American Academy of Family Physicians

Table 63

Performance of laboratory services in family physician* practice settings, July 2008


Laboratory Service Perform Test
in my Office
Collect
Specimen &
Send to
Outside Lab
Do Not Order
in my Practice
Not Reported
Urine pregnancy test 89.6% 4.8% 2.3% 3.3%
Fecal occult blood 88.6% 6.0% 2.4% 3.0%
Dipstick urinalysis (manual) 83.0% 2.6% 8.2% 6.3%
Rapid Strep test 80.4% 9.8% 4.3% 5.5%
Vaginal smear/wet mount 77.6% 13.5% 4.3% 4.7%
Glucose 52.4% 36.8% 3.6% 7.2%
Urine microscopic exam 51.6% 37.5% 4.4% 6.5%
Rapid influenza test 50.1% 24.5% 15.5% 9.9%
Dipstick urinalysis (automated) 45.0% 23.4% 17.9% 13.6%
Infectious mono screen 39.6% 43.5% 6.3% 10.7%
Prothrombin time/INR 39.1% 45.6% 5.1% 10.2%
CBC 26.7% 56.5% 6.0% 10.8%
Differential (automated) 26.5% 55.3% 6.2% 11.9%
Hemoglobin by HemoCue (waived method) 26.4% 15.8% 37.5% 20.3%
Hemoglobin (automated, non-waived method) 23.0% 39.5% 19.6% 17.9%
Urine microalbumin 22.7% 61.4% 4.5% 11.3%
Hematocrit (automated, non-waived method) 21.7% 41.6% 18.9% 17.9%
Cholesterol 19.4% 64.5% 5.5% 10.5%
Triglycerides 19.2% 65.1% 5.4% 10.4%
Spun microhematocrit (waived method) 19.1% 20.6% 41.3% 19.0%
HDL Cholesterol 19.0% 64.7% 5.7% 10.6%
Rapid RSV test 17.3% 42.1% 26.2% 14.3%
Creatinine 17.3% 66.1% 5.4% 11.2%
Electrolytes 16.1% 67.6% 5.4% 10.9%
Liver function test 15.2% 68.5% 5.4% 10.9%
Blood urea nitrogen (BUN) 15.1% 68.3% 5.5% 11.1%
H. Pylori test 14.9% 63.9% 9.5% 11.6%
Uric acid 11.1% 71.3% 5.7% 11.9%
Urine colony count 10.5% 66.2% 9.4% 13.9%
Gram stain 7.7% 69.6% 10.5% 12.2%
Urine cultures (presumptive identification) 7.0% 77.0% 5.1% 11.0%
GC testing 5.4% 76.8% 4.5% 13.2%
HIV test (non-waived) 5.3% 68.2% 12.5% 14.1%
HIV test (waived) 4.3% 48.7% 28.0% 19.0%
Susceptibility (antimicrobial sensitivity testing) 5.3% 68.2% 12.5% 14.1%
GC cultures 4.3% 48.7% 28.0% 19.0%

*Includes only active member respondents of the American Academy of Family Physicians.


Source: American Academy of Family Physicians, Practice Profile II Survey, July 2008.