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Related Experiment Video

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A Practical Guide to Using the Positive Deviance Method in Health Services Research.

Adam J Rose1,2, Megan B McCullough2,3

  • 1Section of General Internal Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA, 02118.

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|June 29, 2016
PubMed
Summary

This review offers practical guidance for health services researchers on applying positive deviance (PD) methods to understand variations in care quality. It aims to enhance the effective use of this valuable research approach, particularly for newcomers.

Keywords:
Positive devianceimplementation sciencequalitative researchquality of health carevariations in care

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Area of Science:

  • Health Services Research
  • Quality Improvement Science
  • Behavioral Science

Background:

  • Understanding variations in healthcare quality is crucial for effective interventions.
  • Positive Deviance (PD) offers a unique approach to identify and leverage successful outlier practices.
  • Health services researchers can benefit from structured guidance on applying PD methods.

Purpose of the Study:

  • To provide practical tips for health services researchers considering the use of positive deviance (PD) methods.
  • To explain variations in quality of care or other meaningful parameters using PD.
  • To facilitate the adoption and effective implementation of PD in health services research.

Main Methods:

  • Narrative review of published literature and personal experience.
  • Discussion of potential applications of PD in health services research.
  • Exploration of methodological choices relevant to PD studies.

Main Results:

  • Identified diverse applications of PD within health services research.
  • Outlined key methodological considerations for implementing PD.
  • Provided practical advice on publishing PD findings and integrating them into interventions.

Conclusions:

  • Empowering health services researchers to utilize PD methods more effectively.
  • Encouraging the use of PD, especially among researchers new to the method.
  • Facilitating the translation of PD insights into actionable improvements in healthcare.