Entwistle V, Tritter J Q, Calnan M
Health Services Research Unit, University of Aberdeen, Fosterhill, Aberdeen, UK.
Eur J Cancer Care (Engl). 2002 Sep;11(3):232-7. doi: 10.1046/j.1365-2354.2002.00344.x.
This paper draws on contributions to and discussions at a recent MRC HSRC-sponsored workshop 'Researching users' experiences of health care: the case of cancer'. We focus on the methodological and ethical challenges that currently face researchers who use self-report methods to investigate experiences of cancer and cancer care. These challenges relate to: the theoretical and conceptual underpinnings of research; participation rates and participant profiles; data collection methods (the retrospective nature of accounts, description and measurement, and data collection as intervention); social desirability considerations; relationship considerations; the experiences of contributing to research; and the synthesis and presentation of findings. We suggest that methodological research to tackle these challenges should be integrated into substantive research projects to promote the development of a strong knowledge base about experiences of cancer and cancer care.
本文借鉴了近期由医学研究委员会(MRC)和健康服务研究中心(HSRC)联合主办的研讨会“研究用户的医疗保健体验:以癌症为例”上的相关贡献和讨论内容。我们关注的是当前使用自我报告方法来调查癌症及癌症护理体验的研究人员所面临的方法学和伦理挑战。这些挑战涉及:研究的理论和概念基础;参与率和参与者概况;数据收集方法(叙述的回顾性、描述与测量以及作为干预手段的数据收集);社会期望因素;关系因素;参与研究的体验;以及研究结果的综合与呈现。我们建议,应对这些挑战的方法学研究应融入实质性研究项目中,以促进关于癌症及癌症护理体验的坚实知识库的发展。