Garcia Jaquelin Flores, Peters Anne L, Raymond Jennifer K, Fogel Jennifer, Orrange Sharon
Children's Hospital Los Angeles, Los Angeles, CA.
University of Southern California, Los Angeles, CA.
Diabetes Spectr. 2022 Summer;35(3):266-275. doi: 10.2337/dsi22-0003. Epub 2022 Aug 15.
Disparities and inequities exist for individuals with diabetes in marginalized communities of color, especially among people with low socioeconomic status. Although these barriers are apparent, only a few care models have been designed for and examined in racially and ethnically diverse individuals. This article reviews models that have been developed and examined in a variety of different populations and focuses on how to implement elements from these programs in clinical practice. Health equity-promoting ideas and approaches that can be applied throughout the life span (children to seniors) are also included. As diabetes health care providers, researchers, educators, policymakers, and advocates, we must now combine our efforts and focus on historically excluded populations to bridge the gap to essential diabetes care.
在边缘化的有色人种社区中,糖尿病患者面临着差异和不平等,尤其是在社会经济地位较低的人群中。尽管这些障碍很明显,但专门为不同种族和族裔的人群设计并进行检验的护理模式却很少。本文回顾了在各种不同人群中已开发和检验的模式,并重点关注如何在临床实践中应用这些项目的要素。还包括了可应用于整个生命周期(从儿童到老年人)的促进健康公平的理念和方法。作为糖尿病医疗服务提供者、研究人员、教育工作者、政策制定者和倡导者,我们现在必须共同努力,关注历史上被排除在外的人群,以缩小获得基本糖尿病护理的差距。