change: The Diabetes Study of Northern California (DISTANCE).
  94. Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems.
  95. Association of the quality of interpersonal care during family planning counseling with contraceptive use.
  96. Engaging Minority Youth in Diabetes Prevention Efforts Through a Participatory, Spoken-Word Social Marketing Campaign.
  97. Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics.
  98. Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study.
  99. Diabetes Screening Among Underserved Adults With Severe Mental Illness Who Take Antipsychotic Medications.
  100. The Kidney Awareness Registry and Education (KARE) study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease.
  101. Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
  102. Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE).
  103. Reach and Validity of an Objective Medication Adherence Measure Among Safety Net Health Plan Members with Diabetes: A Cross-Sectional Study.
  104. Connecting the Dots: Health Information Technology Expansion and Health Disparities.
  105. Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes.
  106. Automated Telephone Self-Management Support for Diabetes in a Low-Income Health Plan: A Health Care Utilization and Cost Analysis.
  107. Does food vendor density mediate the association between neighborhood deprivation and BMI?: a G-computation mediation analysis.
  108. Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study.
  109. Spatial pattern of body mass index among adults in the diabetes study of Northern California (DISTANCE).
  110. Social support and lifestyle vs. medical diabetes self-management in the diabetes study of Northern California (DISTANCE).
  111. The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter.
  112. An automated telephone nutrition support system for Spanish-speaking patients with diabetes.
  113. Impact of a pharmacy benefit change on new use of mail order pharmacy among diabetes patients: the Diabetes Study of Northern California (DISTANCE).
  114. Associations between antidepressant adherence and shared decision-making, patient-provider trust, and communication among adults with diabetes: diabetes study of Northern California (DISTANCE).
  115. English language proficiency, health literacy, and trust in physician are associated with shared decision making in rheumatoid arthritis.
  116. Update on health literacy and diabetes.
  117. Low socioeconomic status is associated with increased risk for hypoglycemia in diabetes patients: the Diabetes Study of Northern California (DISTANCE).
  118. Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net.
  119. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system.
  120. Physicians' roles in creating health literate organizations: a call to action.
  121. Disease-related distress, self-care and clinical outcomes among low-income patients with diabetes.
  122. Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization.
  123. Expanding the Universal Medication Schedule: a patient-centred approach.
  124. Development and early implementation of the bigger picture, a youth-targeted public health literacy campaign to prevent type 2 diabetes.
  125. ESL participation as a mechanism for advancing health literacy in immigrant communities.
  126. A single-item self-report medication adherence question predicts hospitalisation and death in patients with heart failure.
  127. Ethnically diverse patients' perceptions of clinician computer use in a safety-net clinic.
  128. Innovation and transformation in California's safety net health care settings: an inside perspective.
  129. Clinic-based versus outsourced implementation of a diabetes health literacy intervention.
  130. Ethnic differences in quality of life in insured older adults with diabetes mellitus in an integrated delivery system.
  131. Primary care providers' views on metabolic monitoring of outpatients taking antipsychotic medication.
  132. Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study.
  133. Differences in the clinical recognition of depression in diabetes patients: the Diabetes Study of Northern California (DISTANCE).
  134. Obesity and the food environment: income and ethnicity differences among people with diabetes: the Diabetes Study of Northern California (DISTANCE).
  135. Safety events during an automated telephone self-management support intervention.
  136. Health literacy and antidepressant medication adherence among adults with diabetes: the diabetes study of Northern California (DISTANCE).
  137. Low literacy is associated with increased risk of hospitalization and death among individuals with heart failure.
  138. Influence of patient characteristics on assessment of diabetes self-management support.
  139. Communication and medication refill adherence: the Diabetes Study of Northern California.
  140. Poor knowledge of methotrexate associated with older age and limited English-language proficiency in a diverse rheumatoid arthritis cohort.
  141. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention.
  142. Neighborhood deprivation and change in BMI among adults with type 2 diabetes: the Diabetes Study of Northern California (DISTANCE).
  143. Elevated rates of diabetes in Pacific Islanders and Asian subgroups: The Diabetes Study of Northern California (DISTANCE).
  144. Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging study.
  145. Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure.
  146. Language barriers and understanding of hospital discharge instructions.
  147. Evaluation of language concordant, patient-centered drug label instructions.
  148. Prevalence of self-reported sleep problems among people with diabetes in the United States, 2005-2008.
  149. Developing multilingual prescription instructions for patients with limited english proficiency.
  150. Place matters: neighborhood deprivation and cardiometabolic risk factors in the Diabetes Study of Northern California (DISTANCE).
  151. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol.
  152. Getting under the skin of clinical inertia in insulin initiation: the Translating Research Into Action for Diabetes (TRIAD) Insulin Starts Project.
  153. Primary care provider perceptions of the effectiveness of two self-management support programs for vulnerable patients with diabetes.
  154. Racial/ethnic variation in prevalence estimates for United States prediabetes under alternative 2010 American Diabetes Association criteria: 1988-2008.
  155. Lower socioeconomic status and disability among US adults with chronic kidney disease, 1999-2008.
  156. Ethnic differences in the development of albuminuria: the DISTANCE study.
  157. Ethnic differences in appointment-keeping and implications for the patient-centered medical home--findings from the Diabetes Study of Northern California (DISTANCE).
  158. The influence of indigenous status and community indigenous composition on obesity and diabetes among Mexican adults.
  159. Quasi-experimental designs in practice-based research settings: design and implementation considerations.
  160. Racial and ethnic disparities in disease activity and function among persons with rheumatoid arthritis from university-affiliated clinics.
  161. Supporting self management--a necessity in diabetes healthcare.
  162. Patient reported interpersonal processes of care and perceived social position: the Diabetes Study of Northern California (DISTANCE).
  163. The wrong tool for the job: diabetes public health programs and practice guidelines.
  164. The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.
  165. Correlates of quality of life in older adults with diabetes: the diabetes & aging study.
  166. Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE).
  167. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE).
  168. Adherence to laboratory test requests by patients with diabetes: the Diabetes Study of Northern California (DISTANCE).
  169. Accuracy of physician self-report of Spanish language proficiency.
  170. Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure.
  171. Heterogeneity of diabetes outcomes among asians and pacific islanders in the US: the diabetes study of northern california (DISTANCE).
  172. Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE).
  173. Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access.
  174. "Teach to goal": theory and design principles of an intervention to improve heart failure self-management skills of patients with low health literacy.
  175. Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations.
  176. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes.
  177. Patient-physicians' information exchange in outpatient cardiac care: time for a heart to heart?
  178. Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE).
  179. Blood pressure control, hypertension, awareness, and treatment in adults with diabetes in the United States-Mexico border region.
  180. Disparities in undiagnosed diabetes among United States-Mexico border populations.
  181. Smoking behavior among Hispanic adults with diabetes on the United States-Mexico border: a public health opportunity.
  182. Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status.
  183. Hunger and socioeconomic disparities in chronic disease.
  184. Patient-physician discordance in assessments of global disease severity in rheumatoid arthritis.
  185. Hypoglycemia is more common among type 2 diabetes patients with limited health literacy: the Diabetes Study of Northern California (DISTANCE).
  186. Social disparities in dental insurance and annual dental visits among medically insured patients with diabetes: the Diabetes Study of Northern California (DISTANCE) Survey.
  187. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
  188. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review.
  189. The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study.
  190. A new public health tool for risk assessment of abnormal glucose levels.
  191. Drug detailing in academic medical centers: regulating for the right reasons, with the right evidence, at the right time.
  192. Measuring health literacy: a pilot study of a new skills-based instrument.
  193. 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).
  194. Uncertainty about advance care planning treatment preferences among diverse older adults.
  195. Systematic review and metaanalysis of patient self-report versus trained assessor joint counts in rheumatoid arthritis.
  196. Numbers don't lie, but do they tell the whole story?
  197. Refocusing the lens: patient safety in ambulatory chronic disease care.
  198. 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.
  199. Unraveling the relationship between literacy, language proficiency, and patient-physician communication.
  200. Goal setting in diabetes self-management: taking the baby steps to success.
  201. Health worker migration: time for the global justice approach.
  202. Language, literacy, and characterization of stroke among patients taking warfarin for stroke prevention: Implications for health communication.
  203. Literacy-appropriate educational materials and brief counseling improve diabetes self-management.
  204. Effects of self-management support on structure, process, and outcomes among vulnerable patients with diabetes: a three-arm practical clinical trial.
  205. A clinical framework for improving the advance care planning process: start with patients' self-identified barriers.
  206. Interventions to Improve Care for Patients with Limited Health Literacy.
  207. Cost-effectiveness of automated telephone self-management support with nurse care management among patients with diabetes.
  208. Glycemic and lipid control among patients with diabetes at six U.S. public hospitals.
  209. Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story.
  210. Does lower diabetes-related numeracy lead to increased risk for hypoglycemic events?
  211. Identification of limited English proficient patients in clinical care.
  212. Genetics of warfarin response.
  213. Genetic testing for vulnerable populations: what kinds of communication we need and do not need.
  214. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults.
  215. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
  216. Cohort Profile: The Diabetes Study of Northern California (DISTANCE)--objectives and design of a survey follow-up study of social health disparities in a managed care population.
  217. The influence of depressive symptoms on clinician-patient communication among patients with type 2 diabetes.
  218. Quality of anticoagulation control: do race and language matter?
  219. Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems.
  220. Literacy and health communication: reversing the 'inverse care law'.
  221. An advance directive redesigned to meet the literacy level of most adults: a randomized trial.
  222. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial.
  223. Babel babble: physicians' use of unclarified medical jargon with patients.
  224. Facilitating behavior change with low-literacy patient education materials.
  225. Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system.
  226. Current and future directions in Medi-Cal chronic disease care management: a view from the top.
  227. Older African Americans' perceptions of pharmacists.
  228. Talk with your pharmacists--they are there to help.
  229. Misunderstanding prescription labels: the genie is out of the bottle.
  230. A piece of my mind. Patagonia pastorale.
  231. Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment.
  232. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
  233. Health literacy and anticoagulation-related outcomes among patients taking warfarin.
  234. How health care systems can begin to address the challenge of limited literacy.
  235. Limited literacy and mortality in the elderly: the health, aging, and body composition study.
  236. Use of a modified informed consent process among vulnerable patients: a descriptive study.
  237. Behavior-change action plans in primary care: a feasibility study of clinicians.
  238. Does literacy mediate the relationship between education and health outcomes? A study of a low-income population with diabetes.
  239. Using action plans to help primary care patients adopt healthy behaviors: a descriptive study.
  240. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy?
  241. Navigating the terrain between research and practice: a Collaborative Research Network (CRN) case study in diabetes research.
  242. Shared decision making and the experience of partnership in primary care.
  243. Physician notification of their diabetes patients' limited health literacy. A randomized, controlled trial.
  244. Racial disparities in outcomes of inpatient stroke rehabilitation.
  245. Health care discrimination, processes of care, and diabetes patients' health status.
  246. Front-line bureaucracies and the moral mechanics of US health care.
  247. Functional health literacy and the quality of physician-patient communication among diabetes patients.
  248. Literacy and language: disentangling measures of access, utilization, and quality.
  249. Health insurance status, cost-related medication underuse, and outcomes among diabetes patients in three systems of care.
  250. Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients.
  251. Functional health literacy and medication use: the pharmacist's role.
  252. Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population.
  253. Closing the loop: physician communication with diabetic patients who have low health literacy.
  254. Diabetes websites accredited by the Health On the Net Foundation Code of Conduct: readable or not?
  255. Association of health literacy with diabetes outcomes.
  256. Social context of work injury among undocumented day laborers in San Francisco.
  257. Effects of primary care coordination on public hospital patients.
  258. The populations and quality improvement seminar for medical residents.
  259. California's mandatory reporting of domestic violence injuries: does the law go too far or not far enough?
  260. Medication dispensing and Medicaid managed care.
  261. A piece of my mind. The disability blues.
  262. Measuring the need for medical care in an ethnically diverse population.
  263. Laws mandating reporting of domestic violence. Do they promote patient well-being?