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Research ArticleOriginal Research

The Distressed State of Primary Care in Virginia Pre-Medicaid Expansion and Pre-Pandemic

E. Marshall Brooks, Alison Huffstetler, Jacqueline Britz, Benjamin Webel, Paulette Lail Kashiri, Alicia Richards, Roy Sabo, Kristen O'Loughlin, Peter Cunningham, Andrew Barnes, Tony Kuzel and Alex H. Krist
The Journal of the American Board of Family Medicine November 2021, 34 (6) 1189-1202; DOI: https://doi.org/10.3122/jabfm.2021.06.210046
E. Marshall Brooks
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
PhD
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Alison Huffstetler
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MD
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Jacqueline Britz
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MD, MSPH
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Benjamin Webel
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
BS
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Paulette Lail Kashiri
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MPH
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Alicia Richards
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
BS
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Roy Sabo
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
PhD
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Kristen O'Loughlin
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MS, MA
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Peter Cunningham
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
PhD
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Andrew Barnes
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
PhD
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Tony Kuzel
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MD, MHPE
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Alex H. Krist
From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
MD, MPH
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Article Information

vol. 34 no. 6 1189-1202
DOI 
https://doi.org/10.3122/jabfm.2021.06.210046
PubMed 
34772774

Published By 
The Journal of the American Board of Family Medicine
Print ISSN 
1557-2625
Online ISSN 
1558-7118
History 
  • Received for publication February 2, 2021
  • Revision received June 7, 2021
  • Accepted for publication July 21, 2021
  • Published online November 12, 2021.

Copyright & Usage 
© Copyright 2021 by the American Board of Family Medicine.

Author Information

  1. E. Marshall Brooks, PhD,
  2. Alison Huffstetler, MD,
  3. Jacqueline Britz, MD, MSPH,
  4. Benjamin Webel, BS,
  5. Paulette Lail Kashiri, MPH,
  6. Alicia Richards, BS,
  7. Roy Sabo, PhD,
  8. Kristen O'Loughlin, MS, MA,
  9. Peter Cunningham, PhD,
  10. Andrew Barnes, PhD,
  11. Tony Kuzel, MD, MHPE and
  12. Alex H. Krist, MD, MPH
  1. From the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA (EMB, AH, JB, BW, PLK, AR, RS, KO, TK, AHK); Department of Biostatistics, Virginia Commonwealth University, Richmond, VA (AR, RS); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (PC, AB); Department of Psychology, Virginia Commonwealth University, Richmond. VA (KO).
  1. Corresponding author: Alex Krist, MD, MPH, One Capital Square Room 631, 830 East Main St, Richmond, VA 23219 (E-mail: ahkrist{at}vcu.edu).
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The Journal of the American Board of Family   Medicine: 34 (6)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 6
November/December 2021
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The Distressed State of Primary Care in Virginia Pre-Medicaid Expansion and Pre-Pandemic
E. Marshall Brooks, Alison Huffstetler, Jacqueline Britz, Benjamin Webel, Paulette Lail Kashiri, Alicia Richards, Roy Sabo, Kristen O'Loughlin, Peter Cunningham, Andrew Barnes, Tony Kuzel, Alex H. Krist
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1189-1202; DOI: 10.3122/jabfm.2021.06.210046

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The Distressed State of Primary Care in Virginia Pre-Medicaid Expansion and Pre-Pandemic
E. Marshall Brooks, Alison Huffstetler, Jacqueline Britz, Benjamin Webel, Paulette Lail Kashiri, Alicia Richards, Roy Sabo, Kristen O'Loughlin, Peter Cunningham, Andrew Barnes, Tony Kuzel, Alex H. Krist
The Journal of the American Board of Family Medicine Nov 2021, 34 (6) 1189-1202; DOI: 10.3122/jabfm.2021.06.210046
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