Barriers to Fair Type 2 Diabetes Management & Support

From Health System Patients
- Self-Management: Patients must manage their care and speak up for themselves.
- Insurance Frustration: Patients are frustrated with insurance policies.
- Access Issues: Where people live affects their access to care, especially in small communities.
- Individual Profiling: Patients feel they are negatively profiled by providers.
From Health System Doctors,
Nurses, and Staff
- External Focus: Emphasis on factors outside patients’ control.
- Hard to Access Treatment: Patients who need it most can’t easily get treatment.
- Telehealth Issues: Telehealth has some unintended problems.
- Avoiding Provider Issues: Reluctance to directly address communication issues.
- Misunderstanding Disparities: Differences are often blamed on socioeconomic status, not the health system.
- Need for Community Monitoring: A need for monitoring efforts specific to local areas.
- Mistrust: Growing mistrust among community patients.
Barriers to Fair Substance Use Disorder Support

From Health System Patients
- Not Enough Support: Worries about not getting enough help.
- Fear of Judgement: Fear that providers will judge them.
- Access to Care: Difficulty finding affordable, quality care.
- Cultural Barriers: Cultural differences make getting help harder.
- Social Determinates: Built-in negative perceptions.
From Health System Doctors,
Nurses, and Staff
- Not Enough Treatment Providers: There aren’t enough treatment providers outside the system, which puts more pressure on the internal system.
- Provider Workload: There are worries about providers having too much work.
- Training Needs: Providers need better training to handle complex cultural needs.
- Patient Stigma: Patients with substance use disorders often face stigma.
- Standardized Care: There’s a need for clear, standard protocols for patient care.
- Building Trust: There’s a need to build trust and good relationships within the community.