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对药房部门政策变化的多方法研究——北欧案例。

Multimethod research into policy changes in the pharmacy sector--the Nordic case.

作者信息

Almarsdóttir Anna Birna, Traulsen Janine M

机构信息

Faculty of Pharmacy, University of Iceland, Hagi, Hofsvallagata 53, IS-107 Reykjavík, Iceland.

出版信息

Res Social Adm Pharm. 2009 Mar;5(1):82-90. doi: 10.1016/j.sapharm.2008.04.005. Epub 2009 Jan 21.

DOI:10.1016/j.sapharm.2008.04.005
PMID:19285293
Abstract

This article aims to explain the nature of multimethod studies and to illustrate their role in pharmaceutical policy research. In the field of pharmaceutical policy research, methodological and theoretically sound evaluation is the main goal. Reflexive learning is required in order to address and resolve one of the important paradoxes of late modern societies, which is that while the increasing complexity of social systems progressively undermines notions of certainty in social knowledge, it simultaneously raises the stakes in relation to rational guidance of those systems. By reflecting over our own research processes, we identified the strengths and weaknesses of multimethod research. We present our research methods and the experiences of pharmaceutical policy changes from two separate evaluation studies, one from Iceland and the other from Denmark. In addition, examples from a third study in progress are included: a multimethod international comparison of recent changes in pharmaceutical policy in Iceland, Denmark and Norway. Based on our experiences and reflections, we identified four of the most important issues we encountered in carrying them out: The importance of doing research in context; Challenges of comparison and questions of compatibility of data--both qualitative and quantitative; The importance of doing these studies with a multidisciplinary team; Research in pharmaceutical policy is a fluid, ongoing process.

摘要

本文旨在解释多方法研究的本质,并阐述其在药物政策研究中的作用。在药物政策研究领域,方法合理且理论完善的评估是主要目标。为应对和解决现代晚期社会的一个重要悖论,即社会系统日益复杂逐渐削弱了社会知识中的确定性概念,同时却提高了对这些系统进行理性指导的风险,需要进行反思性学习。通过反思我们自己的研究过程,我们确定了多方法研究的优缺点。我们介绍了我们的研究方法以及两项独立评估研究中药物政策变化的经验,一项来自冰岛,另一项来自丹麦。此外,还纳入了正在进行的第三项研究的例子:冰岛、丹麦和挪威药物政策近期变化的多方法国际比较。基于我们的经验和反思,我们确定了在开展这些研究过程中遇到的四个最重要问题:结合实际开展研究的重要性;比较的挑战以及定性和定量数据的兼容性问题;与多学科团队开展这些研究的重要性;药物政策研究是一个动态的、持续的过程。

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