Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity

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dc.contributor.authorPhillips, Christine B
dc.contributor.authorDwan, Kathryn
dc.contributor.authorHepworth, Julie
dc.contributor.authorPearce, Christopher
dc.contributor.authorHall, Sally
dc.date.accessioned2015-12-24T00:15:53Z
dc.date.available2015-12-24T00:15:53Z
dc.date.issued2014-05-19
dc.date.updated2016-02-24T10:20:32Z
dc.description.abstractBACKGROUND The primary health care sector delivers the majority of health care in western countries through small, community-based organizations. However, research into these healthcare organizations is limited by the time constraints and pressure facing them, and the concern by staff that research is peripheral to their work. We developed Q-RARA-Qualitative Rapid Appraisal, Rigorous Analysis-to study small, primary health care organizations in a way that is efficient, acceptable to participants and methodologically rigorous. METHODS Q-RARA comprises a site visit, semi-structured interviews, structured and unstructured observations, photographs, floor plans, and social scanning data. Data were collected over the course of one day per site and the qualitative analysis was integrated and iterative. RESULTS We found Q-RARA to be acceptable to participants and effective in collecting data on organizational function in multiple sites without disrupting the practice, while maintaining a balance between speed and trustworthiness. CONCLUSIONS The Q-RARA approach is capable of providing a richly textured, rigorous understanding of the processes of the primary care practice while also allowing researchers to develop an organizational perspective. For these reasons the approach is recommended for use in small-scale organizations both within and outside the primary health care sector.
dc.description.sponsorshipThis research was funded by the Australian Government Department of Health and Ageing, through the Australian Primary Health Care Research Institute (APHCRI).en_AU
dc.identifier.issn1472-6963en_AU
dc.identifier.urihttp://hdl.handle.net/1885/95195
dc.publisherBioMed Central
dc.rights© Phillips et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​4.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
dc.sourceBMC Health Services Research
dc.titleUsing qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity
dc.typeJournal article
local.bibliographicCitation.issue1en_AU
local.bibliographicCitation.lastpage13
local.bibliographicCitation.startpage559en_AU
local.contributor.affiliationPhillips, Christine, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National Universityen_AU
local.contributor.affiliationDwan, Kathryn, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Australian Primary Health Care Research Institute, The Australian National Universityen_AU
local.contributor.affiliationHepworth, Julie, School of Public Health and Social Work, Queensland Institute of Technology, Australiaen_AU
local.contributor.affiliationPearce , Christopher, General medical practice, Australiaen_AU
local.contributor.affiliationHall, Sally, College of Medicine, Biology and Environment, CMBE ANU Medical School, ANU Medical School, The Australian National Universityen_AU
local.contributor.authoremailchristine.phillips@anu.edu.auen_AU
local.contributor.authoruidu3841020en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor111717en_AU
local.identifier.absseo920299en_AU
local.identifier.ariespublicationu3841020xPUB44en_AU
local.identifier.citationvolume14en_AU
local.identifier.doi10.1186/s12913-014-0559-4en_AU
local.identifier.essn1472-6963en_AU
local.identifier.thomsonID000347205100002
local.identifier.uidSubmittedByu3488905en_AU
local.publisher.urlhttp://www.biomedcentral.com/en_AU
local.type.statusPublished Versionen_AU

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