Urban Institute, Health Policy Center, Washington, DC 20037, USA.
Med Care Res Rev. 2011 Feb;68(1):41-8. doi: 10.1177/1077558710384269.
The 10-year systematic review of published health services and management research by Weiner et al. (2011) chronicles the contributions of qualitative methods, highlights areas of substantial progress, and identifies areas in need of more progress. This article (Devers, 2011) discusses possible reasons for lack of progress in some areas--related to the under-supply of well-trained qualitative researchers and more tangible demand for their research--and mechanisms for future improvement. To ensure a robust health services research toolbox, the field must take additional steps to provide stronger education and training in qualitative methods and more funding and publication opportunities. Given the rapidly changing health care system post the passage of national health reform and the chalresearch issues associated with it, the health services research and management field will not meet its future challenges with quantitative methods alone or with a half-empty toolbox.
Weiner 等人（2011 年）对已发表的卫生服务和管理研究进行了长达 10 年的系统回顾，其中记载了定性方法的贡献，突出了取得实质性进展的领域，并确定了需要进一步取得进展的领域。本文（Devers，2011 年）讨论了一些领域缺乏进展的可能原因——与受过良好训练的定性研究人员供应不足以及对其研究的更切实需求有关——以及未来改进的机制。为了确保拥有一个强大的卫生服务研究工具箱，该领域必须采取更多措施，提供更强大的定性方法教育和培训，并提供更多的资金和发表机会。鉴于在通过国家卫生改革后医疗保健系统的快速变化以及与之相关的研究问题，卫生服务研究和管理领域仅依靠定量方法或半满的工具箱将无法应对未来的挑战。
