David W. Baker

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We describe the development of an abbreviated version of the Test of Functional Health Literacy in Adults (TOFHLA) to measure patients' ability to read and understand health-related materials. The TOFHLA was reduced from 17 Numeracy items and 3 prose passages to 4 Numeracy items and 2 prose passages (S-TOFHLA). The maximum time for administration was(More)
CONTEXT Delayed or inaccurate communication between hospital-based and primary care physicians at hospital discharge may negatively affect continuity of care and contribute to adverse events. OBJECTIVES To characterize the prevalence of deficits in communication and information transfer at hospital discharge and to identify interventions to improve this(More)
SHARON A. HUNT, MD, FACC, Chair DAVID W. BAKER, MD, MPH, FACP MARSHALL H. CHIN, MD, MPH MICHAEL P. CINQUEGRANI, MD, FACC ARTHUR M. FELDMAN, MD, PHD, FACC GARY S. FRANCIS, MD, FACC THEODORE G. GANIATS, MD SIDNEY GOLDSTEIN, MD, FACC GABRIEL GREGORATOS, MD, FACC MARIELL L. JESSUP, MD, FACC R. JOSEPH NOBLE, MD, FACC MILTON PACKER, MD, FACC MARC A. SILVER, MD,(More)
OBJECTIVE To determine the ability of patients to complete successfully basic reading and numeracy tasks required to function adequately in the health care setting. DESIGN Cross-sectional survey. SETTING Two urban, public hospitals. PATIENTS A total of 2659 predominantly indigent and minority patients, 1892 English-speaking and 767 Spanish-speaking,(More)
CONTEXT Elderly patients may have limited ability to read and comprehend medical information pertinent to their health. OBJECTIVE To determine the prevalence of low functional health literacy among community-dwelling Medicare enrollees in a national managed care organization. DESIGN Cross-sectional survey. SETTING Four Prudential HealthCare plans(More)
This article describes the system for rating the quality of medical evidence developed and used during creation of the Agency for Health Care Policy and Research-sponsored heart failure guideline. Previous approaches to rating evidence were not designed for use in the setting of clinical practice guidelines. The present system is based on the tenet that(More)
BACKGROUND Individuals with low levels of health literacy have less health knowledge, worse self-management of chronic disease, lower use of preventive services, and worse health in cross-sectional studies. We sought to determine whether low health literacy levels independently predict overall and cause-specific mortality. METHODS We designed a(More)
BACKGROUND Individuals with limited health literacy have less health knowledge, worse self-management skills, lower use of preventive services, and higher hospitalization rates. We evaluated the association between health literacy, self-reported physical and mental health functioning, and health-related activity limitations among new Medicare managed care(More)
PURPOSE Self-reported overall health (SROH) is often used to compare the health status of multi-ethnic populations in the United States. SROH may not be comparable across cultural groups. We assessed if differences in SROH between non-Hispanic whites (NHW), Latinos, and Asians were explained primarily by differences in socioeconomic status (SES) or language(More)