Health Equity And Access Practice Test

A 55-year-old woman who identifies as Latina has type 2 diabetes and reports using an herbal tea recommended by family because she believes prescription medicines "damage the kidneys." She has employer insurance but a high copay and lives in a medically underserved neighborhood. Current medications: metformin 1000 mg by mouth twice daily (often skipped); glipizide 5 mg by mouth once daily. Medical history: type 2 diabetes for 6 years. Social determinants: cultural beliefs affecting adherence, cost concerns, and limited trust due to prior negative healthcare experiences; a local community health center offers bilingual diabetes education classes. Which intervention best addresses the patient's medication adherence barrier?

A 34-year-old woman who recently immigrated, has limited English proficiency, and works hourly wages presents for counseling on a new prescription. She has Medicaid and lives in an urban neighborhood with a local community health center. Current medications: metformin 500 mg by mouth twice daily; newly prescribed amoxicillin-clavulanate 875 mg/125 mg by mouth twice daily for 7 days. Medical history: type 2 diabetes. Barrier: she cannot read the English-only prescription label well and nods without asking questions; her teenage son usually interprets but is not present today. The pharmacy has access to a professional interpreter service and can print translated labels. What is the best strategy to improve this patient's access to medications?