Ozawa Sachiko, Pongpirul Krit
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. E-mail:
Health Policy Plan. 2014 May;29(3):323-7. doi: 10.1093/heapol/czt019. Epub 2013 Apr 5.
Mixed methods research has become increasingly popular in health systems. Qualitative approaches are often used to explain quantitative results and help to develop interventions or survey instruments. Mixed methods research is especially important in low- and middle-income country (LMIC) settings, where understanding social, economic and cultural contexts are essential to assess health systems performance. To provide researchers and programme managers with a guide to mixed methods research in health systems, we review the best resources with a focus on LMICs. We selected 10 best resources (eight peer-reviewed articles and two textbooks) based on their importance and frequency of use (number of citations), comprehensiveness of content, usefulness to readers and relevance to health systems research in resource-limited contexts. We start with an overview on mixed methods research and discuss resources that are useful for a better understanding of the design and conduct of mixed methods research. To illustrate its practical applications, we provide examples from various countries (China, Vietnam, Kenya, Tanzania, Zambia and India) across different health topics (tuberculosis, malaria, HIV testing and healthcare costs). We conclude with some toolkits which suggest what to do when mixed methods findings conflict and provide guidelines for evaluating the quality of mixed methods research.
混合方法研究在卫生系统中越来越受欢迎。定性方法通常用于解释定量结果,并有助于制定干预措施或调查工具。混合方法研究在低收入和中等收入国家(LMIC)环境中尤为重要,在这些环境中,了解社会、经济和文化背景对于评估卫生系统绩效至关重要。为了为研究人员和项目管理人员提供卫生系统混合方法研究指南,我们重点回顾了针对低收入和中等收入国家的最佳资源。我们根据其重要性和使用频率(引用次数)、内容的全面性、对读者的实用性以及与资源有限环境中卫生系统研究的相关性,挑选了10种最佳资源(8篇同行评审文章和2本教科书)。我们首先概述混合方法研究,并讨论有助于更好地理解混合方法研究设计和实施的资源。为了说明其实际应用,我们提供了来自不同国家(中国、越南、肯尼亚、坦桑尼亚、赞比亚和印度)、不同卫生主题(结核病、疟疾、艾滋病毒检测和医疗费用)的示例。我们最后介绍了一些工具包,这些工具包针对混合方法研究结果出现冲突时应采取的措施提出了建议,并提供了评估混合方法研究质量的指南。