Studying Health Care “Quality” Qualitatively: The Dilemmas and Tensions between Different Forms of Evaluation Research within the U.K. National Health Service

Qualitative Health Research - Tập 12 Số 7 - Trang 966-981 - 2002
Paul Bate1, Glenn Robert1
1Centre for Health Informatics & Multiprofessional Education (CHIME), University College London, UK.

Tóm tắt

The authors tell the story of an attempt to depart from a tradition of evaluation research (ER) and to address the research-practice interface in a different way through a more hands-on, action research (AR) approach, which combines qualitative and quantitative methods. In doing so, they raise issues about the role and nature of evaluation for development and, especially, about the place of qualitative research in such evaluations; the identity of future ER; “paradigm wars” between the positivists and the phenomenologists; and the politics of conducting policy-based evaluations in health care settings and of what happens when qualitative researchers try to help an improvement process.

Từ khóa


Tài liệu tham khảo

Barsness Z., 1993, Hospitals and Health Networks, 67, 52

10.1111/1467-9299.00215

10.1111/1467-9515.00205

Bate, P., 2000, Public Administration Quarterly, 23, 445

Boss, R. W., 1989, Organization development in health care

10.4135/9781849209533

Campbell, D. T., 1963, Experimental and quasi-experimental designs for research

Carter, N., 1995, How organisations measure success: The use of performance indicators in government

Centre for the Evaluation of Public Policy and Practice (CEPP), 1994, Total quality management in the National Health Service: Final report of an evaluation

10.1007/BF02904927

10.4135/9781849209113

Cook, T. D., 1979, Quasi-experimentation: Design & analysis issues for field settings

Department of Health, 2000, The NHS plan: A plan for investment; a plan for reform

Department of Health, 2001, Draft research governance framework for health and social care

10.1111/1467-8551.11.s1.6

10.1016/0090-2616(88)90015-0

10.1097/00019514-199806030-00001

10.1046/j.1365-2753.2000.00260.x

Harris, S. G., Annual Meeting of the Academy of Management

Hart, E., 1995, Action research for health and social care: A guide to practice

Hills, D., National Co-ordinating Centre for Research Methods and National Co-ordinating Centre for Service Delivery and Organisation Action Research workshop

Iles, V., 2001, Managing change in the NHS. Organisational change: A review for health care managers, professionals and researchers

Joss, R., 1995, Advancing quality: Total quality management in the NHS

Lewin, K., 1947, Readings in social psychology, 459

Margulies, N., 1987, Consultation: An International Journal, 6, 221

McNulty, T., 1999, The Leicester Royal Infirmary reengineering programme evaluation

Meyer, J., 1999, Qualitative research in health care, 2

Morrison, B., National Co-ordinating Centre for Research Methods and National Co-ordinating Centre for Service Delivery and Organisation Action Research workshop

10.1177/104973201129119235

O’Connor, A., 1995, New approaches to evaluating community initiatives: Concepts, methods, and contexts, 23

Pawson, R., 1997, Realistic evaluation

Scriven, M., 1991, Evaluation thesaurus, 4

10.1016/S1084-8568(99)80101-1

10.4324/9780203273449

Waterman, H., 2001, Action Research: A systematic review and guidance for assessment

10.1111/1467-9515.00206

Weiss, C., 1990, Debates on evaluation

10.1016/0886-1633(93)90046-R

10.1177/135638900000600302