Equitable Post-COVID-19 Care: A Practical Framework to Integrate Health Equity in Diabetes Management
Conclusion
There are ongoing studies examining the adverse outcomes and potential health inequities for patients with
diabetes impacted by COVID-19. Health care providers need to plan for post-COVID-19 care, keeping in mind that the pandemic might worsen already existing health disparities in diabetes management. This work will involve an intentional approach to address structural and systemic racism. Therefore, the work of building health equity solutions must be rooted in racial justice, economic equity, and equitable access to health care and education. Initiatives like this are currently being funded through foundation grants as well as state and federal research or program grants. Regional and national payors, including the Centers for Medicare & Medicaid Services, are currently piloting long-term sustainable funding models
through programs like accountable care organizations and the Accountable Health Communities Model.23 Health systems can successfully address health equity and racial justice, using a framework as described above, to identify determinants of health, develop policies to expand access to care for the most vulnerable patients, distribute decision-making power,
and train staff by naming structural racism as a driver of health inequities.
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