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.

Advocacy

Whose Trauma? De-Colonizing Post-Traumatic Stress Disorder and Refugee Mental Health Frameworks

Post-traumatic stress disorder (PTSD) and trauma needs in the Arab region The unprecedented political violence that swept the Arab region in the last century, from the Nakba of the Palestinain people to the wars in Iraq, Sudan, Libya, Syria, and Yemen, have ...
Insights

Arab American Research Gaps and a Survey of its Solutions

A little thought exercise Think of the simplest pieces of health information that we know, rely upon, and understand in society. Smoking causes lung cancer, insulin resistance precedes type-2 diabetes, lead bears a detrimental impact on child health. Because of applied public health, surveillance programs, population health metrics, and increased data ...
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

ACE Scores: The New Fifth Vital Sign?

Every day in the hospital, and during every visit to the clinic or emergency room, we pay scrupulous attention to your vital signs: heart rate, temperature, respiratory rate, and blood pressure. These numbers are the bedrock of understanding what is happening with a patient’s health. We should add another number to this group: the Adverse Childhood Event (ACE) score. The significance of Adverse Childhood Event (ACE) scores The ACE score was developed in California ...

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 ...

Decentralizing Knowledge in Public Health Education, One Course at a Time

We can see structural determinants of health all around us, like when we see factories and truck routes constructed in low-income minority neighborhoods. We also see structural determinants when

The American Rescue Plan Act of 2021 & Emerging Opportunities for Community-Based Healthcare

As the largest system for primary care in the United States, federally qualified health centers (FQHCs) (and other community health centers) stand in a unique position to redress the

Health Equity & Reproductive Justice: Transforming Perinatal Care Now

Drug-involved fatal poisonings for 2020 are expected to reach over

From Redlining to Gentrification: The Policy of the Past that Affects Health Outcomes Today

In the 1980s, a set of historical city maps resurfaced to reveal a hidden facet of our neighborhoods—the redlined status. As it turns out, the implementation of these maps saved the housing sector and bolstered prosperity for some demographic groups but increased disparities in homeownership, wealth, and health for others. The structural inequalities set in place by federal policies over 80 years ago are still evident in communities today. As our ...
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