Compose a brief statement introducing the selected practice problem

The Latino population faces challenges in healthcare access. The population is the second largest

growing racial group in the United States and is regarded as widely diverse. Latinos have poor

health and are likely to have less access to quality healthcare (Reeves, 2020). Reeves (2020)

noted that one in two people in the population would be diagnosed with diabetes in their lifetime

and with a great risk of 66% of developing type 2 diabetes that has worse outcomes than the non-

Hispanic white population. Diabetes is often associated with mental illnesses, and Latinos are

less likely to seek and receive treatment for mental problems such as anxiety and depression. The

Latinos are mostly uninsured compared to and face cultural barriers such as lack of English

fluency; these factors contribute to less access to healthcare in the population (Reeves, 2020).

Summarize a related Healthy People 2030 Goal that applies to your selected population

and health issue

One of the Healthy People 2030 goals is addressing social determinants of health (SDOH). The

goal is to “create social, physical, and economic environments that promote attaining the full

potential for health and well-being for all.” (Healthy People 2030, 2022). This goal directly

impacts the Latino population as it seeks to improve their economic status, social lifestyle, and

access to healthcare for all. Healthy People, 2030 objective is to increase the number of people

with access to medical insurance. A person lacking medical insurance is unlikely to have a

healthcare provider and has a probability of skipping routine healthcare. Such a person is likely

to have poor and serious health-related problems. Evidence suggests that reducing financial rates

and other barriers can promote more health insurance coverage (Increase the Proportion of

People with Health Insurance — AHS-01 - Healthy People 2030 | Health.gov, n.d.).
The Healthy People 2030 Goal for diabetes is a reduction of the diabetes burden and to improve

the quality of life for those with diabetes and those at risk of diabetes. Diabetes is the seventh

leading cause of death, with more than 30 million Americans living with diabetes. Racial

minorities are likely to have diabetes unknowingly. Diabetes, if left uncontrolled, leads to kidney

damage, loss of vision and leg amputation. Interventions can reduce diabetes complications on

those with diabetes and preventive strategies such as eating healthier, loss of weight and physical

activity can help reduce new cases (Healthy People 2030, 2020). Some Healthy People 2030

objectives include increasing the proportion of diabetic adults, accessing eye exams, getting

formal diabetes education, using insulin to monitor their blood sugar levels and who get urinary

albumin tests. Additionally, other objectives are reducing the leg amputation rate and the death

rate from diabetes (ODPHP, 2021).

Propose one evidence-based intervention to address the Healthy People 2030 goal. You may

use the same study from Week 3 if it aligns with the selected Healthy People 2030 goal, or

you may select another evidence-based intervention after reviewing the literature

Addressing the Healthy people 2030 goal of SDOH requires multilevel interventions; these

interventions need to be relevant to the population and integrated into the existing systems to be

effective. Hardy et al. (2013) model to address social determinants of health proposed integrating

an essential rapid assessment technique, Rapid Assessment, Response, and Evaluation (RARE),

with findings in research engaging the community to increase the chances of dealing with

SDOH. The RARE project was for obesity among children living in poverty. In the end, the
project succeeded; the findings were implemented, such as education on nutrition and a school-

based obesity prevention clinic (Hardy et al., 2013). The same concept of RARE can be used as

an intervention in healthcare access in Hialeah, Florida. The Latino population has a rich culture,

and most speak only Spanish. Language proficiency can create a language barrier that hinders

the population from accessing enough information from health professionals. The RARE project

will look into the use of the Spanish language on the population to provide healthcare. Medical

practitioners predominantly from Hialeah should be encouraged to work in the community and

be a linkage between medical information and the community; other medical professionals

should strive to blend into the culture and learn the language to get close to the community.

Health access should be brought closer to the community, and provision of education on risk

behaviours associated with the population, such as poor diet and lack of exercise leading to

diabetes. Education can be through multimedia and signage in Spanish—use of Familism to

foster openness within the community in seeking healthcare.

Describe how you would determine if your evidence-based intervention was efficient,

effective, and efficacious. Each of the 3 E’s must be address

The evidence-based interventions are determined through measures of efficiency, effectiveness

and efficacy.

Efficiency

Efficiency refers to the ratio of the intervention implementation cost to the value of outcomes or

benefits (Gochenaur & Lillis, n.d.) The intervention cost of encouraging medical professionals

with Latino culture proficiency is effective as the professionals do not require extra training to
work in the community. The outcome is improved healthcare provision to the population. This

intervention is efficient as it meets the cost ratio to the outcome.

Effectiveness

Effectiveness refers to the status change associated with the intervention; the change would not

have occurred without the intervention. The change can affect individuals, communities or the

population (Gochenaur & Lillis, n.d.). The model by Hardy et al. (2013) is effective because it

analyzes health inequalities to design solutions. The change from the interventions is lasting

because it employs existing community networks rather than disrupting them.

Efficacy

Efficacy is the intervention’s cost and practicality in the real world. The costs can be indirect, for

example, the lost opportunities and ethical, legal and political costs (Gochenaur & Lillis, n.d.).

The intervention is efficacious because to be implemented; the intervention works with the

existing systems and provides training to local researchers. The intervention was ethical to the

population as it applied cultural values and gained the support of leaders because it worked with

existing designs and activities in progress (Hardy et al., 2013).

References
‌Addressing Healthy People 2030 Diabetes Objectives During the COVID Pandemic Webinar -

News & Events | health.gov. (n.d.). Health.gov.

https://health.gov/news/202103/addressing-healthy-people-2030-diabetes-objectives-

during-covid-pandemic-webinar

Increase the proportion of people with health insurance — AHS-01 - Healthy People 2030 |

health.gov. (n.d.). Health.gov.

https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-

access-and-quality/increase-proportion-people-health-insurance-ahs-01

Hardy, L. J., Bohan, K. D., & Trotter, R. T. (2013). Synthesizing Evidence-Based Strategies and

Community-Engaged Research: A Model to Address Social Determinants of

Health. Public Health Reports, 128(Suppl 3), 68–76.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945452/

Healthy People 2030. (2020). Diabetes - Healthy People 2030 | health.gov. Health.gov.

https://health.gov/healthypeople/objectives-and-data/browse-objectives/diabetes

‌Healthy People 2030. (2022). Social determinants of health. Healthy People 2030.

https://health.gov/healthypeople/priority-areas/social-determinants-health

Reeves, A. G. S. and R. V. (2020, September 25). Latinos often lack access to healthcare and

have poor health outcomes. Here’s how we can change that. Brookings.

https://www.brookings.edu/blog/how-we-rise/2020/09/25/latinos-often-lack-access-to-

healthcare-and-have-poor-health-outcomes-heres-how-we-can-change-that/