Management of Diabetes – Health System Example

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"Management of Diabetes" is a good example of a paper on the health system. Though the electronic patient record (EPR) has emerged to play an imperative role in diabetes healthcare in the contemporary world, the appropriateness of the EPR to diabetes nursing documentation may be less sufficient, since the nurses are not involved in the designing process, posing severe implications for diabetic patient safety in the hospitals. In reference to Stevenson et al (2010), nurses allege that the EPR systems do not replicate their practice and believe that the system cannot seize what is significant in nursing care.

HL7 systems provide different healthcare organizations the opportunity to share information. In such a case, security and privacy are of utmost significance. The HL7 protocols lack security which is later added on and may result in possible repugnancies and security worries since data is shared among many health care organizations. In most hospitals, as noted by Stevenson et al (2010), there are inadequate computers that pose a threat to diabetes data capture by the health caregivers. There have been instances where nurses wait to use computers when the hospital is busy and many diabetic patients waiting.

On the other hand, maintenance of the computer systems in hospitals affects how often the EPR system will operate. Sometimes, these systems in the hospitals may be down affecting diabetes data capture. In addition, due to many computers connected to one server, nurses sometimes experience difficulties when trying to log in, which takes up most of their time thus affecting diabetes data capture and health care to patients. Boonstra and Broekhuis (2010) denote that financial constraints are a major problem in most health care units which affects the implementation of Electronic Medical Records.

The electronic medical records require extensive adoption and operation costs which affect data capture not only on diabetes patients but also on all patients in hospitals. Physicians and nurses have for long complained about a lack of technical support and training. Any system is bound to experience technical itches and failure to follow up on the problems can result in failure to perform its role or objective. In this regard, the lack of adequate training on how to use the EMR systems may hinder diabetes data capture. Patient Treatment In the management of diabetes, maintenance of blood glucose within the recommended levels is imperative.

One of the main issues in the treatment and management of diabetes is the patient’ s adherence to the treatment regimes and HL7 protocols in order to attain a tight glucose control. Self-management is one of the most common diabetes control measures. HL7 protocols and applications have been used to help individuals control their blood sugar levels. Needless to say, the patients administer their own treatment plans generated by health care providers and their physicians.

However, these treatment plans have been immensely affected by patient beliefs and attitudes. According to Blaum et al (1997), this affects the effectiveness of the interventions. Debatably, the patient’ s perception of the significance of the HL7 applications and protocols and their individual-concern aptitude have been determined as the primary fields requiring attention. On the other hand, a parent’ s perception of the management of diabetes in children has been observed to affect the child’ s management of diabetes. According to Ginsburg et al (2005), parents influence how diabetes will seriously affect their children since they assist manage diabetes in the younger years which prepares them to integrate lifelong health habits. Weight gain among people suffering from diabetes is a concern that is considered a primary barrier to blood glucose control by physicians.

The fear of weight gain is associated with treatment adherence among patients with diabetes. In the management of diabetes, lifestyle and daily routine of an individual affects the blood sugar levels. The increase in weight gain increases one’ s risk and exposure to diabetes (Blaum, 1997).

When it comes to the management of diabetes, blood sugar levels are the most salient aspects to consider. Keeping ones’ blood sugar at low levels through the HL7 protocols ensures that they live a healthy life. Though hypoglycemia is less widespread among type 2 diabetes patients than among type 1 diabetes patients, it sometimes occurs among type 2 diabetes patients and causes the severe prevalence of cerebrovascular and cardiovascular diseases. As a result, Korzon-Burakowska et al (1988), notes that the fright of hypoglycemic incidents poses as a barrier to health caregivers and patients from optimizing care. Hospital Hospitals require adequate caregivers to attend to the patients.

An observable issue in care provision to diabetic patients has been the lack of adequate personnel to observe blood sugar levels (Zgibor & Songer, 2001). In addition, adequate health caregivers are recommended in order to help the patients to self-manage their diabetic condition. Cheaper access to clinical information on diabetes would assist health care plans and providers to modify the way they deliver diabetes health care and would also assist in the adoption of the compensation and repayment policies grounded on the quality of the care.

Currently, there are no industry standards for EMRs. Hospitals do not allow access to clinical data on diabetes which makes it difficult to foresee effective diabetes management. Communication has been an issue of concern in most hospitals. They have failed to promote communication between healthcare providers and patients. Communication in a hospital can be built by putting in a nurse to act as a clinical nurse leader and a link between patients, mentors, physicians, and other nurses. Diabetes patients require more hours of attention and surveillance and a nurse leader would assist in communicating with the physician about the patient’ s condition.

The lack of communication results in poor health care experience for patients with diabetes (Zgibor & Songer, 2001).   In hospitals, meals are particularly fundamental to a patient particularly a diabetes patient. Meals at the hospital are served at different times than a patient is used to at their homes. In addition, the meals at the hospitals not portioned and may lead to increased sugar levels in the blood (Zgibor & Songer, 2001). A stay in the hospitals exposes patients to more danger; patients with low blood sugar levels have an increased risk of infection.

It is challenging to maintain a considerable blood sugar level in a hospital setting. Nonetheless, regardless of how meticulous the care is, it cannot match the schedule of the patient. In many cases, it has been reported that hospitals have used a different form of insulin rather than the one the patient uses.   Population There is a dearth of convincing research on workplace efficiency which impacts employer financial support to diabetes management programs.

Carefully constructed researches carried out not only in the workplaces but also at homes can produce valuable information in this regard, and persuade employers and the authorities to provide diabetes disease management programs. There are numerous issues that have risen in hospitals in the management of diabetes. The installation of HL7 systems in a hospital has been of concern to many health organizations. Increasing costs of installation reduce the prevalence of installation of the protocols in a hospital thus affecting the management of diabetes in such organizations. On the other hand, high costs of installation of new technologies have driven the costs of care which have reduced the number of patients who will seek health care of information on diabetes.

The high health care costs have been distress since they affect health care resolutions of diabetic patients. Suggestions from previous publications indicate that such decisions may have detrimental effects on the individual’ s health (Zgibor & Songer, 2001). Management of diabetes through the use of drugs has been faced with numerous setbacks. Some of the companies which manufacture the drugs have been faced with numerous lawsuits over allegations that the drugs may cause an intensified risk from cancer (Diabetes UK, 2013).

On the other hand, the high cost of production of innovative drugs has propelled prices of diabetes drugs high. The high drug prices increase diabetes health care costs to the patients, thus making healthcare inaccessible to many people.


Blaum, C. S., Velez, L., Hiss, H. R., & Halter, J. B. (1997). Characteristsics related to poor glycemic control in NIDDM patients in community practice. Diabetes Care, 20, 7-11.

Boonstra, A., & Broekhuis, M. (2010). Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. Health Services Research, 10(231), 1-17.

Diabetes UK (2013, January). Diabetes UK- UK Diabetes Resource. Diabetes UK. Retrieved January 2013, from

Ginsburg, K. R., Howe, C. J., Jawad, A. J., & Buzby, M. (2005). Parent's perception of factors that affect successful diabetes management for their children. pediatrics, 116(5), 1095-1104.

Korzon-Burakowska, A., Hopkins, D., Matyka, K., Lomas, J., & Pernet, A. (1998). Effects of glycemic control on protective responses against hypoglycemia in type 2 diabetes. Diabetes care, 21, 283-90.

Rodrigues, J. (2010). Health information systems: Concepts, methodologies, tools and applications. Hershey PA: Medical Information Science Reference.

Stevenson, J. E., Nilsson, G. C., Petersson, G. I., & Johanson, P. E. (2010). Nurses' experience of using electronic Patient Records in everyday practice in acute/inpatient ward settings: A literature Review. Health Informatics Journal, 16(1), 63-72.

Zgibor, J. C., & Songer, T. J. (2001). External Barriers to Diabetes Care: Addressing Personal and Health Systems Issues. Journal of Diabetes Spectrum, 14(1), 23-38.

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