Addressing Health Disparities in Diabetes: Intersection of Structural Racism, Social Determinants, and Racial/Ethnic Disparities
Leonard E. Egede, MD, MS
Professor of Medicine
Inaugural Milwaukee Community Chair in Health Equity Research at the Medical College of Wisconsin
Chief, Division of General Internal Medicine
Director, Center for Advancing Population Science (CAPS)
Medical College of Wisconsin
Leonard Egede, MD, MS is general internist, tenured Professor of Medicine, and Inaugural Milwaukee Community Chair in Health Equity Research at the Medical College of Wisconsin. He is also Chief of the Division of General Internal Medicine and Director of the Center for Advancing Population Science (CAPS).
As a nationally recognized health disparities researcher, Dr. Egede's research has focused on developing and testing innovative interventions to reduce and/or eliminate health disparities related to race/ethnicity, socioeconomic status, and geographic location for chronic medical and mental health conditions. His career started with diabetes as a template disease, but he has since worked with other physical and mental illnesses. Dr. Egede has published over 450 manuscripts documenting the existence of disparities and showing that factors at the individual, provider, and system level have an influence on health outcomes. His work has led to recognition that disparities exist and moved the field towards focusing on what can be done to address inequities. His work has also focused on understanding the impact of structural racism, social determinants of health and social risk on health outcomes, advancing research on effectiveness and safety of telehealth and telemedicine as a modality for delivering effective clinical care, and understanding the role of behavioral economics on health and health outcomes for individuals with chronic disease.
Dr. Egede's work, funded by the NIH National Institute for Diabetes, Digestive, and Kidney Diseases (NIDDK), National Institute on Minority Health and Health Disparities (NIMHD), Centers for Disease Control (CDC), Agency for Healthcare Research and Quality (AHRQ), Department of Defense (DOD), and Veterans Affairs Health Services Research and Development (VA HSR&D), developed and tested innovative interventions to improve health outcomes for high risk racial and ethnic minorities. Dr. Egede is extremely committed to mentorship, providing mentorship opportunities to students, general internal medicine fellows, interns, post-doctoral fellows, and junior faculty members. He was a member of the National Advisory Council of the Robert Wood Johnson Physician Faculty Scholars Program and was the Principal Investigator of a K24 career development award from NIH/NIDDK focused on mentoring women and minority investigators. In addition, he is a strong supporter of pathway programs and works to involve individuals from backgrounds underrepresented in medicine and women in research during high school and early undergraduate school.
Finally, Dr. Egede has expanded the work he has done in the United States globally through efforts to provide care and empowerment of indigenous communities and promote collaborative research projects with investigators. Dr. Egede’s global health research has focused on understanding the role of social determinants of health and social risk on health outcomes for vulnerable populations with non-communicable diseases (NCDs) in sub-Saharan Africa, Central America, and the Middle East.
This talk will focus on the evolution of understanding of health inequalities and their impact on health outcomes for adults with diabetes. It will provide new understanding of social determinants of health and highlight how upstream structural factors drive downstream social determinants of health and health outcomes in adults with diabetes. Finally, the talk will discuss promising interventions to address social needs in adults with diabetes and novel policy focused studies that have the potential to address upstream structural drivers of poor health outcomes.
- Discuss national data related to disparities in diabetes care.
- Define health disparities and discuss intersection of structural racism, social determinants of health, and health disparities.
- Discuss emerging interventions to address social determinants and reduce disparities in clinical outcomes for diabetes.
This page was last updated on Friday, February 9, 2024