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Connecting the dots and merging meaning: using mixed methods to study primary care delivery transformation
Debra L Scammon1, Andrada Tomoaia-Cotisel, Rachel L Day
1David Eccles School of Business, University of Utah, Salt Lake City, UT; Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT.
Health Services Research
|November 28, 2013
Summary
Mixed methods research enhances understanding of practice transformation by integrating diverse data. This approach clarifies why some changes succeed while others face challenges, leading to comprehensive insights.
Area of Science:
- Health Services Research
- Qualitative and Quantitative Research Methods
Background:
- Practice transformation is crucial for improving healthcare delivery.
- Understanding the complexities of practice change requires robust methodologies.
Purpose of the Study:
- To showcase the utility of mixed methods in studying practice transformation.
- To provide guidance on integrating diverse research methods and findings.
Main Methods:
- Convergent case study mixed methods design.
- Utilized data from university-owned primary care practices (Community Clinics).
- Employed a wide array of data collection techniques including archival documents, observations, surveys, interviews, focus groups, and claims databases.
Main Results:
- Each data source contributed to a richer understanding of the change process.
- Identified reasons for varying degrees of difficulty in implementing changes across clinics.
- Mixed methods facilitated hypothesis generation and testing, yielding a holistic view of practice change.
Conclusions:
- Mixed methods research is a valuable tool for investigating practice transformation.
- While challenges exist, careful planning and persistence can ensure successful implementation.
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