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5 pages/≈1375 words
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Health, Medicine, Nursing
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English (U.S.)
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Diabetes Revised Synthesis for Diabetes Care and Treatment Issues Introduction (Research Paper Sample)
Instructions:
The purpose of this assignment is to present a revised evidence synthesis paper using the Week 5 submission, integrating course faculty feedback. This includes revising all parts of the assignment as recommended as well as the Johns Hopkins Individual Evidence Summary Tool. Also, please add new content identified below (Selection of Translation Science Model - 6f).
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Content:
Diabetes Revised Synthesis for Diabetes Care and Treatment Issues
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Diabetes Revised Synthesis for Diabetes Care and Treatment Issues
Introduction
Diabetes Mellitus is one of the most common diseases that has been ailing American society for hundreds of years. It is a health condition that affects that impacts the process of breaking down sugars; diabetes patients’ bodies struggle to make insulin or struggle to use it efficiently leaving high sugar levels in the bloodstream. Diabetes exposes people to serious health issues such as vision loss, kidney complications, and heart disease. Furthermore, there are no proven treatments for the diseases leaving health professionals only with the option of managing its symptoms among patients through interventions such as dieting, weight loss, medications, and physical exercise routines (CDC). While there are numerous challenges related to diabetes treatment and management, lack of access to diabetes treatment and management is the most prevalent issue that has been affecting patients and the healthcare system. Therefore, it is imperative to synthesize evidence from recent research sources to explore the issue and identify solutions that could help alleviate the lack of access to diabetes treatment and management.
The sources of research evidence that have been used in the paper will include one qualitative study and 2 quantitative studies which sheds light on the issue of lack of access to diabetes management and treatment services in the United States. The qualitative studies used in the research will highlight issues in the United States healthcare system that make diabetes treatment less accessible to a significant percentage of the population alongside the experiences of patients when trying to access diabetes treatment. On the other hand, the quantitative sources assess the impacts of the issues that provide barriers to diabetes treatment the prevalence of the issue in the country’s health care system and impacts on individuals and communities.
Analysis of the Practice Problem
Diabetes is among the costliest and time-consuming health conditions that impact millions of people worldwide. Access to diabetes treatment and management is therefore a major concern among citizens since it involves continuous treatment and management practices that often drain individuals and families of resources while negatively impacting the government’s response to improving accessibility to the healthcare system. Some of the healthcare barriers that impact diabetes treatment and management include complete access to healthcare services and lack of access to healthcare support systems such as insurance coverage and access to medication and management interventions such as dieting and physical exercise (Eseadi et al., 2023). Poverty is highlighted as the main barrier to the accessibility of diabetes treatment and management, with the majority of mortality rates recorded among poor and vulnerable communities in the country. Therefore, poverty is the main barrier to accessing treatment since patients from low-income backgrounds struggle with irregular medical care coverage, inadequate housing, and food security which impede their ability to manage diabetes and other health conditions.
Evidence Synthesis
Racial association and poverty are the main themes discussed BY Hill-Briggs et al. 2020 in their quantitative study. Also, the quantitative study has highlighted inefficiencies in the country’s healthcare system as another barrier to accessing diabetes care and treatment. The high cost of diabetes management is the main challenge that bars patients from poor backgrounds from accessing quality diabetes treatment since it is a continuous routine that could cost thousands of dollars. On the other hand, Myerson et al., 2020 highlight poor health insurance policies as the main barrier to accessing quality diabetes treatment and care services in the United States. The quantitative study indicates that diagnosis increases doctor visits which negatively impacts patients with limited access to good healthcare coverage due to their low-income statuses. Sarah et al., 2023 reinforce the healthcare insurance coverage issue as a major concern indicating that access to diabetes management improves with increasing healthcare insurance coverage among Americans from poor backgrounds. Therefore, poverty is the main barrier to accessing diabetes treatment since it impacts patient’s ability to access quality health insurance. Additionally, Sarah et al., 2023 have pointed out inefficiencies in the United States healthcare system as another challenge that impedes access to diabetes care and treatment among Americans.
According to Eseadi et al., 2023, the prevalence of diabetes in the United States has increased from 422 million patients in 2014 to 536.6 million in 2021. This highlights major issues in the treatment and management of diabetes including lack of inaccessibility among poor communities, ethnic communities and inefficiencies in the country’s healthcare system. Furthermore, the study indicates that diabetes contributed to 460,000 deaths related to kidney diseases, 1.5 million deaths as of 2019. The deaths have been recorded among diabetes patients below 70 years while most are from poor and vulnerable communities. The striking differences between mortality rates among poor communities and high-income communities is therefore an indicator that unless the government eliminates the barriers that reduce access to diabetes treatment, the trends could worsen in the future leading to higher diabetes-related mortality rates among low-income Americans.
The quantitative studies by Myerson et al., 2020 and Sarah et al., 2020 both highlight the lack of healthcare coverage as the barrier to accessing diabetes care and treatment. The studies have identified patients from poor communities who struggle to get good healthcare insurance coverage as the most vulnerable to diabetes since they cannot access quality treatment, medication and therapies that help improve health outcomes among diabetic patients in the United States. Hill-Briggs et al. 2021 discuss the social determinants of health and diabetes that lead to inaccessibility of diabetes treatment and care while the qualitative study by Eseadi et al., 2023 identifies poverty as the primary barrier to accessing quality diabetes care and treatment.
Appraisal of the Evidence to Address the Practice Problem
Qualitative Study: Level 1 evidence
Quantitative Studies: Level 2, Level 1 and Level 2
Eseadi et al., 2023 is a level 1 qualitative study thus effective evidence that assesses the accessibility and utilization of healthcare services for diabetes care and treatment among low-income communities in the United States. Hill-Briggs et al., 2021 is level 2 evidence since it provides a quantitative overview of the social determinants that act as barriers to diabetes treatment and care. Myerson et al., 2020 is level 1 evidence which provides precise statistics and highlights the impacts of poor insurance policies on access to diabetes while Saarah et al., 2023 is level 2 study evidence which also provides quantitative evidence on the relationship between the prevalence of diabetes and access to quality healthcare coverage among Americans.
The appraisal has used a combination of recent and high-quality qualitative and quantitative studies which provide the reader with a vigorous understanding of issues that impact accessibility to diabetes care and treatment accessibility. The combination is an effective strategy since it allows the synthesis of the issue through qualitative information which provides patient experiences while the quantitative studies provide data on the barriers to accessing diabetes treatment and the prevalence of the health condition in the United States.
Selection of a Translation Theory/Model
The most relevant theory for this synthesis is the Diffusion of Innovation Theory developed in 1962 by E.M Rodgers. The theory was chosen for the synthesis since it has features such as communication channels used in the U.S healthcare system in the manageme...
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