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A Message from the Editor-in-Chief: End of An Era
A final goodbye It is with a heavy heart that I write this last piece for Perspectives in Primary Care. Current financial realities have necessitated... -
An Underrated Barrier to Healthcare: It's Not Just About Cost
“Thank you for calling our free clinic. How can I help you?” I have spent countless hours listening to the pleas of people in desperate need of... -
A Guide to Geriatric Psychiatry Referral for Health Care Professionals and Caregivers
Our aging global population has the potential to enrich our communities, strengthen intergenerational relationships, and help preserve our cultural...
Archive
As of June 30, 2025, Perspectives in Primary Care is no longer active.
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
Primary Care Innovations in Medical Education during the COVID-19 Pandemic: Lessons from the Philippines
It has been almost two years since the beginning of the COVID-19 pandemic. This global health crisis continues to expose the vulnerabilities of health systems worldwide, especially in low- and middle-income countries such as the Philippines. While advanced hospital-based health care is required in treating the life-threatening complications of severe COVID-19, it is a
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 ...
How a Women’s Rights Organization in India is Changing the Culture
Years ago, a friend and I were coming home from university very late on a cool, breezy evening. The public transport was crowded, so we decided to walk home. On our way, as we crossed a dark, deserted alley, a group of men started following us, using abusive language, talking about our body parts loudly. We quickened our paces, they did the same. As we entered the street where my friend lived, we were in a state of panic. As these men crossed into ...
The Art of Meeting People Where They Are: A Community Partnership Approach for COVID Equity
Historic factors driving health disparities among the diverse Latino population in the U.S. include social determinants of health that have created barriers in COVID-19 prevention. As COVID-19 disparities became evident, dedicated clinicians, scientists and public health professionals from around the country partnered under the umbrella of the
Primary Care
Community Health
Health Policy
Social Determinants of Health
COVID-19
Public Health
Activism
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
Primary Care
Community Health
Health Equity
Health Policy
Social Determinants of Health
COVID-19
Public Health
Activism
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 ...
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 ...