114 vs. 149). They also found significant differences in the number of arrests for controlled substance or liquor violations (0 vs. 8). The authors suggest that these compelling findings point to the efficacy of brief counseling one of the most important therapeutic modalities used by physicians. With alcohol-related mortality still the most common cause of death in young adults, the authors recommend primary care providers make counseling for high-risk drinking in young adults a critical priority.
Brief Physician Advise for High-Risk Drinking Among Young Adults
By Paul M. Grossberg, M.D., et al

Family Physicians Care for Many Problems, Record Fewer on Bill
Visits to family physicians frequently involve the concurrent care of multiple problems that billing data do not adequately reflect. Analyzing physician logs from 572 patient encounters, researchers found that physicians report managing an average of 3.05 problems per encounter but record only 2.82 in the chart and 1.97 on the bill. For all patients, 37 percent of encounters logged addressed more than three problems, and 18 percent addressed more than four. For patients older than 65, physicians recorded an average of 3.88 problems per visit; for diabetic patients, they recorded an average of 4.6. The authors posit that these findings suggest a mismatch between family medicine and current approaches to quality assessment, guideline implementation, education, research, administration and funding. Future work in these areas, they assert, needs to address the primary care physician's task of prioritizing and integrating care for multiple problems concurrently.
How Many Problems Do Family Physicians Manage at Each Encounter? A WReN Study
By John W. Beasley, M.D., et al

Rethinking How Provider Continuity Is Defined: A Case for Including Patients and Informal Caregivers
In a thought-provoking essay, Stephen Buetow, M.D. calls for a fun
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Contact: Angela Lower
alower@aafp.org
913-906-6253
American Academy of Family Physicians
5-Oct-2004

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