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. 2021 Jun;99(2):519-541.
doi: 10.1111/1468-0009.12505. Epub 2021 Mar 30.

Long COVID and Health Inequities: The Role of Primary Care

Zackary Berger  1   2 , Vivian Altiery DE Jesus  3 , Sabrina A Assoumou  4   5 , Trisha Greenhalgh  6
Affiliations

Long COVID and Health Inequities: The Role of Primary Care

Zackary Berger et al. Milbank Q. 2021 Jun.

Abstract

Policy Points An estimated 700,000 people in the United States have "long COVID," that is, symptoms of COVID-19 persisting beyond three weeks. COVID-19 and its long-term sequelae are strongly influenced by social determinants such as poverty and by structural inequalities such as racism and discrimination. Primary care providers are in a unique position to provide and coordinate care for vulnerable patients with long COVID. Policy measures should include strengthening primary care, optimizing data quality, and addressing the multiple nested domains of inequity.

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Figures

Figure 1
Figure 1
Relationship Between Structural Inequalities and COVID‐19, Which Explains the “Confounders” in the High Mortality Rates for Some Ethnic Groups Adapted from an original diagram by Bentley 2 under Creative Commons License.
Figure 2
Figure 2
Framework for Multilevel Policy Intervention to Address Social Determinants of Health (reproduced from Solar and Irwin 102 ) [Color figure can be viewed at wileyonlinelibrary.com]
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention (CDC) . Health equity considerations and racial and ethnic minority groups. https://www.cdc.gov/coronavirus/2019‐ncov/community/health‐equity/race‐e.... Accessed September 9, 2020.
    1. Bentley GR. Don't blame the BAME: ethnic and structural inequalities in susceptibilities to COVID‐19. Am J Hum Biol. 2020:e23478. - PMC - PubMed
    1. Egede LE, Walker RJ. Structural racism, social risk factors, and COVID‐19—a dangerous convergence for black Americans. N Engl J Med. 2020;383:e77. - PMC - PubMed
    1. Hooper MW, Nápoles AM, Pérez‐Stable EJ. COVID‐19 and racial/ethnic disparities. JAMA. 2020;323(24):2466‐2467. - PMC - PubMed
    1. COVID Symptom Study . How long does COVID‐19 last? (blog). London, England: Kings College; 2020. https://COVID.joinzoe.com/post/COVID‐long‐term. Accessed October 1, 2020.