Studying health care "quality" qualitatively: The dilemmas and tensions between different forms of evaluation research within the UK National Health Service

Studying health care "quality" qualitatively: The dilemmas and tensions between different forms of evaluation research within the UK National Health Service
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DOI:
10.1177/104973202129120386
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发表时间:
2002-09-01
影响因子:
3.2
通讯作者:
Robert, G
Robert, G
中科院分区:
医学2区
文献类型:
--
作者:
Bate, P;Robert, G

文献摘要

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作者讲述了一个故事,试图背离评估研究(ER)的传统,通过一种更亲身实践的行动研究(AR)方法,以一种不同的方式处理研究-实践界面,这种方法结合了定性和定量方法。在这样做的过程中,他们提出了关于评价促进发展的作用和性质的问题,特别是关于定性研究在这类评价中的地位;未来ER的身份;实证主义者和现象学家之间的“范式战争”;在卫生保健环境中进行基于政策的评价的政治问题,以及当定性研究人员试图帮助改进进程时会发生什么。
The authors tell the story of an attempt to depart from a tradition of evaluation research (ER) and to address the research-practice interface in a different way through a more hands-on, action research (AR) approach, which combines qualitative and quantitative methods. In doing so, they raise issues about the role and nature of evaluation for development and, especially, about the place of qualitative research in such evaluations; the identity of future ER; "paradigm wars" between the positivists and the phenomenologists; and the politics of conducting policy-based evaluations in health care settings and of what happens when qualitative researchers try to help an improvement process.