Global statistics indicate that more than four hundred million individuals are suffering from diabetes mellitus (DM). These individuals tend to spend twice as much economic resources when working on their conditions as compared to those people without diabetes. The federal, state and local governments differ in their capacity to perform public health facilities based on the size of the population they serve. Some of the facilities provided at the local level include screening, health education and referral to local diabetes care specialists. The state government partners with federal management bodies to offer collaborative diabetes-related services. The most common ones include funding community-based initiatives, the establishment of more diabetes centers and reducing the health care cost for diabetes patients through insurance facilities.
The federal government contributes the biggest percent of the public health spending through the cooperative agreement. Under this body, the ministry of health is expected to pay medical specialists and support improvement efforts on the same (Wager et al. 2017). The services are then delivered through the state and local governments. It is also the responsibility of these units to supervise and organize any health programs that are introduced at the regional levels. State and local authorities' involvement has led to the improvement in health care access especially for those people in rural areas.
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Numerous ethical challenges can impact diabetes patients and their family members while seeking care (Bodenheimer & Pham, 2014). The top problem ranked by these individuals is lack of decision-making capacity. In questionable situations, health care providers need to determine whether the patients understand their conditions. Others include ethical issues related to subject participation in surveys, medical errors and problems relating to advancement in medical technology. To solve these problems, health care should be focused on patient-centered outcomes. Improving patient-physician relationships is also essential.
References
Bodenheimer, T., & Pham, H. H. (2014). Primary care: current problems and proposed solutions. Health Affairs , 29 (5), 799-805.
Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. Harvard business review , 91 (10), 1-19.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care Management: Historical Dimensions of Global Governance. John Wiley & Sons.