Evidence map›Paper›PMID 25407663›Full record

ArticleBMC health services research2014

Using qualitative mixed methods to study small health care organizations while maximising trustworthiness and authenticity.

Christine B Phillips, Kathryn Dwan, Julie Hepworth, Christopher Pearce, Sally Hall

Abstract read
In one paragraph

Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christine B PhillipsMedical School, Peter Baume Building 42A, Australian National University, Canberra, ACT, 2601, Australia. Christine.phillips@anu.edu.au.
Kathryn DwanAustralian Primary Health Care Research Institute, Australian National University, Canberra, Australia. kathryn.dwan@anu.edu.au.
Julie HepworthSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia. julie.hepworth@qut.edu.au.
Christopher PearceInner East Medicare Local, Burwood, Victoria, Australia. chris_pearce@mac.com.
Sally HallMedical School, Australian National University, Canberra, Australia. sally.hall@anu.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary health care sector delivers the majority of health care in western countries through small, community-based organizations. However, research into these healthcare organizations is limited by the time constraints and pressure facing them, and the concern by staff that research is peripheral to their work. We developed Q-RARA-Qualitative Rapid Appraisal, Rigorous Analysis-to study small, primary health care organizations in a way that is efficient, acceptable to participants and methodologically rigorous.

methodsQ-RARA comprises a site visit, semi-structured interviews, structured and unstructured observations, photographs, floor plans, and social scanning data. Data were collected over the course of one day per site and the qualitative analysis was integrated and iterative.

resultsWe found Q-RARA to be acceptable to participants and effective in collecting data on organizational function in multiple sites without disrupting the practice, while maintaining a balance between speed and trustworthiness.

conclusionsThe Q-RARA approach is capable of providing a richly textured, rigorous understanding of the processes of the primary care practice while also allowing researchers to develop an organizational perspective. For these reasons the approach is recommended for use in small-scale organizations both within and outside the primary health care sector.

Indexed as

AdolescentAdultAgedAged, 80 and overAustraliaChildChild, PreschoolEfficiency, OrganizationalFemaleHealth Services ResearchHumansInfantInfant, NewbornMaleMiddle AgedPrimary Health Care

Identifiers

PMID25407663
PMCPMC4245737

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.