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.
Primary Care
Health Equity
COVID-19
Global Health
BIPOC
Behavioral Health / Mental Health
Addiction / Substance Use Disorder
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 ...
Health Equity
Health Policy
Social Determinants of Health
Public Health
Activism
Trauma
Sexual and Reproductive Health
Addiction / Substance Use Disorder
LGBTQIA+
Health Equity & Reproductive Justice: Transforming Perinatal Care Now
Drug-involved fatal poisonings for 2020 are expected to reach over
Community Health
Social Justice
Health Policy
Public Health
Activism
Trauma
BIPOC
Behavioral Health / Mental Health
Addiction / Substance Use Disorder
Evolving Concepts of Justice and Safety
Criminalizing survival Rachel stayed. She stayed to survive, and for that the criminal legal system labeled her a “frequent flyer.” When she called 911, she was lucky if she got a couple hours reprieve from her long-time partner’s life-threatening abuse before he returned home. He would often return home bragging about the arresting officer making a pit stop for him at a nearby ATM to make his bond—a common ...
Health Equity
Health Policy
Social Determinants of Health
COVID-19
Public Health
Environment / Climate
BIPOC
Addiction / Substance Use Disorder
The Original Pandemic: Commercial Tobacco
All mentions of tobacco in this article refer to commercial tobacco and nicotine products and not sacred and traditional use of tobacco by some Native American communities. This article is solely for informational educational purposes and is not meant to lobby and/or express, promote, or influence support or opposition on any ...
Treating the Opioid Crisis: Current Trends and What’s Next
Throughout the past decade, the U.S. has seen a dramatic shift in addiction medicine research, clinical practice, and related stigma in seeking care. Throughout this piece, we will explore the top six trends related to treating the opioid crisis, and we’ll consider what may be next. The Opioid Epidemic Opioid addiction has existed for centuries. But deaths from opioid overdose in the U.S. have rapidly risen since the 1990s, which started as prescription opioids were prescribed more liberally for ...
Integrating Addiction Treatment in Primary Care: Training Needs and Novel Approaches
Addiction is a chronic medical condition that carries significantly elevated risk of morbidity and mortality, as the sequelae of substance use disorders (SUD) can be severe and life-altering. While evidence-based treatments for SUD exist, many people face barriers to accessing care. For example, of the approximately 20 million people living with addiction in the United States in 2019, only 12.2% received ...