Casting a Health Equity Lens on Endocrinology and Diabetes.

摘要: As endocrinologists we have focused on biological contributors to disparities in diabetes, obesity and other endocrine disorders. Given that diabetes is an exemplar health disparity condition, we, as a specialty, are also positioned view the contributing factors solutions more broadly. This will give us agency system, public health, policy-level interventions address structural institutional racism embedded our medical social systems. A history of unconsented research experimentation vulnerable groups perpetuation eugenics theory early 20 th century resulted residual care provider biases toward minority patients patient distrust systems, leading poor quality care. Historical discriminatory housing lending policies racial residential segregation neighborhoods with inadequate housing, healthy food access, educational resources, setting foundation for determinants (SDOH) present-day disparities. To reduce these need ensure systems implementing National Standards Culturally Linguistically Appropriate Services Health Care promote equity. Because inherent due historical unethical practices communities, healthcare training should incorporate awareness unconscious bias, anti-racism, value diversity. Finally, must poverty-related SDOH (e.g. insecurity) by integrating needs into using voices advocate redress restore environmental justice.