Biospychosocial Population Health Policy Proposal Discussion

Introduction

Health disproportionality continues to affect vulnerable populations, including ethnic minority groups and those with low social economic status. This has been the case also for diabetes as these vulnerable groups continue to face higher morbidity and mortality rate. Barriers such as financial constraints, limited education, and limited mental health support contribute to the disproportionality of type 1 diabetes among the vulnerable group (Gumber & Gumber, 2017). In efforts to address inequality and improve the health outcomes of these populations, a policy can be implemented. The policy could aim to address risk factors, barriers, or management of T1DM. This paper aims to develop a policy proposal that seeks to enhance the outcomes of ethnic minority groups with TIDM. Biospychosocial Population Health Policy Proposal Discussion

The Proposed Policy

Implementing a policy that addresses the risk factors and social determinants of health can help reduce the disparities of T1DM among minority groups. A critical aspect that would address the issue is implementing tailored education and support programs for the vulnerable population. This policy would focus on providing specialized educational resources and community support for the prevention and management of type 1 diabetes. The policy will address specific barriers and social determinants of health that contribute to the prevalence of TIDM in minority groups. Through the policy, patients and at-risk individuals will have adequate knowledge and skills in diabetes management and prevention which consequently impact health outcomes and quality of care.

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The guidelines for implementing this policy will involve providing culturally sensitive education and promoting community engagement. When conducting education programs, it is important to provide culturally sensitive education. This involves providing educational materials and resources that reflect consideration of the cultural beliefs, backgrounds, and preferences of minority groups.  This will promote treatment adherence and improved self-management practices. It is also important that the policy integrates community engagement whereby, workshops and local support groups will be established. The groups and workshops will create a platform for individuals to connect and learn about risk factors, prevention, and management of type 1 diabetes. Biospychosocial Population Health Policy Proposal Discussion

The Need for the Proposed Policy in the Context of Current Outcomes and Quality of Care

The existing health disproportionality of outcomes and quality of care continues to create the urgency of implementing tailored education and support programs for minority groups. According to Agarwal et al., (2020), minority patients with T1DM continue to encounter disproportionalities in glycemic control, diabetes-related complications hospitalization, psychiatric comorbidity, and mortality rates. The inequalities are further exacerbated by a lack of insurance coverage that creates a barrier in accessing quality care, in addition, discrimination in care among the population contributes to poor quality care of minority patients with T1DM. Therefore, there is a need to improve the outcomes and quality of care to address the disproportionalities encountered by these minority groups.

Implementing the policy will address the disparities in health outcomes as it will empower patients and individuals with adequate skills and knowledge of T1DM prevention and management. A study by Pacheco et al. (2017), showed that structured education programs bring about positive health outcomes and improved glycemic control in patients with T1DM. Thus, the policy will be effective by enhancing health literacy on prevention and management, improving self-management behaviors which will ultimately reduce the high morbidity and mortality rates of the disease among the target group. Biospychosocial Population Health Policy Proposal Discussion

Interprofessional Approach to Implementing the Proposed Policy

Leveraging expertise from multiple healthcare disciplines can help achieve high-quality outcomes. Interprofessional best practices such as collaborative care teams and shared-decision making can contribute to the successful implementation of the policy.  Involving different healthcare professionals to implement the tailored education and support program will facilitate the delivery of comprehensive patient care. A study by Abdulrhim et al. (2021) revealed the utilization of a comprehensive care model where multiple healthcare professionals collaborate in the management of diabetes was associated with optimal care and positive patient outcomes. As such, different healthcare professionals such as nurses, dieticians, physicians, endocrinologists, and social workers will collaborate to implement the policy. The approach will encourage open communications which fosters shared decision making consequently promoting informed treatment choices and enhanced self-management practices. In addition, an interprofessional collaboration approach will help address the multifaceted challenges of minority groups which promotes a holistic approach to care as it considers individual patient needs.

Conclusion

In conclusion, the prosed policy of a tailored education and support program is a viable approach to addressing the health disproportionality of minority patients with type 1 diabetes. The policy aims to empower patients and individuals of minority groups with skills and knowledge for effective self-management. The increased prevalence of type 1 diabetes among minority populations prompts the need to implement the policy. An interprofessional collaborative approach will be effective in addressing the unique challenges encountered by the population. This will facilitate a holistic approach to the management and treatment of type 1 diabetes. Ultimately, the policy will address the health disparity of type 1 diabetes experienced by these minority groups. Biospychosocial Population Health Policy Proposal Discussion

References

Abdulrhim, S., Sankaralingam, S., Ibrahim, M. I., Diab, M. I., Hussain, M. A., Al Raey, H., Ismail, M. T., & Awaisu, A. (2021). Collaborative Care Model for diabetes in primary care settings in Qatar: A qualitative exploration among healthcare professionals and patients who experienced the service. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06183-z

Agarwal, S., Kanapka, L. G., Raymond, J. K., Walker, A., Gerard-Gonzalez, A., Kruger, D., Redondo, M. J., Rickels, M. R., Shah, V. N., Butler, A., Gonzalez, J., Verdejo, A. S., Gal, R. L., Willi, S., & Long, J. A. (2020). Racial-ethnic inequity in young adults with type 1 diabetes. The Journal of Clinical Endocrinology & Metabolism, 105(8). https://doi.org/10.1210/clinem/dgaa236

Gumber, A., & Gumber, L. (2017). Improving prevention, monitoring and management of diabetes among ethnic minorities: Contextualizing the six G’s approach. BMC Research Notes, 10(1). https://doi.org/10.1186/s13104-017-3104-9

Pacheco, A. P., Sande-Lee, S. van, Sandoval, R. de, Batista, S., & Marques, J. L. (2017). Effects of a structured education program on glycemic control in type 1 diabetes. Archives of Endocrinology and Metabolism, 61(6), 534–541. https://doi.org/10.1590/2359-3997000000278 Biospychosocial Population Health Policy Proposal Discussion

Analysis Of The Vulnerable Population

Vulnerable populations in healthcare refer to groups of people who are at a higher risk of experiencing health disparities and face barriers to accessing quality care. These populations often have unique healthcare needs and may encounter challenges in obtaining adequate medical services. Patients with Type 1 diabetes mellitus (T1DM) can be considered a vulnerable population due to various factors that impact their health and well-being. T1DM is a lifelong chronic condition that requires continuous management and monitoring. Patients with T1DM may face challenges in maintaining stable blood glucose levels, which can lead to acute complications like diabetic ketoacidosis or long-term complications affecting various organs (Roep et al., 2021). There is limited access to healthcare services due to financial barriers, lack of health insurance, or a shortage of healthcare facilities in their area. Managing T1DM can be costly due to the need for frequent doctor visits, diabetes medications, insulin, glucose monitoring supplies, and potential hospitalizations. Financial strain may prevent some patients from accessing proper care or adhering to treatment plans. Living with a chronic condition like T1DM can cause emotional distress, anxiety, and depression. Coping with the daily demands of diabetes management and the fear of complications can take a toll on a patient’s mental well-being. the assignment is a discussion of vulnerable populations, the views of their illness, the pros and cons, and how interprofessional teams can improve the quality of care and the outcome. Biospychosocial Population Health Policy Proposal Discussion

Type One Diabetes Mellitus

Type 1 diabetes mellitus (T1DM) is a chronic autoimmune disorder characterized by the destruction of insulin-producing beta cells in the pancreas. In individuals with T1DM, the immune system mistakenly attacks and destroys these cells, leading to little to no production of insulin, the hormone responsible for regulating blood sugar levels. Without sufficient insulin, glucose cannot enter the body’s cells to provide energy, resulting in elevated blood glucose levels (Roep et al., 2021). This condition requires lifelong insulin therapy, typically delivered through injections or insulin pumps, to maintain proper glucose control. T1DM often develops in childhood or early adulthood, but it can occur at any age due to genetic and environmental factors.

Analysis Of Type One Diabetes Mellitus

The target population for our efforts is individuals with Type 1 diabetes across all age groups, with a particular focus on those from low-income backgrounds, minority communities, and underserved areas. These individuals may face additional challenges in accessing quality healthcare, diabetes education, and essential resources for effective diabetes management. The positive views emphasize the significance of personalized diabetes care plans that consider patients’ unique needs, preferences, and lifestyle factors (Verma et al., 2020). This approach promotes patient engagement and adherence to the treatment plan. Technological innovations in diabetes management highlight the value of continuous glucose monitoring (CGM) systems and insulin pumps to control the patient. A multidisciplinary approach among healthcare professionals, including nurses, physicians, dietitians, and mental health specialists ensures comprehensive and holistic care for patients with T1DM. Biospychosocial Population Health Policy Proposal Discussion

The negative views are financial barriers, limited diabetes education, and mental health support. The cost of advanced diabetes technologies can limit accessibility for vulnerable populations, exacerbating health disparities. A lack of adequate diabetes education and self-management resources may hinder patients’ ability to effectively manage their condition. Neglecting mental health support can lead to emotional distress and impact diabetes management outcomes. While tight glycemic control is essential for preventing long-term complications, there could be opposing views on the potential risks of hypoglycemia associated with aggressive glucose management. Some might argue that overly strict glycemic targets can lead to an increased risk of hypoglycemic episodes and adversely impact quality of life (Verma et al., 2020). Certain research findings related to T1DM might generate debates within the scientific community, leading to differences in interpretation and potential disagreements on the most effective treatment approaches. A subset of individuals might express skepticism or opposition to conventional medical treatments and advocate for alternative or complementary therapies as the primary approach to managing T1DM. Some opposing views may center around individual responsibility for diabetes management while healthcare professionals often stress the importance of self-management, there might be opinions that patients should bear full responsibility for their health outcomes. Biospychosocial Population Health Policy Proposal Discussion

How Interprofessional Team Can Encourage Support Of Patients With Type One Diabetes Mellitus

The interprofessional team can respond to encourage support of patients with Type 1 diabetes mellitus (T1DM) through various strategies that focus on comprehensive care, patient empowerment, collaboration, and the development of personalized care plans for each patient with T1DM. Consider their unique needs, lifestyle, cultural background, and preferences in creating a treatment plan. Involving patients in the decision-making process can improve adherence and patient satisfaction. Prioritize diabetes education for patients and their families to enhance their understanding of T1DM, self-management skills, and the importance of adhering to the treatment plan. Educating patients about their condition empowers them to take an active role in managing their diabetes effectively. Advocating for improved access to diabetes technologies, such as continuous glucose monitoring (CGM) systems and insulin pumps, especially for vulnerable populations.

Collaborate with insurers and policymakers to make these tools more affordable and accessible. Recognizing the emotional challenges that individuals with T1DM may face and integrating mental health support into diabetes care. Screen patients for signs of distress or anxiety related to their condition and provide access to counseling or support groups as needed. Fostering collaboration among healthcare professionals, including nurses, physicians, dietitians, pharmacists, and mental health specialists. Working together as an interprofessional team ensures a holistic approach to patient care and addresses various aspects of the patient’s well-being. Establishing partnerships with local organizations, support groups, and community resources to provide additional support to patients with T1DM. This can include access to affordable healthy food options, exercise programs, and diabetes education classes. Biospychosocial Population Health Policy Proposal Discussion

The Role Of Interprofessional Teams To Improve The Outcome Of Type One Diabetes

To improve the quality of health care and outcomes in Type 1 diabetes mellitus (T1DM), an interprofessional team can implement several strategies that focus on comprehensive care, evidence-based practices, and patient empowerment. Development and implementation of standardized care protocols for T1DM management to ensure consistency in care delivery across all healthcare professionals involved in the patient’s treatment (Choudhary et al., 2019). Encourage the use of continuous glucose monitoring (CGM) systems to monitor blood glucose levels in real-time. CGM can provide valuable data for adjusting insulin therapy and improving glycemic control. Promote the use of insulin pump therapy for appropriate patients because it offers more flexibility in insulin dosing and can lead to better glucose control and quality of life.

They provide specialized support for young adults transitioning from pediatric to adult diabetes care. This may involve creating structured programs to address the unique challenges faced during this period. Empower patients with T1DM to self-manage their condition effectively (Choudhary et al., 2019). Offer resources and tools to help them make informed decisions about their diet, exercise, insulin administration, and glucose monitoring. The utilization of telehealth services improves access to care, especially for patients in remote or underserved areas. Telehealth can facilitate regular check-ins, remote monitoring, and educational sessions. Biospychosocial Population Health Policy Proposal Discussion

How To Address The Opposing View On Type One Diabetes Mellitus

As a researcher addressing issues related to Type 1 diabetes mellitus (T1DM), there are several strategies to strengthen your arguments and effectively respond to opposing views. Conducting a comprehensive literature review to gather evidence from credible sources to bolster the validity of your claims and demonstrate that your viewpoints are grounded in scientific research. data analysis and interpretation should be rigorous and objective, presenting findings clearly and transparently, and highlighting the significance of the results in the context of the topic you’re addressing. Basing arguments on evidence-based guidelines and recommendations from reputable organizations such as the American Diabetes Association (ADA) or the International Diabetes Federation (IDF) strengthens the credibility of your proposals and makes them more likely to be accepted by the scientific community.

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Acknowledging the limitations of your research or proposed interventions and discuss how these limitations were addressed or could be addressed in future studies demonstrates a realistic and balanced approach to the topic. Submit your research or position paper for peer review before publication to help identify potential weaknesses and offers valuable feedback to strengthen your arguments and methodology. Show how your approach addresses the unique needs and challenges faced by individuals with T1DM, promoting better health outcomes and quality of life. Share your findings and arguments through educational outreach, such as conferences, seminars, and webinars. Engaging with the scientific community and healthcare professionals can lead to constructive discussions and insights Biospychosocial Population Health Policy Proposal Discussion

Nurses have the opportunity to use their skills and develop programs to keep individuals and communities healthy. Health is complex however, and the nurse needs to possess strong advocacy skills to successfully support a cause or interest. The American Nurses Association’s (2015) code of ethics describes the responsibility of a nurse to include working through and with appropriate stakeholders to advocate for the health of people in and out of the work environment. To be an effective advocate, there are several important abilities a nurse must possess, including problem solving, communication, and influencing others. One way a nurse can advocate to a broader population is through effective letter writing, both to legislators and through the media, such as with editorials and research articles. Biospychosocial Population Health Policy Proposal Discussion