Research ArticleOriginal Research
Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument
Verna L. Welch, Jonathan B. VanGeest and Rachel Caskey
The Journal of the American Board of Family
Medicine May 2011, 24 (3) 281-289; DOI: https://doi.org/10.3122/jabfm.2011.03.100212
Verna L. Welch
PhD, MPH
Jonathan B. VanGeest
PhD

References
- ↵Adams K, Corrigan J. Priority areas for national action: transforming health care quality. Washington, DC: National Academies Press; 2003.
- ↵Nielsen-Bohlman L, Panzer AM, Kindig DA. Health literacy: a prescription to end confusion. Washington, DC: National Academies Press; 2004.
- ↵Parker RM, Ratzan SC, Laurie N. Health literacy: a policy challenge for advancing high quality health care. Health Aff 2003; 22: 147–53.
- ↵Schwartzberg JG, VanGeest JB, Wang CC (eds). Understanding health literacy: implications for medicine and public health. Chicago, IL: American Medical Association Press; 2005.
- ↵Lindau ST, Tomori C, Lyons T, Langseth L, Bennett CL, Garcia P. The association of health literacy with cervical cancer prevention knowledge and health behaviors in a multiethnic cohort of women. Am J Obstet Gynecol 2002; 186: 938–43.
- Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. JAMA 2002; 288: 475–82.
- ↵Howard D, Gazmararian J, Parker R. The impact of low health literacy on the medical costs of Medicare managed care enrollees. Am J Med 2005; 118: 371–7.
- ↵
- ↵Lee SYD, Arozullah AM, Cho YI. Health literacy, social support, and health: a research agenda. Soc Sci Med. 2003; 58: 1309–21.
- ↵Haynes RB, Devereaux PJ, Guyatt GH. Clinical expertise in the era of evidence-based medicine and patient choice. ACP J Club 2002; 136: A13.
- ↵
- ↵
- ↵Schillinger D, Piette J, Grumbach K, et al. Closing the loop: Physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003; 163: 83–90.
- ↵Schwartzberg JG, Cowett A, VanGeest J, Wolf MS. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Am J Health Behav 2007; 31(Suppl 1): S96–104.
- ↵Turner T, Cull WL, Bayldon B, et al. Pediatricians and health literacy: Descriptive results from a national survey. Pediatrics 2009; 124(Suppl 3): S299–305.
- ↵Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med 2004; 36: 588–94.
- Jeppesen KM, Coyle JD, Miser WF. Screening questions to predict limited health literacy: A cross-sectional study of patients with diabetes mellitus. Ann Fam Med 2009; 7: 24–31.
- ↵Johnson K, Weiss BD. How long does it take to assess literacy skills in clinical practice? J Am Board Fam Med 2008; 21: 211–4.
- ↵Weiss BD, Mays MZ, Martz W, et al. Quick assessment of literacy in primary care: the Newest Vital Sign. Ann Fam Med 2005; 3: 514–22.
- ↵
- Parikh NS, Parker RM, Nurss JR, Baker DW, Williams MV. Shame and health literacy: the unspoken connection. Patient Educ Couns 1996; 27: 33–9.
- ↵Seligman HK, Wang FF, Palacios JL, et al. Physician notification of their diabetes patients’ limited health literacy: a randomized controlled trial. J Gen Intern Med 2005; 20: 1001–7.
- Wolf MS, Williams MV, Parker RM, Parikh NS, Nowlan AW, Baker DW. Patients’ shame and attitudes toward discussing the results of literacy screening. J Health Commun 2007; 12: 721–32.
- ↵
- ↵American Medical Association Foundation, American Medical Association. Health literacy introductory kit. Chicago, IL: American Medical Association; 2007.
- ↵Martin LT, Ruder T, Escarce JJ, et al. Developing predictive models of health literacy. J Gen Intern Med 2009; 24: 1211–6.
- ↵Shah LC, West P, Bremmeyr K, Savoy-Moore RT. Health literacy instrument in family medicine: the “Newest Vital Sign” ease of use and correlates. J Am Board Fam Med 2010; 23: 195–203.
- ↵Chen LM, Farwell WR, Jha AK. Primary care visit duration and quality: Does good care take longer? Arch Intern Med 2009; 169: 1866–72.
- ↵Eichler K, Wieser S, Brugger U. The costs of limited health literacy: a systematic review. Int J Public Health 2009; 54: 313–24.
- ↵The Joint Commission. What did the doctor say? Improving health literacy to protect patient safety. Oakbrook Terrace, IL: The Joint Commission; 2007.
- ↵Issel LM. Health program planning and evaluation: a practical, systematic approach for community health. Boston, MA: Jones and Bartlett Publishers; 2004.
- ↵Ryan JG, Leguen F, Weiss BD, et al. Will patients agree to have their literacy skills assessed in clinical practice? Health Educ Res; 23: 603–11.
- ↵Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. N Engl J Med 2009; 360: 1628–38.
In this issue
Time, Costs, and Clinical Utilization of Screening for Health Literacy: A Case Study Using the Newest Vital Sign (NVS) Instrument
Verna L. Welch, Jonathan B. VanGeest, Rachel Caskey
The Journal of the American Board of Family
Medicine May 2011, 24 (3) 281-289; DOI: 10.3122/jabfm.2011.03.100212
Jump to section
Related Articles
- No related articles found.