Angel Benson
September 6th, 2022
HSCI 710 Healthcare Delivery Systems
Vulnerable Populations Assignment
Introduction
Diabetes is a serious medical condition that affects minorities disproportionately. If
current trends continue, one out of every three children born in the United States after 2000 will
develop diabetes; for ethnic minorities, such as blacks and Latinos, one out of every two children
will develop diabetes (Gonzalez,2016). People who belong to vulnerable populations are those
who are rendered helpless and at a disadvantage because of their financial situation, place of
residence, health, age, personal traits, developmental status, capacity for effective
communication, and presence of a chronic illness, disability, or incapacity.
A specific type of health contrast that is closely linked to social or economic
disadvantages is known as health disparities. These distinctions can be influenced by health
determinants, which include a variety of individual, social, financial, and environmental
variables/that influence health status (Gonzalez,2016). Health inconsistencies affect vulnerable
populations as a result of social and actual determinants of health (Gonzalez,2016).
Consequently, it is critical that we address the social, economic, and physical determinants of
health as we continue to look into what makes some people healthier than others.
Vulnerable Populations at Risk for Diabetes
Diabetes will inevitably affect people from minority populations, according to Healthy
People 2020/(Kyrou,2020). Minority groups account for 25% of adult diabetic patients in the
United States, as well as the majority of diabetic children and young adults (Kyrou,2020).
African Americans, Hispanic/Latino Americans, American Indians, and some Asian Americans,
Native Hawaiians, and other Pacific Islanders are especially vulnerable to diabetes progression
(Kyrou,2020).
Health care challenges in terms of access, quality, and cost
The economic and health problems that arise when diabetes manifests are exaggerated by
limited access to care, particularly among the less fortunate and vulnerable populations of the
general public. Numerous studies demonstrate that those who are unemployed and uneducated,
especially those who reside in semi-urban or rural areas and do not have access to or cannot
afford even the most basic medical care, are more likely to experience a delayed diagnosis or
exhibit early signs of complications (Kapur, 2017). A strong indicator of diabetes diagnosis and
effective management has been shown to be one's financial situation. The fact remains/that those
who require more expensive, advanced care for complications related to diabetes are also those
who are struggling to pay for that care has significant socioeconomic implications. (Kapur,
2017).
According to data, having diabetes is associated with a higher mortality rate. The general
effect of diabetes among the disadvantaged is caused not only by early childhood programming,
social determinants, and increased exposure to risk factors, but also by limited access to diabetes
diagnosis and treatment, as well as exceptionally low quality of care, if any at all (Kapur, 2017).
Identify and evaluate 2 current solutions
The development of risk factors for the progression of diabetes in ethnic minority groups can
be strongly influenced by culturally appropriate interventions across facilitators, language, area,
and informing (Lagisetty, 2017). Minorities are frequently underserved and can avoid routine
monitoring of chronic conditions and persistent conditions for a variety of reasons. The
accessibility of services could be increased by a web-based intervention.
2 positive effects of the solution
A long-term patient-provider partnership could be formed through an online intervention.
This can motivate patients to take responsibility for their own health, resulting in better patient
outcomes.
Describe 2 negative effects of the solution
Minority health education that is culturally appropriate can have a short to medium term
effect on glycemic control, diabetes knowledge, and potential healthy lifestyles (Lagisetty,2017).
Inline information can be misunderstood and incorrectly understood, making it difficult to gauge
the comprehension of an entire community, let alone each individual member.
2 solutions that may mitigate the chronic disease among the vulnerable population
For distressed populations, short-term group-based educational programming aimed at
expanding diabetes knowledge may not be very motivating. Mediations appear to need
organizational information sources that go far beyond typical diabetes education programs in
order to achieve long-term success. However, it should be done in each setting to suit the
circumstances. The time and effort required to adapt mediations to different communities is
likely to yield significant benefits. Fitting in the evaluated teachings would be critical for culture
and health education, both of which require significant ability and knowledge of neighborhood
networks and the population being served. One-on-one attention from exceptionally skilled
facilitators is necessary in order to achieve a serious level of responsiveness to individual needs
and use social skills.
Biblical perspective in leadership response
Isaiah 41:10 says, “So do not fear, for I am with you; do not be dismayed, for I am your
God. I will strengthen you and help you; I will uphold you with my righteous right hand.”
We have the assurance of God's power. We pray to the Lord that He will guide us in
following his word as God's children. Upholding our end of the bargain regarding what he wants
for us requires that we utilize the resources put in place to help us become better. Never will he
present a case that cannot be successfully handled. We have access to God's strength at all times
as His children, including in the midst of the challenges he sends our way to strengthen our faith.
Conclusion
The cycles and outcomes of diabetes care are impacted by lack of health insurance. In
addition to framework-level interventions, completely eliminating disparities will necessitate
individualized, patient-focused, and socially acceptable procedures (Standards of Medical Care
in Diabetes, 2017). Typically, organized interventions—like web-based information sessions—
that are created for various populations and take into account culture, language, economics,
religion, proficiency, and numeracy abilities are the most significant (Standards of Medical Care
in Diabetes, 2017). The effort is still necessary to maintain access for minorities even though
positive results might not be seen for some time.
References
Gonzalez, A. (2012). Vulnerable Populations and Diabetes: Preface. Diabetes Spectrum, 25(1),
6–7. https://doi.org/10.2337/diaspect.25.1.6
American Bible Society. (1995). Holy bible.
Kapur, A., Schmidt, M. I., & Barceló, A. (2015). Diabetes in Socioeconomically Vulnerable
Populations. International Journal of Endocrinology, 2015, 1–2.
https://doi.org/10.1155/2015/247636
Kyrou, I., Tsigos, C., Mavrogianni, C., Cardon, G., Van Stappen, V., Latomme, J., Kivelä, J.,
Wikström, K., Tsochev, K., Nanasi, A., Semanova, C., Mateo-Gallego, R., Lamiquiz-
Moneo, I., Dafoulas, G., Timpel, P., Schwarz, P. E. H., Iotova, V., Tankova, T.,
Makrilakis, K., & Manios, Y. (2020). Sociodemographic and lifestyle-related risk factors
for identifying vulnerable groups for type 2 diabetes: a narrative review with emphasis on
data from Europe. BMC Endocrine Disorders, 20(S1). https://doi.org/10.1186/s12902-
019-0463-3
Glazier, R. H., Bajcar, J., Kennie, N. R., & Willson, K. (2006). A Systematic Review of
Interventions to Improve Diabetes Care in Socially Disadvantaged Populations. Diabetes
Care, 29(7), 1675–1688. https://doi.org/10.2337/dc05-1942
Lagisetty, P. A., Priyadarshini, S., Terrell, S., Hamati, M., Landgraf, J., Chopra, V., & Heisler,
M. (2017). Culturally Targeted Strategies for Diabetes Prevention in Minority
Population. The Diabetes Educator, 43(1), 54–77.
https://doi.org/10.1177/0145721716683811
Promoting Health and Reducing Disparities in Populations. (2016). Diabetes Care,
40(Supplement 1), S6–S10. https://doi.org/10.2337/dc17-s004
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