Alex H. Krist
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View article: Whole health implementation lessons from the Veterans Health Administration, United States of America and other countries
Whole health implementation lessons from the Veterans Health Administration, United States of America and other countries Open
View article: Saline Nasal Irrigation Adherence Rates Before and After Patient Advisory Board Input in Two Randomized Controlled Trials
Saline Nasal Irrigation Adherence Rates Before and After Patient Advisory Board Input in Two Randomized Controlled Trials Open
View article: Associations Between Health Professional Characteristics and the VMAP Call Line
Associations Between Health Professional Characteristics and the VMAP Call Line Open
View article: Addressing Health Behaviors, Mental Health, and Social Needs for People with Chronic Disease: A Care Planning RCT
Addressing Health Behaviors, Mental Health, and Social Needs for People with Chronic Disease: A Care Planning RCT Open
View article: Developing Peer Counties in Virginia for Translational Research
Developing Peer Counties in Virginia for Translational Research Open
View article: Identifying Structural Drivers of Colorectal Cancer Screening and Diagnosis Disparities Across Virginia
Identifying Structural Drivers of Colorectal Cancer Screening and Diagnosis Disparities Across Virginia Open
View article: Engaging community members in the research process
Engaging community members in the research process Open
View article: A nursing home clinician survey to explain increasing Depakote use in nursing homes
A nursing home clinician survey to explain increasing Depakote use in nursing homes Open
View article: The role of APPs in improving primary care capacity: A qualitative exploration of challenges and opportunities
The role of APPs in improving primary care capacity: A qualitative exploration of challenges and opportunities Open
View article: Understanding quantitative data regarding valproate (Depakote) increases in US nursing homes: qualitative analysis of survey
Understanding quantitative data regarding valproate (Depakote) increases in US nursing homes: qualitative analysis of survey Open
View article: The Impact of Clinician Turnover in Virginia Primary Care Practices Located in Healthcare Professional Shortage Areas
The Impact of Clinician Turnover in Virginia Primary Care Practices Located in Healthcare Professional Shortage Areas Open
View article: Update on the Methods of the U.S. Preventive Services Task Force: Linking Intermediate Outcomes and Health Outcomes in Prevention
Update on the Methods of the U.S. Preventive Services Task Force: Linking Intermediate Outcomes and Health Outcomes in Prevention Open
View article: Implementing High-Quality Primary Care in 2025: Key Policy Priorities
Implementing High-Quality Primary Care in 2025: Key Policy Priorities Open
View article: A National Survey of Nursing Home Clinicians to Explain Increased Valproate Prescribing
A National Survey of Nursing Home Clinicians to Explain Increased Valproate Prescribing Open
View article: A Behind-the-Scenes Look at Practice Facilitation to Improve Delivery of Unhealthy Alcohol Use Screening and Management Services in Primary Care: A Qualitative Study
A Behind-the-Scenes Look at Practice Facilitation to Improve Delivery of Unhealthy Alcohol Use Screening and Management Services in Primary Care: A Qualitative Study Open
Background: In 2019, the Agency for Healthcare Research and Quality (AHRQ) funded 6 grantee teams to evaluate the effectiveness of practice facilitation (PF) as an implementation approach for improving the delivery of U.S. Preventive Servi…
View article: Actions to Transform US Preventive Services Task Force Methods to Mitigate Systemic Racism in Clinical Preventive Services
Actions to Transform US Preventive Services Task Force Methods to Mitigate Systemic Racism in Clinical Preventive Services Open
Importance: US life expectancy and health outcomes for preventable causes of disease have continued to lag in many populations that experience racism. Objective: To propose iterative changes to US Preventive Services Task Force (USPSTF) pr…
View article: Neighborhood Determinants of Primary Care Access in Virginia
Neighborhood Determinants of Primary Care Access in Virginia Open
There is an inadequate primary care workforce in Virginia. Structural factors, rather than predisposing, enabling, or need factors, contribute most to PCP access. Whereas Black segregated communities might have greater PCP access, rural co…
View article: 322 Use of the engage for equity framework to longitudinally assess community–academic partnerships
322 Use of the engage for equity framework to longitudinally assess community–academic partnerships Open
Objectives/Goals: Audience will understand the engage for equity CBPR conceptual framework used to develop our partnership survey. Audience will better understand our survey design and administration process. Audience will understand our i…
View article: Primary Care and Emergency Room Visits: The Virginia All-Payer Claims Database
Primary Care and Emergency Room Visits: The Virginia All-Payer Claims Database Open
Utilizing the Virginia APCD and GIS mapping, this study finds that primary care utilization is associated with lower rates of ER use. The maps show clear geographic patterns for both ER use and primary care utilization. Important next step…
View article: Trends in Emergency Department, Primary Care, and Behavioral Health Use for Pediatric Mental Health Conditions in Virginia before and during the COVID-19 pandemic
Trends in Emergency Department, Primary Care, and Behavioral Health Use for Pediatric Mental Health Conditions in Virginia before and during the COVID-19 pandemic Open
View article: Clinician Perspectives on Increased Gabapentinoid Prescribing in Nursing Homes
Clinician Perspectives on Increased Gabapentinoid Prescribing in Nursing Homes Open
View article: Moving from a pilot study to large pragmatic trial in primary care settings: A study on acute rhinosinusitis
Moving from a pilot study to large pragmatic trial in primary care settings: A study on acute rhinosinusitis Open
Background: Acute rhinosinusitis is one of the most common conditions seen in primary care. One in seven adults are diagnosed with ARS annually, resulting in one in five of all antibiotic prescriptions. Yet there has been limited research …
View article: Reducing Stigma Through Conversations in Primary Care About Unhealthy Alcohol Use
Reducing Stigma Through Conversations in Primary Care About Unhealthy Alcohol Use Open
View article: The relationship between food and housing insecurity and healthcare use among Virginia Medicaid expansion members: Considering the neighborhood context
The relationship between food and housing insecurity and healthcare use among Virginia Medicaid expansion members: Considering the neighborhood context Open
Objective To understand relationships between healthcare use and food and housing insecurity in Medicaid expansion members, as well as whether these relationships differ by rurality or residential segregation. Data Sources and Study Settin…
View article: NOSES (Nasal Steroids, Nasal Irrigation, Oral Antibiotics and Subgroup Targeting for Effective Management of Sinusitis) Trial
NOSES (Nasal Steroids, Nasal Irrigation, Oral Antibiotics and Subgroup Targeting for Effective Management of Sinusitis) Trial Open
CONTEXT: Acute rhinosinusitis (ARS) is so prevalent that it affects 15% of the adult population annually, and accounts for 20% of all antibiotics prescribed to adults in the outpatient setting. Evidence is needed to demonstrate the most ef…
View article: Risk of Acute Rhinosinusitis Progression Based on Duration of Symptoms, Method of Care, and Setting of Care
Risk of Acute Rhinosinusitis Progression Based on Duration of Symptoms, Method of Care, and Setting of Care Open
CONTEXT: One of the most common primary care illnesses is acute rhinosinusitis (ARS). Guidelines currently suggest treating ARS with antibiotics when persistent symptoms or double sickening occur. OBJECTIVE: To identify the factors associa…
View article: Adjunctive Saline Nasal Irrigation for Acute Rhinosinusitis: Results of a Randomized Pilot Study
Adjunctive Saline Nasal Irrigation for Acute Rhinosinusitis: Results of a Randomized Pilot Study Open
CONTEXT: Acute rhinosinusitis (ARS) affects 15% of the adult population annually, and accounts for 20% of adult outpatient antibiotic prescriptions. Evidence is needed to clarify effectiveness of standard treatment, which includes antibiot…
View article: Quality gap in nursing home antipsychotic quality measure performance increases over pandemic, reversing past gains
Quality gap in nursing home antipsychotic quality measure performance increases over pandemic, reversing past gains Open
CONTEXT: Since 2011, CMS has graded nursing home (NH) performance in antipsychotic (AP) prescribing quarterly, publishing findings as a quality measure (QM). While average AP prescribing has decreased since 2011, marked performance variati…
View article: Patient perspectives in addressing mental health needs in primary care
Patient perspectives in addressing mental health needs in primary care Open
CONTEXT: Primary care physicians often help patients with mental health concerns, but little is known about patients’ views of addressing their mental health needs within the primary care setting. OBJECTIVE: We evaluated the change in self…
View article: Implementation and Uptake of the Virginia Mental Health Access Program
Implementation and Uptake of the Virginia Mental Health Access Program Open
CONTEXT: There has been a steady increase in pediatric emergency department (ED) visits for mental health. These visits are costly and preventable, representing a failure to address the mental health needs of children. Increasing access to…