Evaluating the impact of healthcare delivery systems on the enhancement of diabetes treatment in the native american population

Document Type:Thesis

Subject Area:Health Care

Document 1

However since the last world war it has become the most serious common disease amongst the Native American population (Sievers and Fisher, 1985). According to the Centers for Disease Control and Prevention article on Native Americans with Diabetes, it was reported among all American racial groups the Native American have the highest susceptibility to diabetes. The article further enumerate that in every 2 out of 3 Native Americans with kidney failure the causative disease was diabetes and as such the is required need to address the underlying problem of diabetes among the Native American population ("Native Americans with diabetes", 2019). In the United States the prevalence of diabetes stands at about 17 million patients (Wild, Roglic, Green, Sicree & King, 2004), however it has been established that diabetes disproportionately affects the Native American more than other racial groups (Nicklett, Omidpanah, Whitener, Howard & Manson, 2016).

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While the high prevalence of diabetes to the Native American population is known little is known about how health care systems can be used to facilitate better prevention and treatment of the condition. Despite all the advancement in technology in the care and management of diabetes if there is inadequate access to health care then all the advancement are futile. The significance of this study is to understand delivery and access of health care systems and services among the Native American population in the view of helping the population be in a position to utilize all the advancement in the prevention and management of diabetes type 2. Over the years the Native Americans have had to deal with various health care related issues and complications.

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It has never been easy to conduct research amongst the Native American communities occasioned by various barriers, including sovereignty issues, cultural barriers, and research priorities by non-Native academic researchers (Chadwick, Copeland, Daniel, Erb-Alvarez, Felton, & Khan, 2014). This study will avoid the misconstrued notions about the Native American population and offer a more balanced approach towards understanding the health care delivery system problem in the prevention and management of diabetes amongst the population. , & Dean, H. This study reports fundamental information on quality of life first Nation youth with type 2 diabetes. First nation is the term used in Canada to refer to the same population called Native American in the United States. This study will be important in providing essential knowlegede on the quality of life amongst young Native Americans and as such instrumental in the study of delivery of health care systems amongst the population.

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Bullock, A. , King, K. , Kleszynski, K. , Thompson, D. , & Mayer, P. Provides vital information on beliefs, anxieties, and fear amongst pregnant Native American women. , Fu, R. , Jacob, M. , & Harding, A. Discusses the important question of perceived racial discrimination in health and it association with implementation of effective diabetes management and control. Hove, M. , Omidpanah, A. , Whitener, R. , Howard, B. , & Manson, S. Provides critical information on the relationship between health care access and the diabetes management amongst Native American elderly population (from 50 years). , Mau, M. , & Dillard, D. Provides information on the challenges of diabetes type amongst the Native Americans and the roadblocks or barriers to effective addressing of the problem. Teufel-Shone, N. , Jiang, L. , Ma, Z. , & Barnabe, C. et al. Provides information on the lifelong risk of diabetes amongst the Native American in Canada as they are known (First Nation).

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Framework The conceptual/ theoretical framework for this study will combine the available knowledge on diabetes management and control and the gather information about prevalence of diabetes amongst the Native American to develop an effective health care delivery system. The problem of health care delivery in the management and control of diabetes amongst the Native American population will require a more deliberate non-conventional approach towards instituting an effective diabetes policy control structure. This can be achieved through application of policy-analytical tools to help in decision making and ensuring appropriate measures are taken in the delivery of health care system. Secondary Data Types and Sources of Information For this doctoral study, the possible secondary will be obtained from various published data that will aid in explaining the failure of healthcare management systems in reducing diabetes complications in the Native American population.

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Such will include articles like; i. Perceived Racial Discrimination in Healthcare. Demographic characteristics and food choices among others. Impact on Social Change When conducting any scientific research especially in the health care industry it is of utmost importance the study have positive social impacts. This study will in the same regard provide vital information required to address the problem of diabetes in the Native American population. The study will provide important information about the Native American lifestyle that will be useful in driving positive social change in the native communities thereby reducing the prevalence of diabetes. The study will also provide important information on management of diabetes using the latest technological advances and in the process initiate an effective management and treatment of diabetes among the Native American population References Allan, C.

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, & Lekiachvili, A. et al. Vital Signs: Decrease in Incidence of Diabetes-Related End-Stage Renal Disease among American Indians/Alaska Natives — United States, 1996–2013.  MMWR. Morbidity And Mortality Weekly Report, 66(01), 26-32. doi: 10. 2337/diaspect. 258 Chadwick, J. , Copeland, K. , Daniel, M. Diabetes Care 2013;36:1033-1046.  Diabetes Care, 36(6), 1797-1797. doi: 10. 2337/dc13-er06 Gonzales, K. , Lambert, W. Quantitative analysis of retinopathy in type 2 diabetes: identification of prognostic parameters for developing visual loss secondary to diabetic maculopathy.  Acta Ophthalmologica Scandinavica, 82(6), 679-685. doi: 10. 1111/j. x Joslin, E. Mohan, V. , Muralidharan, S. , Ranjani, H. , Anjana, R. , & Allender, S. , Whitener, R. , Howard, B. , & Manson, S. Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes.  Journal Of Aging And Health, 29(2), 206-221. doi: 10. 2105/ajph. 110478 Shaw, J. , Brown, J. , Khan, B.  Diabetes in North American Indians.

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