• Annals of family medicine · Mar 2019

    The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity.

    • Paul R Shafer, Amanda Borsky, Quyen Ngo-Metzger, Therese Miller, and David Meyers.
    • Agency for Healthcare Research and Quality, Rockville, Maryland pshafer@unc.edu.
    • Ann Fam Med. 2019 Mar 1; 17 (2): 161-163.

    AbstractTobacco use, lack of physical activity and poor diet, and alcohol consumption are leading causes of death in the United States. We estimated screening and counseling rates by using a nationally representative sample of adults aged 35 years and older with a preventive care supplement to the 2014 Medical Expenditure Panel Survey. Receipt of the recommended level of services ranged from nearly two-thirds (64.2% for obesity, 61.9% for tobacco use) to less than one-half (41.0% for alcohol misuse). There is significant room for improving care delivery, but primary care practices probably also need additional resources to raise screening and counseling rates.© 2019 Annals of Family Medicine, Inc.

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