TRANSCULTURAL DIABETES CARE IN THE UNITED STATES - A POSITION STATEMENT BY THE AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS
| Autor: | Icilma V. Fergus, Guillermo E. Umpierrez, Steven M. Petak, Rodolfo J. Galindo, Stephanie Adams, Jaime A. Davidson, Archana R. Sadhu, Kevin H. McKinney, Susan L. Samson, Jeffrey I. Mechanick, Rajesh Vedanthan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Population MEDLINE Ethnic group Motivational interviewing 030209 endocrinology & metabolism Health literacy Terminology 03 medical and health sciences 0302 clinical medicine Endocrinology Health care medicine Humans 030212 general & internal medicine education Societies Medical education.field_of_study Asian business.industry General Medicine Hispanic or Latino United States Clinical trial Endocrinologists Diabetes Mellitus Type 2 Family medicine business |
| Zdroj: | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 25(7) |
| ISSN: | 1530-891X |
| Popis: | The American Association of Clinical Endocrinologists (AACE) has created a transculturalized diabetes chronic disease care model that is adapted for patients across a spectrum of ethnicities and cultures. AACE has conducted several transcultural activities on global issues in clinical endocrinology and completed a 3-city series of conferences in December 2017 that focused on diabetes care for ethnic minorities in the U.S. Proceedings from the "Diabetes Care Across America" series of transcultural summits are presented here. Information from community leaders, practicing health care professionals, and other stakeholders in diabetes care is analyzed according to biological and environmental factors. Four specific U.S. ethnicities are detailed: African Americans, Latino/Hispanics, Asian Americans, and Native Americans. A core set of recommendations to culturally adapt diabetes care is presented that emphasizes culturally appropriate terminology, transculturalization of white papers, culturally adapting clinic infrastructure, flexible office hours, behavioral medicine-especially motivational interviewing and building trust-culturally competent nutritional messaging and health literacy, community partnerships for care delivery, technology innovation, clinical trial recruitment and retention of ethnic minorities, and more funding for scientific studies on epigenetic mechanisms of cultural impact on disease expression. It is hoped that through education, research, and clinical practice enhancements, diabetes care can be optimized in terms of precision and clinical outcomes for the individual and U.S. population as a whole. |
| Databáze: | OpenAIRE |
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