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.

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 ...

Homelessness Amidst the COVID-19 Pandemic: How the Perry Street Recovery Center Reminds Us to Prioritize Community Partnerships

In January 2020, Tom was 61 years old when he was evicted from his home. In the following months, an already distressing and traumatic experience was further exacerbated by the COVID-19 pandemic. Tom was living in a shelter when he first tested positive for COVID-19. He said, “I was alright, but I didn’t know what [a positive test result] meant for me.” And Tom’s story is extremely common. When people living in congregate shelters test positive for COVID-19, they have limited options. If ...

Sex Ed Isn’t Actually About Sex

As a teen in rural Appalachia, I didn’t know what I was missing when it came to my abstinence-only sex education. It wasn’t until I endured an emotionally abusive relationship as a young medical student that I began to question how I, as a strong, independent woman, could end up in something so psychologically toxic. After gaining the silent courage to leave that relationship, I did a deep dive into unhealthy relationships and how we, as a society, can prevent this type of violence. ...

Spirituality and Health

When a person becomes a patient, their sense of innate humanity has a way of being negated—their clothes are replaced with a hospital gown, they are placed in a patient room, and all of the subtle intricacies that make up their personhood pale in comparison to their illness and identity as a patient. They are their illness. Introducing spirituality in healthcare is a way to humanize an otherwise sterile and foreign experience within the context of a person’s values and beliefs. We know spirituality is valued in healthcare: hospital chaplains and multi-faith chapels pepper ...

The Current State of COVID-19 Vaccination Efforts in Children

Children are absolutely essential to the success of COVID-19 vaccination efforts, as children aged 0-15 years compose nearly 20% of the United ...

Men and Primary Care: Removing the Barriers

A recent study of British dental patients found that men are more likely than women to be hospitalized due to severe dental disease. Why? Because men delay seeking help at earlier disease stages when their condition would be easier to treat. While it’s a myth to assume that all or even most men do not use, or largely avoid, primary care, there is nevertheless good evidence that services are under-utilized by many. In one Australian study,

Consequences of COVID-19: Addressing Social Isolation From Physical Distancing in Older Adults

Ms. B sits alone at home day after day, grieving. Ever since one of her loved ones died last fall in the midst of the COVID-19 pandemic, Ms. B has found herself struggling with feelings of depression and loneliness. Recently retired and isolated from her nearby family due to pandemic precautions, she has no one to talk to, no one to share her grief with. Ms. B tearfully ...