RT Journal Article SR Electronic T1 Primary Care’s Challenges and Responses in the Face of the COVID-19 Pandemic: Insights From AHRQ’s Learning Community JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 76 OP 82 DO 10.1370/afm.2904 VO 21 IS 1 A1 Jenna T. Sirkin A1 Elizabeth Flanagan A1 Sebastian T. Tong A1 Megan Coffman A1 Robert J. McNellis A1 Tracy McPherson A1 Arlene S. Bierman YR 2023 UL http://www.annfammed.org/content/21/1/76.abstract AB The COVID-19 pandemic dramatically disrupted health care systems and delivery in the United States. Despite emotional, psychological, logistical, and financial stress, primary care clinicians responded to the challenges that COVID-19 presented and continued to provide essential health services to their communities. As the lead federal agency for primary care research, the Agency for Healthcare Research and Quality (AHRQ) identified a need to engage and support primary care in responding to COVID-19. AHRQ initiated a learning community from December 2020-November 2021 to connect professionals and organizations that support primary care practices and clinicians. The learning community provided a forum for participants to share learning and peer support, better understand the stressors and challenges confronting practices, ascertain needs, and identify promising solutions in response to the pandemic. We identified challenges, responses, and innovations that emerged through learning community engagement, information sharing, and dialog. We categorized these across 5 domains that reflect core areas integral to primary care delivery: patient-centeredness, clinician and practice, systems and infrastructure, and community and public health; health equity was crosscutting across all domains. The engagement of the community to identify real-time response and innovation in the context of a global pandemic has provided valuable insights to inform future research and policy, improve primary care delivery, and ensure that the community is better prepared to respond and contribute to ongoing and future health challenges.