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Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond
John M Westfall1, Winston Liaw2, Kim Griswold2
1From the Robert Graham Center for Policy Studies in Primary Care, American Academy of Family Physicians, Washington, DC (JMW); Health Systems and Population Health Sciences, University of Houston, College of Medicine, TX (WL); Department of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo (KG); Departments of Family Medicine and Community Health, Population and Quantitative Health Sciences, General Medical Sciences and Sociology, and Case Comprehensive Cancer Center Case, Western Reserve University Cleveland, OH (KS); Farley Health Policy Center, University of Colorado School of Medicine Aurora, CO (LAG, LSH); Center for Professionalism and Value in Health Care, American Board of Family Medicine, Washington, DC (RP, AB); Departments of Family & Community Medicine and Population Health Sciences Lozano Long School of Medicine, University of Texas Health, San Antonio (CRJ); Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Virginia Commonwealth University, Richmond (KS, RSG); Cuyahoga County Board of Health, Parma, OH (HG); Department of Family Medicine, Oregon Health and Science University, Portland (JD); American Board of Family Medicine (JCP); Center for Community Health Integration, Case Western Reserve University, Cleveland, OH (KS, RSG). jwestfall@aafp.org.
Abstract:
The Coronavirus disease 2019 (COVID-19) pandemic has laid bare the dis-integrated health care system in the United States. Decades of inattention and dwindling support for public health, coupled with declining access to primary care medical services have left many vulnerable communities without adequate COVID-19 response and recovery capacity. "Health is a Community Affair" is a 1966 effort to build and deploy local communities of solution that align public health, primary care, and community organizations to identify health care problem sheds, and activate local asset sheds. After decades of independent effort, the COVID-19 pandemic offers an opportunity to reunite and align the shared goals of public health and primary care. Imagine how different things might look if we had widely implemented the recommendations from the 1966 report? The ideas and concepts laid out in "Health is a Community Affair" still offer a COVID-19 response and recovery approach. By bringing public health and primary care together in community now, a future that includes a shared vision and combined effort may emerge.
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