ArticleHealth research policy and systems2016
Integrating qualitative research methods into care improvement efforts within a learning health system: addressing antibiotic overuse.
Article in Health research policy and systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026Pooled it
- Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review.Journal of the American Board of Family Medicine : JABFMPooled it
- The model for induced drug demand management in Iranian hospitals: a qualitative study.BMC research notes · 2025Article
- Locally-tailored vs. centrally-administered strategies for implementation of primary human papillomavirus (HPV) screening in an integrated healthcare system: a qualitative research study.Frontiers in health services · 2025Article
- Factors associated with patients' demand for low-value care: a scoping review.BMC health services research · 2024Article
- Patient Perspectives on the Drivers and Deterrents of Antibiotic Treatment of Acute Rhinosinusitis: a Qualitative Study.Journal of general internal medicine · 2023Article
- Strategies to reduce low-value care - An applied behavior analysis using a single-case design.Frontiers in health services · 2023Article
- The Alliance for Healthier Communities' journey to a learning health system in primary care.Learning health systems · 2023Article
- Strategies for de-implementation of low-value care-a scoping review.Implementation science : IS · 2022Article
- Barriers to rational antibiotic prescription in Iran: a descriptive qualitative study.Antimicrobial resistance and infection control · 2022Article
- The Science of Learning Health Systems: Scoping Review of Empirical Research.JMIR medical informatics · 2022Article
- Does de-implementation of low-value care impact the patient-clinician relationship? A mixed methods study.BMC health services research · 2022Article
- De-implementation and substitution of clinical care processes: stakeholder perspectives on the transition to primary human papillomavirus (HPV) testing for cervical cancer screening.Implementation science communications · 2021Article
- Learning health systems in primary care: a systematic scoping review.BMC family practice · 2021Article
- Determinants for the use and de-implementation of low-value care in health care: a scoping review.Implementation science communications · 2021Article
- Designing a program evaluation for a medical-dental service for adults with autism and intellectual disabilities using the RE-AIM framework.Learning health systems · 2019Article
- Improving the Odds of Success for Precision Medicine Using the Social Ecological Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- A philosophical critique of the UK's National Institute for Health and Care Excellence guideline 'Palliative care for adults: strong opioids for pain relief'.British journal of pain · 2018Article
- Limiting Antibiotic Use in Acute Sinusitis: Partly a Matter of Vocabulary?Journal of patient-centered research and reviews · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite reports advocating for integration of research into healthcare delivery, scant literature exists describing how this can be accomplished. Examples highlighting application of qualitative research methods embedded into a healthcare system are particularly needed. This article describes the process and value of embedding qualitative research as the second phase of an explanatory, sequential, mixed methods study to improve antibiotic stewardship for acute sinusitis.
methodsPurposive sampling of providers for in-depth interviews improved understanding of unwarranted antibiotic prescribing and elicited stakeholder recommendations for improvement. Qualitative data collection, transcription and constant comparative analyses occurred iteratively.
resultsEmerging themes and sub-themes identified primary drivers of unwarranted antibiotic prescribing patterns and recommendations for improving practice. These findings informed the design of a health system intervention to improve antibiotic stewardship for acute sinusitis. Core components of the intervention are also described.
conclusionQualitative research can be effectively applied in learning healthcare systems to elucidate quantitative results and inform improvement efforts.
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Registered trials
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.