Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and Theory

Health Services Research - Tập 42 Số 4 - Trang 1758-1772 - 2007
Elizabeth H. Bradley1, Leslie Curry2, Kelly J. Devers3
1Department of Epidemiology and Public Health Yale University School of Medicine 60 College Street New Haven, CT 06520-8034 USA
2Univ of Connecticut Sch of medicine, Farmington, CT
3Departments of Health Administration and Family Medicine, Virginia Commonwealth University, Richmond, VA

Tóm tắt

Objective. To provide practical strategies for conducting and evaluating analyses of qualitative data applicable for health services researchers.

Data Sources and Design. We draw on extant qualitative methodological literature to describe practical approaches to qualitative data analysis. Approaches to data analysis vary by discipline and analytic tradition; however, we focus on qualitative data analysis that has as a goal the generation of taxonomy, themes, and theory germane to health services research.

Principle Findings. We describe an approach to qualitative data analysis that applies the principles of inductive reasoning while also employing predetermined code types to guide data analysis and interpretation. These code types (conceptual, relationship, perspective, participant characteristics, and setting codes) define a structure that is appropriate for generation of taxonomy, themes, and theory. Conceptual codes and subcodes facilitate the development of taxonomies. Relationship and perspective codes facilitate the development of themes and theory. Intersectional analyses with data coded for participant characteristics and setting codes can facilitate comparative analyses.

Conclusions. Qualitative inquiry can improve the description and explanation of complex, real‐world phenomena pertinent to health services research. Greater understanding of the processes of qualitative data analysis can be helpful for health services researchers as they use these methods themselves or collaborate with qualitative researchers from a wide range of disciplines.

Từ khóa


Tài liệu tham khảo

Agar M. H., 1996, Recasting the ‘Ethno’ in ‘Ethnoepidemiology’, Medical Anthropology, 391

10.2307/2137284

Bazzoli G. J., 1999, A Taxonomy of Health Networks and Systems, Health Services Research, 33, 1683

10.1046/j.1525-1497.1998.00203.x

Boyatzis R., 1998, Transforming Qualitative Information: Thematic and Code Development

10.1111/j.1475-6773.2005.0y368.x

10.1001/jama.285.20.2604

Campbell M. K., 2004, Mapping Social Relations: A Primer in Doing Institutional Ethnography

Crabtree B., 1999, Doing Qualitative Research

Craigie F. C., 2004, Exploring the Organizational Culture of Exemplary Community Health Center Practices, Family Medicine, 36, 733

Creswell J. W., 2003, Qualitative, Quantitative and Mixed Methods Approaches

10.1370/afm.326

Denzin N., 1978, The Research Act: A Theoretical Introduction to Sociological Methods

Devers K. J., 1999, How Will We Know ‘Good’ Qualitative Research When We See It? Beginning the Dialogue in Health Services Research, Health Services Research, 34, 1153

10.1111/1475-6773.00123

Devers K. J., 2000, Study Design in Qualitative Research—2, Education for Health, 13, 263, 10.1080/13576280050074543

10.1111/1475-6773.027

Dubin R., 1969, Theory Building

10.1111/j.1475-6773.2005.0r370.x

10.4135/9781412986007

Flocke S. A., 2002, Relationships between Physician Practice Style, Patient Satisfaction, and Attributes of Primary Care, Journal of Family Practice, 51, 835

10.1001/jama.289.8.1001

10.1001/jama.284.3.357

Gillies R. R., 1993, Conceptualizing and Measuring Integration, Hospital and Health Services Administration, 38, 467

Glaser B. G., 1992, Emergence V Forcing Basics of Grounded Theory Analysis

Glaser B. G., 1967, The Discovery of Grounded Research: Strategies for Qualitative Research

Greenhalgh T., 1997, Papers That Go Beyond Numbers (Qualitative Research), British Medical Journal, 315, 740, 10.1136/bmj.315.7110.740

Gubrium J. F., 1997, The New Language of Qualitative Method

10.1016/S0020-7489(03)00113-5

Janesick V., 2003, Strategies of Qualitative Inquiry, 46

Kaplan A., 1964, The Conduct of Inquiry

10.1136/bmj.325.7361.415

10.1037/10518-189

10.1016/0147-1767(85)90062-8

Lofland J., 1971, Analyzing Social Settings: A Guide to Qualitative Observation and Analysis

10.1136/bmj.327.7415.599

10.1136/bmj.311.6997.109

10.4135/9781412986229

Merton R. K., 1967, On Theoretical Sociology

Miles M. B., 1994, Qualitative Data Analysis: A Sourcebook of New Methods

10.4135/9781412984287

Morse J. M., 1994, BookDesigning Funded Qualitative Research, 220

10.1177/104973299129121938

Morse J. M., 2002, Readme First for a User's Guide to Qualitative Methods

Patton M. Q., 1999, Enhancing the Quality and Credibility of Qualitative Analysis, Health Services Research, 34, 1189

Patton M. Q., 2002, Qualitative Research and Evaluation Methods

Pope C., 2000, Qualitative Research in Health Care. Analysing Qualitative Data, British Medical Journal, 320, 114, 10.1136/bmj.320.7227.114

10.1007/978-1-137-05871-3

Ragin C. C., 1987, The Comparative Method: Moving Beyond Qualitative and Quantitative Strategies

Ragin C. C., 1999, Using Qualitative Comparative Analysis to Study Causal Complexity, Health Services Research, 34, 1225

10.1177/1525822X02239569

Scanlon D. P., 2001, The Role of Performance Measures for Improving Quality in Managed Care Organizations, Health Services Research, 36, 619

Shortell S. M., 1999, The Emergence of Qualitative Methods in Health Services Research, Health Services Research, 34, 1083

Skocpol T., 2003, BookDouble Engaged Social Science, 407

10.1111/j.1475-6773.2005.00455.x

Sofaer S., 1999, Qualitative Methods, Health Services Research, 34, 1101

Spradley J., 1980, Participant Observation

10.1136/bmj.324.7338.639

Strauss A. L., 1990, Basics of Qualitative Research: Grounded Theory Procedures and Techniques

10.1093/sw/46.2.125

10.2307/3350097

10.1080/08870440008400302

Yin R. K., 1994, Case Study Research: Design and Methods