Desai Jay, Solberg Leif, Clark Cynthia, Reger Laurel, Pearson Teresa, Bishop Don, Roberts Martha, Sniegowski Russ, O'Connor Patrick
Minnesota Diabetes Program, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164-0882, USA.
J Public Health Manag Pract. 2003 Nov;Suppl:S36-43.
The project improving Diabetes Care through Empowerment, Active Collaboration and Leadership (IDEAL) is a collaborative translational research project of the Minnesota Diabetes Program (MDP) at the Minnesota Department of Health and HealthPartners (HP), a large managed care organization. The research was designed to test a quality improvement model to improve diabetes care delivery and outcomes in primary care clinics, but the collaboration was structured from the beginning to maximize potential secondary effects. The MDP and HP participated jointly in every aspect of the project. Personnel from other health care systems and academic and quality improvement organizations also participated in IDEAL. Secondary effects included heightened priority for diabetes care improvement at HP and within its medical group, along with an increased emphasis on a population approach for both of these organizations. Simultaneously, the MDP developed a better understanding of the issues and potential for improving care in primary care clinics, medical groups, and managed care organizations. These benefits resulted in further collaboration between the MDP, HP, and other managed care, health care, and quality improvement organizations in Minnesota. Thus, Project IDEAL has been a successful collaboration of public health and managed care whose contribution to improved diabetes care in Minnesota health systems extends far beyond the original scope of the project.
通过赋权、积极协作与领导力改善糖尿病护理项目（IDEAL）是明尼苏达州卫生部的明尼苏达糖尿病项目（MDP）与大型管理式医疗组织健康合作伙伴（HP）开展的一项合作性转化研究项目。该研究旨在测试一种质量改进模式，以改善初级保健诊所的糖尿病护理服务及治疗效果，但从一开始，合作的架构便旨在将潜在的次要影响最大化。MDP和HP共同参与了项目的各个方面。其他医疗系统以及学术和质量改进组织的人员也参与了IDEAL项目。次要影响包括提高了HP及其医疗集团内改善糖尿病护理的优先级，同时这两个组织更加注重采用人群方法。与此同时，MDP对初级保健诊所、医疗集团和管理式医疗组织中改善护理的问题及潜力有了更深入的了解。这些益处促使MDP、HP以及明尼苏达州的其他管理式医疗、医疗保健和质量改进组织进一步开展合作。因此，IDEAL项目是公共卫生与管理式医疗的一次成功合作，其对明尼苏达州医疗系统中改善糖尿病护理的贡献远远超出了项目的最初范围。
