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.

Does Epidemiology Need a Rethink?

Epidemiology, the broad study of disease incidence and causality, has long formed the backbone of public health. Its rapid tabulations and population-level insights have made it an enduring discipline, which often shapes health policies across the globe. The ongoing COVID-19 pandemic has reasserted epidemiology’s relevance in disease control and prevention. As we have all ...

The Power of a Personalized Approach: Physicians’ Fight against Misinformation and Vaccine Hesitancy

“There was so much information out there, I didn’t know what to do. I just wish someone had convinced me to get the vaccine,” said a COVID-19 patient we cared for a few days after he had been transferred to the intensive care unit (ICU). Each day, we slowly turned up his oxygen. Each day, he could only manage a few words at a time as the virus, that has come to dominate all of our lives, ravaged his lungs. Every patient we have had in the ICU with COVID-19 in the last ...

Medication Abortion – Prioritizing Access in 2021 & Onward

Medication abortion is a common and important part of primary care…and access to safe abortion care will likely soon be made either harder or easier, depending on the state in which you live. The example of SB 8 in Texas is the most extreme currently, where no one can access an abortion in Texas if they are more than ...

Reflections on Tribal Primary Care in America

California of the pioneers, peopled by progressives of campsites with bear lockers of pines and berries of easy cilantro in markets of walnut milk of ocean vistas and Apple of fires in the woods. Our tribal health community “We want you to trust us with your primary health care,” I tell the 60-year-old patient whose body mass index (BMI) is just past obese. He is a native man who studied the classics in college and has been working on a book for 25 years. He lives with two sons ...

Addressing the Social Needs of Patients at Cambridge Health Alliance

Housing and food insecurity have always existed in Massachusetts, but the pandemic has exacerbated these issues. Cambridge Health Alliance (CHA), an academic community health system serving Cambridge, Somerville, and Boston’s metro-north region, has witnessed this firsthand and is addressing the nutritional and housing needs of patients by connecting them to community-based support through the MassHealth Flexible Services Program. The

How a Women’s Rights Organization in India is Changing the Culture

Years ago, a friend and I were coming home from university very late on a cool, breezy evening. The public transport was crowded, so we decided to walk home. On our way, as we crossed a dark, deserted alley, a group of men started following us, using abusive language, talking about our body parts loudly. We quickened our paces, they did the same. As we entered the street where my friend lived, we were in a state of panic. As these men crossed into ...

Harnessing the Therapeutic Potential of Music

"Music, uniquely among the arts, is both completely abstract and profoundly emotional. It has no power to represent anything particular or external, but it has a unique power to express inner states or feelings. Music can pierce the heart directly; it needs no mediation." -Oliver Sacks, MD, Musicophilia: Tales of Music and the Brain During my sub-internship stint at the neonatal intensive care unit (NICU) in New York's Mount Sinai hospital as a visiting international medical student, I witnessed board-certified music ...

Reframing the Debate: Health Care Access Requires Affordable Care, Not Just Coverage

Like many Americans, Hector, a resident of Revere, Massachusetts, was overwhelmed by health care costs. He had insurance through his employer, but he could barely afford his $600 a month premiums, and he quickly learned that his coverage was not enough to keep his out-of-pocket costs manageable. Needing treatment for hearing, liver and heart conditions, Hector faced deductible costs from hospital care, $175 co-pays per visit with his specialist, and ongoing prescription costs of more than $100 ...

Exploring Work That Scratches the Soul: Reflection on a Rural Health Independent Study

When my fellow Harvard Medical School classmates asked “what I was up to,” I called it my Rural Family Medicine Adventure Month. More formally, it was my extreme privilege and pleasure to learn Family Medicine across northern Maine and western Massachusetts as part of an independent study in rural primary care in June 2021. My travels brought me to the Jackman Community Health Center, the Northern Maine Medical Center, the Barre Family Health Center, the Behavioral Health Network Methadone Clinic, and the Community Health Center of Franklin County. I explored the ...
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