A Novel Mixed Methods Approach Combining Geospatial Mapping and Qualitative Inquiry to Identify Multilevel Policy Targets: The Focused Rapid Assessment Process (fRAP) Applied to Cancer Survivorship.

A Novel Mixed Methods Approach Combining Geospatial Mapping and Qualitative Inquiry to Identify Multilevel Policy Targets: The Focused Rapid Assessment Process (fRAP) Applied to Cancer Survivorship.
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DOI:
10.1177/1558689820984273
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发表时间:
2022-04
影响因子:
3.9
通讯作者:
Crabtree, Benjamin F.
Crabtree, Benjamin F.
中科院分区:
法学1区
文献类型:
--
作者:
Kieber-Emmons, Autumn M.;Miller, William L.;Rubinstein, Ellen B.;Howard, Jenna;Tsui, Jennifer;Rankin, Jennifer L.;Crabtree, Benjamin F.

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需要跨社区、医疗系统和政策环境的多层次视角,但资源有限的卫生服务研究人员可用的方法很少。我们开发了一种混合方法的卫生政策方法,即重点快速评估过程(fRAP),旨在发现导致公共卫生问题的多层次可修改障碍和促进因素。我们用一项研究来说明将fRAP应用于癌症生存护理的问题。通过这项多层次调查,我们确定了影响高质量癌症生存护理的两个主要可修改的领域:1)癌症生存指南/数据的重要性,2)改善肿瘤学与初级保健关系的必要性。本文通过将地理空间制图与定性快速评估相结合,有效识别政策变化目标,为混合方法文献做出贡献。
Multi-level perspectives across communities, medical systems and policy environments are needed, but few methods are available for health services researchers with limited resources. We developed a mixed method health policy approach, the focused Rapid Assessment Process (fRAP), that is designed to uncover multi-level modifiable barriers and facilitators contributing to public health issues. We illustrate with a study applying fRAP to the issue of cancer survivorship care. Through this multi-level investigation we identified two major modifiable areas impacting high-quality cancer survivorship care: 1) the importance of cancer survivorship guidelines/data, 2) the need for improved oncology-primary care relationships. This article contributes to the mixed methods literature by coupling geospatial mapping to qualitative rapid assessment to efficiently identify policy change targets.
DOI: 10.15436/2378-6841.15.020
发表时间: 2015
期刊: Journal of environment and health sciences
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