International symposium. The impact of new imaging technology on health care, research, and teaching: 2. What is to be expected in the future?

1984 ◽  
Vol 142 (1) ◽  
pp. 183-204
2014 ◽  
Vol 20 (1) ◽  
pp. 47 ◽  
Author(s):  
Lynsey J. Brown ◽  
Ellen L. McIntyre

The importance of primary health care (PHC) research is well understood yet conducting this research can be challenging. Barriers include a lack of funding, support and opportunity. In 2000 the Australian government introduced the Primary Health Care Research, Evaluation and Development (PHCRED) Strategy to address the gap in high-quality research. One component of the strategy, the Research Capacity Building Initiative, provided funding to university departments of general practice and rural health, allowing them to expand their pool of researchers and produce more research relevant to policy and practice. This study investigates the impact of phase two of the PHCRED Strategy by analysing peer-reviewed publications from PHCRED-supported departments. Research output was recorded from 2006 to 2010 incorporating 661 publications in 212 journals. Rural departments often had fewer resources than urban departments yet demonstrated steady research contributions focusing on issues relevant to their community. Since its inception the PHCRED Strategy has enabled development of research capacity and contributed to the body of PHC knowledge. While PHC is a diverse field, reflected in the publications produced, the themes underlying much of this work were representative of current health reform and the priority areas and building blocks of the National PHC Strategy.


2020 ◽  
Vol 19 ◽  
pp. 160940692092690
Author(s):  
Élizabeth Côté-Boileau ◽  
Isabelle Gaboury ◽  
Mylaine Breton ◽  
Jean-Louis Denis

A growing body of literature suggests combining organizational ethnography and case study design as a new methodology for investigating complex organizational phenomena in health care contexts. However, the arguments supporting the potential of organizational ethnographic case studies to improve the process and increase the impact of qualitative research in health care is currently underdeveloped. In this article, we aim to explore the methodological potentialities and limitations of combining organizational ethnography and case study to conduct in-depth empirical health care research. We conducted a scoping review, systematically investigating seven bibliographic databases to search, screen, and select empirical articles that employed organizational ethnographic case study to explore organizational phenomena in health care contexts. We screened 573 papers, then completed full-text review of 74 papers identified as relevant based on title and abstract. A total of 18 papers were retained for analysis. Data were extracted and synthesized using a two-phase descriptive and inductive thematic analysis. We then developed a methodological matrix that positions how the impact, contextualization, credibility, and depth of this combined methodology interact to increase the generative power of in-depth qualitative empirical research in health care. Our review reveals that organizational ethnographic case studies have their own distinct methodological identity in the wider domain of qualitative health care research. We argue that by accelerating the research process, enabling various sources of reflexivity, and spreading the depth and contextualization possibilities of empirical investigation of complex organizational phenomena, this combined methodology may stimulate greater academic dynamism and increase the impact of research. Organizational ethnographic case studies appear as a new in-depth qualitative methodology that both challenges and improves the conventional ways we study the lives of organizations and the experiences of actors within the interconnected realms of health care.


Author(s):  
Jane L. McCall

In the last 20 years, Geographic Information Systems (GISs) have had an ever-increasing impact on the course of research and planning in many diverse fields, including geography, geology, environmental studies, business and criminal justice. Relatively recently, health care research, including cancer research, has entered this domain. The rapidly increasing use of GIS in health-care research over the past few years is witnessed by the fact that 63% of papers in literature review for this chapter were written in the last five years, and 35% within the last three years. Epidemiology, the study of disease patterns in human populations according to person, place and time, has been the traditional means of approaching cancer etiology. Combining its tools with those of GIS has enabled researchers to look at the distribution of cancer in new ways and uncover relationships not previously seen with traditional epidemiological methods alone. Through its data integration function, GIS has enabled the use of existing data collected for other purposes to be applied to cancer research. GIS techniques can enhance the visualization of spatial patterns of cancer, examine the contribution of various risk factors for cancer in new ways and allow hypotheses about cancer etiology to be tested in a spatial framework. The purpose of this chapter is to examine the impact of GIS on the direction of cancer research. In doing so, it will consider the application of GIS techniques to research in cancer etiology and compare them to traditional epidemiological methods. Rather than an exhaustive compilation of all the studies in this category, selective examples will be chosen from the literature to illustrate particular applications.


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