Perspectives in Primary Care: Family Medicine in a Divided Nation

When worlds collide: Socio-political conflict in patient care

“…It has been suggested that family medicine is uniquely poised to help heal the divide, 6 given that family physicians are on the front lines practicing in communities that reflect the geographic distribution of America’s population more than any other medical specialty. 7 Romano and Grumbach argue that the work of primary care is to appreciate the complexity of patient’s stories and to partner with patients, families, and communities to improve health.…”

“…This is even with the American Medical Association's (AMA) call for physicians to refrain from initiating political conversations during clinical encounters and edict that political views are not to interfere with the delivery of care. 5 It has been suggested that family medicine is uniquely poised to help heal the divide, 6 given that family physicians are on the front lines practicing in communities that reflect the geographic distribution of America's population more than any other medical specialty. 7 Romano and Grumbach argue that the work of primary care is to appreciate the complexity of patient's stories and to partner with patients, families, and communities to improve health.…”

In This Issue: Powerful Ideas for Action

“…1 They ask us to consider what it means to be a healthy society, and they issue 4 calls to action for family physicians and all who recognize our essential interrelatedness.…”

Poverty, by America

“…Multiple articles urge family medicine physicians to be informed about the impact of poverty on health. 1,2 Poverty increases the risk factors for disease and death; it limits opportunities for health and healing. Physicians are charged with addressing poverty and advocating for patients.…”

“…[4][5][6] Poverty, by America does not address health care specifically, and physicians may prefer to read more targeted investigations and recommendations related to health care. 2,4,6,7 However, if inroads are to be made regarding poverty, there is no escaping the need for advocacy for change at the societal level. It is a tall order for physicians, but ameliorating poverty may have a more significant impact on health outcomes than health care.…”