Current Practices in Operationalizing and Addressing Racial Equity in the Provision of Type 1 Diabetes Care: Insights from the Type 1 Diabetes Exchange Quality Improvement Collaborative Health Equity Advancement Lab
Authors' conclusion
Despite increased antiracism training, insufficient institutional support and perceived subeffective training still represent obstacles, especially in adult institutions. Sharing effective strategies to address medical racism will help institutions take steps to mitigate inequities.
Study context
- Population
- Clinics participating in the T1DX-QI collaborative, annual survey fall 202293% response rate
- Participants
- 50 participants
- Exposure
- Pediatric vs adult institutions
- Outcome
- Institutions where all team members can articulate how medical racism contributes to adverse diabetes outcomes
Methodological detailssurvey, multicentre
- Survey
- Multicentre
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
Antiracism training offered in the last year
Antiracism training offered annually
Antiracism training felt effective
Provided resources to help address inequities
| Outcome | Pediatric | Adult |
|---|---|---|
| Number of strategies to address medical racism | 3.6 | 3.1 |
Organizational strategies to decrease racial discrimination
- Employee trainings, equity offices/committees, patient resources (interpreter services, transportation, insurance navigation, housing and food assistance) and hiring practices (changing prior protocols, hiring from the community, diversifying workforces)
Original publication
Current Practices in Operationalizing and Addressing Racial Equity in the Provision of Type 1 Diabetes Care: Insights from the Type 1 Diabetes Exchange Quality Improvement Collaborative Health Equity Advancement Lab. Endocr Pract. Published 6 October 2023. doi:10. 1016/ j. eprac. 2023. 10. 001
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