Chart documentation of clinical preventive services at 9 Texas clinics. Academic Article uri icon


  • Documentation of clinical preventive services at 9 Texas family practice residency programs, community health centers, and public health regional clinics was examined. Assessment of 11 risks, counseling on those risks, and timeliness of 8 screening tests and immunizations were abstracted. Documentation of clinicians' risk assessment focused on tobacco use (56.4%), alcohol/drug abuse (45.8%), and excess weight (21.6%). Counseling was documented most often for nutrition (20.5%), family planning (11.6%), and physical activity (10.3%). Of the sites studied, public health regional clinics had the highest documentation of assessment and counseling. Community health centers were most up-to-date for diabetes and cholesterol screening. Family practice residencies documented the highest rate of counseling for obesity risk. Clinicians do not document risk assessment, counseling, or up-to-date screening tests and immunizations for most of their adult patients. Texas practitioners may need support or assistance to provide universal access to clinical preventive services.

published proceedings

  • Tex Med

author list (cited authors)

  • Smith, M. M., Meyer, B., Goodson, P., Gottlieb, N. H., & Huang, P.

citation count

  • 4

complete list of authors

  • Smith, MM||Meyer, B||Goodson, P||Gottlieb, NH||Huang, P

publication date

  • August 1999