Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Making Do In Missouri: A Rural OB/Gyn’s Efforts to Improve Access to Care

In the Show-Me State, a wave of rural hospital closures began in the 2010s and continued into the next decade, recently hitting Boonville, Missouri, ...

Decentralizing Knowledge in Public Health Education, One Course at a Time

We can see structural determinants of health all around us, like when we see factories and truck routes constructed in low-income minority neighborhoods. We also see structural determinants when

The American Rescue Plan Act of 2021 & Emerging Opportunities for Community-Based Healthcare

As the largest system for primary care in the United States, federally qualified health centers (FQHCs) (and other community health centers) stand in a unique position to redress the

Health Equity & Reproductive Justice: Transforming Perinatal Care Now

Drug-involved fatal poisonings for 2020 are expected to reach over

From Redlining to Gentrification: The Policy of the Past that Affects Health Outcomes Today

In the 1980s, a set of historical city maps resurfaced to reveal a hidden facet of our neighborhoods—the redlined status. As it turns out, the implementation of these maps saved the housing sector and bolstered prosperity for some demographic groups but increased disparities in homeownership, wealth, and health for others. The structural inequalities set in place by federal policies over 80 years ago are still evident in communities today. As our ...

Homelessness Amidst the COVID-19 Pandemic: How the Perry Street Recovery Center Reminds Us to Prioritize Community Partnerships

In January 2020, Tom was 61 years old when he was evicted from his home. In the following months, an already distressing and traumatic experience was further exacerbated by the COVID-19 pandemic. Tom was living in a shelter when he first tested positive for COVID-19. He said, “I was alright, but I didn’t know what [a positive test result] meant for me.” And Tom’s story is extremely common. When people living in congregate shelters test positive for COVID-19, they have limited options. If ...

Sex Ed Isn’t Actually About Sex

As a teen in rural Appalachia, I didn’t know what I was missing when it came to my abstinence-only sex education. It wasn’t until I endured an emotionally abusive relationship as a young medical student that I began to question how I, as a strong, independent woman, could end up in something so psychologically toxic. After gaining the silent courage to leave that relationship, I did a deep dive into unhealthy relationships and how we, as a society, can prevent this type of violence. ...

Spirituality and Health

When a person becomes a patient, their sense of innate humanity has a way of being negated—their clothes are replaced with a hospital gown, they are placed in a patient room, and all of the subtle intricacies that make up their personhood pale in comparison to their illness and identity as a patient. They are their illness. Introducing spirituality in healthcare is a way to humanize an otherwise sterile and foreign experience within the context of a person’s values and beliefs. We know spirituality is valued in healthcare: hospital chaplains and multi-faith chapels pepper ...

The Current State of COVID-19 Vaccination Efforts in Children

Children are absolutely essential to the success of COVID-19 vaccination efforts, as children aged 0-15 years compose nearly 20% of the United ...