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.
Hospital Visitor Policies in the Context of COVID-19: Ensuring Support & Promoting Health Equity for Laboring Patients
After working the night shift, Mandy, now five months pregnant, travels close to two hours on public transportation to make it to her prenatal appointments. The day before, I send her a text message with a reminder and ask whether she plans to get the gumbo special of the day or a grilled cheese with tomato from the hospital’s surprisingly delicious cafeteria. As a first-year medical student, I am participating in a program that trains me to provide additional support to a pregnant patient who I’m partnered ...
Birth Equity Requires Hard Truths and New Leadership
In the wake of the COVID-19 pandemic, the United States is finally experiencing a cultural shift in consciousness and awareness of racial disparities. And meanwhile, the maternal health community’s reckoning with racism is accelerating. Black women in the United States die from pregnancy-related complications at
Education
Primary Care
Health Equity
Health Policy
Social Determinants of Health
Public Health
Activism
Why Harvard Medical School Could Be a Perfect Place to Train Family Medicine Physicians
In 1965, Harvard Medical School (HMS) had a thriving Family Medicine & Primary Care Residency—a visionary program that was strongly rooted in serving the vulnerable populations surrounding the HMS campus. Resident physicians trained to provide outpatient primary care across the life spectrum, working in partnership with Boston Children’s Hospital, Peter Bent Brigham Hospital, and Boston Lying-In Hospital (the latter two of which are Brigham & Women’s predecessor institutions). ...
A Model for Managing Outpatient COVID-19
On March 18, 2020, Cambridge Health Alliance (CHA) opened its COVID-19 outpatient clinic (now referred to as the acute care clinic), with the goal to triage and provide care for patients with respiratory symptoms, ultimately reducing strain on our local emergency departments. CHA is an academic community healthcare system based in the Boston area and serves ...
Primary Care
Health Systems Transformation
COVID-19
Behavioral Health / Mental Health
Value in Health Care
Here’s Why Mental Healthcare Is So Unaffordable & How COVID-19 Might Help Change This
If you ask a patient to describe their experience finding a therapist or psychiatrist in the community, don’t be surprised if ‘expensive,’ ‘difficult,’ and ‘discouraging’ are some of the first words that come to mind. The decades-long separation of mental healthcare from physical health has left patients and clinicians alike with serious challenges navigating options for care. And the cost has been much more than just inconvenience—our poorly integrated system is responsible for
How Our Clinical Public Health Curriculum Equipped Us to Respond to COVID-19
The authors are fourth year medical students at The George Washington University School of Medicine and Health Sciences who have been active participants in their medical school’s Clinical Public Health (CPH) curriculum. In response to the COVID-19 pandemic, the students applied their education to help launch and lead community response efforts, including creation of a