Hilary K. Seligman|Frances F. Wang|Jorge Palácios|Clifford Wilson|Carolyn Daher|John D. Piette|Dean Schillinger
Physician notification of their diabetes patients’ limited health literacy: A randomized, controlled trial
San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
many patients chronic disease limited health literacy hl physicians difficulty identifying patients experts recommend instituting screening programs clinical settings unclear notifying physicians patients limited hl improves care processes outcomesto determine whether notifying physicians patients limited hl affects physician behavior physician satisfaction patient selfefficacywe screened patients limited hl randomized physicians notified patients limited hl skillssixtythree primary care physicians affiliated public hospital 182 diabetic patients limited hlafter visit physicians reported management strategies satisfaction perceived effectiveness attitudes toward hl screening also assessed patients selfefficacy feelings regarding hl screenings usefulness glycemic controlintervention physicians likely control physicians use management strategies recommended patients limited hl 32 p04 however intervention physicians felt less satisfied visits 81 vs 93 p01 marginally less effective 38 vs 53 p10 intervention control patients postvisit selfefficacy scores similar 126 vs 129 p6 sixtyfour percent intervention physicians 96 patients felt hl screening usefulphysicians responsive receiving notification patients limited hl patients support potential utility hl screening however instituting screening programs without specific training andor systemwide support physicians patients unlikely powerful tool improving diabetes outcomes