Translating Research Into Action for Diabetes (TRIAD) Legacy Study (U58)

项目描述：TRIAD（将糖尿病的研究转化为行动）是一项长期、多中心、前瞻性的糖尿病护理观察性研究。TRIAD将来自患者、提供者和健康计划的调查数据与图表审查信息、健康计划管理数据和国家死亡指数数据联系起来，建立了有史以来最大、最丰富的糖尿病护理数据库。TRIAD建立了富有成效的合作，使研究人员能够解决各种重要的卫生服务，流行病学和临床问题。我们建议进一步研究与糖尿病患者的护理过程、发病率、死亡率和成本相关的卫生系统和患者水平因素。分析的目的是利用TRIAD中收集的现有数据，与公共卫生和医疗保健改革特别相关，并解决质量，结果和护理成本，特别关注服务不足和高风险人群。

DESCRIPTION OF THE PROJECT: TRIAD (Translating Research Into Action for Diabetes) is a long-term, multicenter, prospective observational study of diabetes care in managed care. TRIAD linked survey data from patients, providers, and health plans with chart review information, health plan administrative data, and National Death Index data to establish the largest and richest database of diabetes care ever assembled. TRIAD established productive collaborations that have allowed investigators to address a wide variety of important health service, epidemiological, and clinical questions. We propose to further examine the health system and patient-level factors associated with processes of care, morbidity, mortality, and cost in persons with diabetes. Analyses have been designed to use existing data collected in TRIAD, to have particular relevance to public health and health care reform, and to address quality, outcomes, and costs of care with a special focus on underserved and high-risk populations.