Some of us may remember Marcus Welby, M.D., the TV show that highlighted the general practitioner who made house calls. I have vivid early childhood memories of my own family’s doctor, Dr. Gerry, coming to the house to tend to a sick family member. Years later I learned to make house calls, first as a medical student and then in my family medicine residency training. I can recall important moments visiting patients in their homes when I practiced in Lawrence, Massachusetts. My husband, also a family physician, recently mentioned a house call he made; this got me wondering why the thought of house calls provokes such strong and fond memories. I believe it is that they highlight the trust I had — first with my family doc, and then the trust I engendered with my patients.
Amid the flurry of misleading claims and disinformation about the Covid vaccine, we’re hearing recommendations to speak to one’s primary care provider for information we can trust about the Covid vaccine. A survey by the Larry A. Green Center revealed that people who were previously vaccine hesitant who then got vaccinated reported that receiving advice from their own doctor is what changed their mind. It makes sense that receiving advice tailored to one’s own health profile in one-on-one conversations provides a supportive and caring space to address questions and concerns in a way that results in increased confidence.
A robust primary care system is important for having better health as a country overall, and the essential elements of primary care are that it be comprehensive, continuous, accessible and coordinated. In other words, they’re always there for me when I need them, no matter what the complaint or concern, they can address most of my needs directly, and when additional help is needed they can connect me with who I need to see while keeping track of the various providers and recommendations to address my needs — all while supporting my ability to understand and take care of myself. These essential elements together contribute to building authentic relationship, and relationship is foundational to trust.
When people are talking about complex things like the Covid-19 virus and the pandemic we’re in, it’s important to have a trusting relationship with a health care provider with true expertise in medical science — whether an individual person or a practice — to help us sort through the noise presented to us by social media and politics. While house calls are less common today, trust is still at the center of the doctor-patient relationship. Your primary care provider stands ready to give it to you straight about the Covid-19 vaccine and is prepared to answer any questions you might have with your best interests at heart.
