Addressing Disparities in Diabetes Technology Access: Provider Bias, Barriers, and Solutions, Pt. 2
In part 2 of this interview, Estelle Everett, MD, addresses the shortage of endocrinologists from underserved communities and highlights strategies to build a more diverse health care workforce. She also shares how culturally competent care and tailored communication can enhance diabetes management for marginalized patients, fostering better engagement and trust in their care.
Consultant360: The scarcity of endocrinologists and other specialists from underserved communities is a notable barrier to diabetes technology adoption. How could this gap be addressed (ie, through educational or workforce development programs)?
Estelle Everett, MD: The shortage of endocrinologists from underserved communities is a significant barrier to diabetes technology adoption. To address this, we need to focus on educational outreach and workforce development that promote diversity in health care.
First, we should establish pipeline programs to inspire students from underrepresented backgrounds to pursue careers in endocrinology. Early exposure through mentorship, scholarships, and internships, especially in underserved areas, can help build a more diverse workforce.
Second, training current and future providers in cultural competency and diabetes technology is key. This includes integrating community-based care into medical education and expanding the scope of practice for nurse practitioners and physician assistants. Additionally, leveraging telemedicine and remote monitoring can improve access to specialist care in underserved areas.
By investing in these efforts, we can diversify the endocrinology workforce and ensure equitable access to diabetes care and technology.
C360: Do you have recommendations for how healthcare providers can implement tailored communication strategies to effectively engage marginalized patients in their diabetes management? What role does culturally competent care play in this process?
Dr Everett: To effectively engage marginalized patients in diabetes management, health care providers should implement communication strategies that are personalized and culturally sensitive. Key recommendations include:
- Use of clear, accessible language: Avoid medical jargon and tailor communication to the patient's literacy level.
- Cultural competency: Providers should understand and respect the cultural beliefs, values, and practices that influence a patient's health behaviors. This can be achieved through ongoing cultural competency training.
- Community involvement: Partnering with community organizations and using trusted community members as health advocates can help bridge cultural gaps and build trust.
- Bilingual resources: Providing materials and support in the patient’s preferred language ensures better comprehension and engagement.
Culturally competent care plays a crucial role by fostering trust, reducing health disparities, and improving adherence to diabetes management plans. When patients feel understood and respected, they are more likely to actively participate in their care.
Reference:
Kanbour S, Everett E. Addressing disparities in technology use among patients with type 1 diabetes. Curr Opin Endocrinol Diabetes Obes. 2024;31(1):14-21. doi:10.1097/MED.0000000000000840