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.

The Changing Landscape of Telehealth Amidst the COVID-19 Pandemic

Merv is my 94-year-old patient living in Washington, D.C. in the midst of the COVID-19 pandemic, attempting to continue his treatments for diabetes, hypertension, and leukemia. He’s at significantly increased risk for severe COVID infection, though fortunately, due to Medicare’s

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 ...

Focusing Upstream: Imagining Post-COVID Times

As the daily death toll for COVID-19 continues to climb across the United States, it may be difficult to consider post-pandemic times. Yet despite the messy

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

Training a Contact Tracing Workforce on Navajo Nation

COVID-19 reached the Navajo Nation in March 2020 and spread quickly, recording some of the highest rates in the country. Leveraging more than a decade ...

The Impact of Neighborhoods on Racial & Ethnic Inequities in COVID-19

As 2021 opens with US COVID-19 cases soaring, racial/ethnic inequities persisting, and

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 ...

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
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