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.

Stories

The Salutary Impact of Listening to the Trauma Story

I entered the Brighton Marine Public Health Center in Massachusetts in December 1981, where hundreds of Indochinese refugees were being medically screened after the fall of Saigon. I’ll never forget my first patient—a middle-aged Cambodian woman with major hearing loss. During the exam, she told me that her hearing loss began after being beaten unconscious by the Khmer Rouge soldiers and left for dead on a pile of the bodies of her relatives. At the time, I knew nothing about the Khmer Rouge regime in Cambodia. I had no training on the impact of extreme violence on ...
Advocacy

Physical Activity and Health: Move to Live More!

For medical and public health practitioners working on the COVID-19 response, infectious disease is what we see all day every day. But when we look beneath the surface, we see the extent to which this infectious disease pandemic is fueled by an underlying chronic disease pandemic. Deemed its own
Reference

Improving Health Care Access by Meeting Patients Where They Are

Throughout the last two years, the COVID-19 pandemic has magnified many existing inequities in health care and throughout society. CommunityHealth, a free health clinic in Chicago, saw its patients face these ...
Advocacy

The Divinity of Doula Care: A Framework for Understanding the Essential Care Providers Shaping Perinatal Outcomes

The term “doula” is the latest buzzword appearing everywhere, from social media and podcasts to federal and statewide legislation and health care policy. This popularity may be attributable to the recent increase of peer-reviewed research that demonstrates what has long been communal knowledge—that this ...
Advocacy

Finding the Courage and Will to Achieve Health Equity: Asking the Right Questions

The ongoing COVID-19 pandemic and instances of racism against Black individuals have resulted in dangerous health outcomes for Black Americans, particularly given Black/African Americans are
Advocacy

Vaccine Rollout and the Great Divide: Communities of Color Deserve More from Our Health Care System

I remember getting this phone call from a friend and feeling helpless: I want my grandmother who lives in Boston to get vaccinated, but I don't have transportation to get her to one of the mass vaccination sites, and also I don't feel comfortable taking her out of her home. She is 90 years old with underlying conditions which places her in the high-risk category. ...
Stories

Trauma-Informed, Holistic Health Care: A Journey from Patient to Advocate

PurpLE Health Foundation is a non-profit organization in New York City, which invests in the physical, mental, and financial health of survivors of gender-based violence. PurpLE Health Foundation’s signature program is its collaboration with
Advocacy

Lessons in Health Equity Learned During the Pandemic

In the spring of 2020, as the pandemic bore down on our country, I was appointed to the COVID-19 Vaccine Advisory Group to help guide the executive branch on communication, distribution, and equity issues relating to the distribution of vaccines. My role as the President and CEO of the state’s ...
Reference

Addiction and Recovery: The Importance of Human Connection

From April 2020-2021, 100,306 parents, spouses, siblings, friends, colleagues, and neighbors in the United States died from fatal overdose—a 28.5% increase from the year ...
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