Qualitative Research Methodology and its Scope in Health Services Research

Health services research is a multidisciplinary field which involves policy makers, health care providers, as well as quality outcomes professionals of the health services provided in an organizational setting to name some. Using qualitative research methodology to get insights of both the provider and patient experience down the pipeline can help strengthen what is lacking. Bridging the gap of translation research by not just surveys 1 might be an appropriate research methodology, however, inclusion of case studies, ethnographies might help stakeholders in the field, to visualize in depth phenomenon occurring in health services research field. Telly medicine, commercial digital health status trackr might be some of the inetrventions to improvise health care services, however, knowing what are the actual needs at individual level might efficiently help in redistribution of resources or policy laws. Recruiting for clinical trials through story telling communication technology2,3, might help in recruitment for novel drug therapies to explore possibilities, however, exploring the barriers to enroll for the clinical trials, or why the drug might work effectively in some cultural population and why not on others, can only be efficiently explored through qualitative research methodologies.

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Sampling Patients Within and Across Health Care Providers: Multi-Stage Non-Nested Samples in Health Services Research

Health Services and Outcomes Research Methodology ◽

10.1023/b:hsor.0000031401.42334.b8 ◽

2003 ◽

Vol 4 (3) ◽

pp. 151-167 ◽

Cited By ~ 1

Author(s):

John L. Adams ◽

Matthias Schonlau ◽

José J. Escarce ◽

Meredith Kilgore ◽

Michael Schoenbaum ◽

...

Keyword(s):

Health Care ◽

Health Services Research ◽

Health Services ◽

Health Care Providers ◽

Care Providers ◽

Services Research ◽

Multi Stage

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Advancing the Delivery of Communication Sciences and Disorders Services Through Research: The Promise of Health Services Research

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2018_pers-st-2018-0002 ◽

2019 ◽

Vol 4 (1) ◽

pp. 16-26 ◽

Cited By ~ 3

Author(s):

Megan A. Morris ◽

Jennifer Y. Oshita ◽

Michelle Stransky

Keyword(s):

Health Services Research ◽

Health Services ◽

Health Care Providers ◽

Real World ◽

Communication Disorders ◽

Research Process ◽

Care Providers ◽

Services Research ◽

Policy Makers ◽

Efficacy Research

Purpose Traditional efficacy research, or research that studies interventions in controlled settings, can be difficult to translate to real-world clinical settings. In this article, we introduce the field of health services research (HSR) as 1 possible tool to aid this translation. HSR is a field of research that examines and intervenes in the use, cost, quality, delivery, organization, and outcomes of clinical interventions and services in the real-world setting. The complexity of the world outside the clinic walls is accounted for in HSR methods and data sources. As such, HSR often requires collaboration of stakeholders, including patients, caregivers, clinicians, and policy makers. These stakeholders are often engaged throughout the research process, from selecting research questions to disseminating results. HSR brings together researchers from multiple disciplines, including sociology, health economics, epidemiology, and implementation science, among others. The outcomes of HSR can inform policy changes both locally and nationally. To clarify the scope and impact of HSR, we present examples of HSR-based research on communication between patients with communication disorders and health care providers. Conclusions HSR is a critical tool for clinicians and researchers in the discipline of communication sciences and disorders who are committed to improving the lives and health of persons with communication disorders.

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Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

JDR Clinical & Translational Research ◽

10.1177/23800844211011985 ◽

2021 ◽

pp. 238008442110119

Author(s):

M. McNally ◽

L. Rock ◽

M. Gillis ◽

S. Bryan ◽

C. Boyd ◽

...

Keyword(s):

Health Care ◽

Oral Health ◽

Health Services ◽

Return To Work ◽

Health Care Providers ◽

Online Survey ◽

Knowledge Exchange ◽

Oral Health Care ◽

Care Providers ◽

Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

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Needs assessment for gender sensitive reproductive health services for adolescents

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0201 ◽

2020 ◽

Vol 0 (0) ◽

Cited By ~ 2

Author(s):

Fatemeh Rahmanian ◽

Soheila Nazarpour ◽

Masoumeh Simbar ◽

Ali Ramezankhani ◽

Farid Zayeri

Keyword(s):

Health Care ◽

Reproductive Health ◽

Health Services ◽

Health Care Providers ◽

Health Care Services ◽

Care Providers ◽

Reproductive Health Services ◽

Care Needs ◽

Reproductive Health Care ◽

Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

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Challenges of Providing Health Care in Complex Emergencies: A Systematic Review

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.312 ◽

2021 ◽

pp. 1-5

Author(s):

Hesam Seyedin ◽

Morteza Rostamian ◽

Fahimeh Barghi Shirazi ◽

Haleh Adibi Larijani

Keyword(s):

Systematic Review ◽

Health Care ◽

Health Services ◽

Health Care Providers ◽

Health Care Delivery ◽

Qualitative Content Analysis ◽

Care Delivery ◽

Information Access ◽

Care Providers ◽

Complex Emergencies

Abstract Providing health care in times of complex emergencies (CEs) is one of the most vital needs of people. CEs are situations in which a large part of the population is affected by social unrest, wars, and food shortages. This systematic review study was conducted to identify the challenges of health-care delivery in CEs. We searched terms related to health-care delivery and CEs in PubMed, Web of Sciences, Science Direct, and Google scholar databases, as well as Persian databases SID and Magiran. The searching keywords included: “Health Care, Complex Crises, War, Humanitarian, Refugees, Displaced Persons, Health Services, and Challenges.” Of 409 records, we selected 6 articles based on the Preferred Reporting Items for Systematic Reviews (PRISMA) checklist. Studies were analyzed through qualitative content analysis. The results show that CEs affect health-care delivery in 4 primary areas: the workforce, infrastructure, information access, and organization of health services. These areas can pose potential threats for health-care providers and planners at times of emergencies. Thus, they should be informed about these challenges to strengthen the health-care system.

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Health Services Research at United HealthCare Corporation: The Role of the Center for Health Care Policy and Evaluation

Medical Care Research and Review ◽

10.1177/1077558796053001s05 ◽

1996 ◽

Vol 53 (1_suppl) ◽

pp. 65-76 ◽

Cited By ~ 2

Author(s):

Eileen Peterson ◽

Deborah Shatin ◽

Douglas Mccarthy

Keyword(s):

Health Care ◽

Managed Care ◽

Health Services Research ◽

Health Services ◽

Health Care Policy ◽

Research Priorities ◽

Research Capacity ◽

Lessons Learned ◽

Services Research ◽

And Performance

This article describes collaborative health services research and performance evaluation activities at United HealthCare Corporation, a national health care management services company. We outline the development of a research capacity within our company, the principal data sources used, and the types of research conducted. The importance of health services research within a managed care system is illustrated using two projects as examples. finally, we discuss issues faced by organizations such as ours in defining appropriate research priorities, ensuring health plan participation, and disseminating research findings. Lessons learned should be of interest to health services researchers working in or collaborating with managed care organizations as well as others seeking to understand the dynamics of research in private-sector health care companies.

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