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[数量与质量:关于卫生服务研究中当前方法学争议的综述]

[Quantity versus quality: a review on current methodological dispute in health services research].

作者信息

Sikorski Claudia, Glaesmer Heide, Bramesfeld Anke

机构信息

Universität Leipzig, Institut für Arbeits- und Sozialmedizin, Philipp-Rosenthal-Strasse 55, 04103 Leipzig.

出版信息

Psychiatr Prax. 2010 Oct;37(7):322-8. doi: 10.1055/s-0030-1248599. Epub 2010 Sep 30.

DOI:10.1055/s-0030-1248599
PMID:20886397
Abstract

OBJECTIVE

The aim of this study was to determine the percentage of qualitative and quantitative research papers on health services research in two German journals.

METHODS

All publications of the two journals were viewed. Only empirical research papers were included. It was then assessed whether they dealt with health services research and what methodology was used to collect and analyse data.

RESULTS

About half of all published empirical papers dealt with health services research. Of those, slightly over 20 % used qualitative methods at least partially. Ordered by topic, qualitative data collection and analysis is especially common in the fields of phenomenology, treatment determinants and treatment outcome.

CONCLUSIONS

Sole qualitative methodology is still used rather seldom in health services research. Attempts to include quantitative as well as qualitative approaches are limited to sequential design, lowering the independent value of both approaches. The concept of triangulation yields the possibility to overcome paradigm based dichotomies. However, the choice of methodology ought to be based primarily on the research question.

摘要

目的

本研究旨在确定两份德国期刊中关于卫生服务研究的定性和定量研究论文的比例。

方法

查阅了这两份期刊的所有出版物。仅纳入实证研究论文。然后评估这些论文是否涉及卫生服务研究以及使用了何种方法来收集和分析数据。

结果

所有已发表的实证论文中约有一半涉及卫生服务研究。其中,略多于20%至少部分使用了定性方法。按主题排序,定性数据收集和分析在现象学、治疗决定因素和治疗结果领域尤为常见。

结论

在卫生服务研究中,单纯的定性方法仍然很少使用。将定量和定性方法结合的尝试仅限于序列设计,降低了两种方法的独立价值。三角验证的概念提供了克服基于范式的二分法的可能性。然而,方法的选择应主要基于研究问题。

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