2054-P: Closing the Gap: A Qualitative Study of Provider Perspectives on Barriers to Glycemic Control in the Latinx Population

IF 9.3 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Pub Date : 2026-06-11 DOI:10.2337/db26-2054-p

DIANA TORRES, SENXI DU, LESLIE NUNEZ, SYLVIA LAMBRECHTS, MATTHEW FREEBY

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Abstract

Introduction and Objective: Among Latinx patients, diabetes prevalence is high with disproportionately elevated rates of poor glycemic control and diabetes-related complications nationally. Locally, we observe similar disparity gaps in our urban academic medical center, with Latinx patients having worse glycemic control than other groups. This qualitative study aimed to understand provider perspectives on barriers to glycemic control and opportunities to improve diabetes care for this high-risk population. Methods: We conducted nine semi-structured interviews with diabetes care providers across various ambulatory clinics. Interview transcripts were analyzed and coded using qualitative methods to identify common themes and system-level opportunities to improve diabetes care delivery within our health care system. Results: Participants included four endocrinologists, three primary care providers, and two diabetes educators who care for a high volume of Latinx patients with diabetes. Providers described multiple contributors to poor glycemic control, including structural and system-level barriers. Key themes included gaps in culturally tailored education, delays in diabetes education referrals, lack of standardized diabetes resources, and challenges with care coordination. Conclusion: Across interviews, we identified four system-level opportunities to improve diabetes care: (1) culturally tailored education, (2) enhanced integration and promotion of systemwide resources, (3) optimization of the diabetes education referral process, and (4) development of a multidisciplinary support team for high-needs patients. These findings highlight actionable system-level changes that are potentially applicable locally as well as beyond our own institution. We also plan to integrate our findings with patient-voice interviews to ensure future interventions are aligned with patients' needs and reduce disparities in glycemic outcomes. Disclosure D. Torres: None. S. Du: None. L. Nunez: None. S. Lambrechts: None. M. Freeby: Research Support; Ended; Fractyl Health, Inc., Novo Nordisk.

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2054-P：缩小差距：提供者对拉丁裔人群血糖控制障碍的定性研究

简介和目的：在拉丁裔患者中，糖尿病患病率很高，血糖控制不良和糖尿病相关并发症的发生率在全国范围内不成比例地升高。在当地，我们在我们的城市学术医疗中心观察到类似的差距，拉丁裔患者的血糖控制比其他群体更差。本定性研究旨在了解提供者对血糖控制障碍的看法，以及改善这一高危人群糖尿病护理的机会。方法：我们对不同门诊的糖尿病护理人员进行了9次半结构化访谈。访谈记录使用定性方法进行分析和编码，以确定共同主题和系统级机会，以改善我们医疗保健系统内的糖尿病护理服务。结果：参与者包括四名内分泌学家，三名初级保健提供者和两名糖尿病教育工作者，他们照顾大量拉丁裔糖尿病患者。提供者描述了导致血糖控制不良的多种因素，包括结构和系统层面的障碍。会议的主要主题包括针对不同文化的教育存在差距、糖尿病教育转诊延迟、缺乏标准化的糖尿病资源以及护理协调方面的挑战。结论：通过访谈，我们确定了改善糖尿病护理的四个系统级机会：(1)文化定制教育，(2)加强系统资源的整合和推广，(3)优化糖尿病教育转诊流程，(4)为高需求患者建立多学科支持团队。这些发现突出了可操作的系统级变化，这些变化可能适用于本地以及超出我们自己的机构。我们还计划将我们的研究结果与患者的声音访谈相结合，以确保未来的干预措施与患者的需求保持一致，并减少血糖结果的差异。D.托雷斯：没有。杜老师：没有。L.努涅斯：没有。S. Lambrechts：没有。M. Freeby：研究支持；结束;Fractyl Health, Inc., Novo Nordisk。

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来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.