RT Journal Article
SR Electronic
T1 The Practice Gap: National Estimates of Screening and Counseling for Alcohol, Tobacco, and Obesity
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 161
OP 163
DO 10.1370/afm.2363
VO 17
IS 2
A1 Paul R. Shafer
A1 Amanda Borsky
A1 Quyen Ngo-Metzger
A1 Therese Miller
A1 David Meyers
YR 2019
UL http://www.annfammed.org/content/17/2/161.abstract
AB Tobacco 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.