Qualitative Methods in Health Policy and Systems Research: A Framework for Study Planning

Fisher, Melanie; Hamer, Mika K.

doi:10.1177/1049732320921143

Cited by 15 publications

(13 citation statements)

References 78 publications

(107 reference statements)

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“…It is also important for researchers from various fields who attempt to carry out and evaluate such changes [108]. Using study typology of Fisher and Hamer, conducted research could be included in policy and program environment study type [109] typical for the governance model of Public Management.…”

Section: Discussionmentioning

confidence: 99%

HB-HTA as an implementation problem in Polish health policy

et al. 2021

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Hospital Based Health Technology Assessment (HB-HTA) is a new policy implemented in Poland to allow for a more practical and contextualized assessment related to the use of specific medical procedures, devices, or equipment. It requires changes in governance relating to the healthcare sector. One of the forms of governance improvement is to involve society in the process of creating public services. This can be implemented, e.g., by applying the pragmatic model of public responsiveness. The aim of this research was to identify and analyze forces which will shape a dynamic process in determining the implementation of HB-HTA. The results obtained in the Gioia analysis led to the identification of the main forces driving and restraining the implementation of HB-HTA. The grouping and interpretation allowed for the twelve most important dimensions to be distinguished, which were recognized as conceptual categories necessary to build theories that describe the studied phenomenon. This study contributes to the development of the idea of responsiveness in public management theory and in health care services, and ultimately helps to better enable the adjustment of health services to the dynamically changing needs of Polish society.

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Section: Discussionmentioning

confidence: 99%

HB-HTA as an implementation problem in Polish health policy

et al. 2021

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“…Sessions were audiorecorded and transcribed verbatim using professional transcription services. This study format adhered to a conventional qualitative design for medical settings and systems (29)(30)(31) and team-based analysis approaches (32,33).…”

Section: Methodsmentioning

confidence: 99%

Family Perspectives on Clinical Research for Pediatric Multiple Sclerosis: Enhancing Equity

Mandel

O’Donnell

Canenguez

et al. 2021

Journal of Patient Experience

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Pediatric new drug trials are federally mandated, but family perspectives in multiple sclerosis (MS) research are limited. Due to MS chronicity and long-term medical system involvement, we obtained family views on research priorities and optimized methods for future studies. Focus groups were convened with families impacted by pediatric-onset MS. Recruitment included those followed by the Network of Pediatric MS Centers, geographically disparate locations, and centers’ voluntary election. Study questions included: healthcare experiences, clinical trials perspectives, cognitive/psychosocial/educational outcomes, disease course and disability accrual. All subjects supported future clinical studies. Patients highlighted contribution to knowledge base but were wary of experimental medication and disease-course impeding activities. Parents underscored medication delivery modalities, side-effects, and limiting children’s discomfort. All wanted study relevance made explicit. Suggested future study design elements included: providing compensation, limiting assumptions regarding outcome linkages, understanding study-related psychological impacts, and reducing participation burdens. Rare disease research can assist general medicine diagnosis and referral. Variable study designs and explicit rationale may augment participation. Closing the pediatric research gap requires family engagement in the research process.

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“…Taken over the entire process of data collection, this creates space for situated reflexivity across diverse research teams and for engagement with iterative work among differently positioned stakeholders from different methodological backgrounds. The sharing of field reports, the facilitation of member checking across the team (Brear, 2020), and the circulation of process memos prepared by ethnographers and others can build a more reliable and robust collective investment in iterative processes. By working together from the early stages of research, field notes can be distilled in briefs and interim reports that are both interdisciplinarily legible and retain the unique perspective offered by ethnographic engagement.…”

Section: Challenges For Integrationmentioning

confidence: 99%

Ethnography in Health Services Research: Oscillation Between Theory and Practice

2021

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The well-known divergence between what policy and protocol look like on paper, and what happens in the actual practice of daily life remains a central challenge in health services provision and research. This disparity is usually referred to as the theory–practice gap and contributes to concerns that scientific evidence fails to make substantial impacts on the processes of service delivery. In this article, we present an argument for the inclusion of ethnographic methods in health services research and show that this approach enables researchers to address this divergence by working within it. We trace how ethnography, through generative processes of oscillation, can take us beyond lamenting the gap and capture the relational dynamics of people working together in complex systemic arrangements. By moving from example to methodological reflection, to principle of research, we demonstrate how the oscillation of ethnographic research between theory and practice can productively contribute to the field of health service research.

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Qualitative Methods in Health Policy and Systems Research: A Framework for Study Planning

Cited by 15 publications

References 78 publications

HB-HTA as an implementation problem in Polish health policy

HB-HTA as an implementation problem in Polish health policy

Family Perspectives on Clinical Research for Pediatric Multiple Sclerosis: Enhancing Equity

Ethnography in Health Services Research: Oscillation Between Theory and Practice

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