Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Health Serv Res. 2013 Dec;48(6 Pt 2):2208-23. doi: 10.1111/1475-6773.12116. Epub 2013 Oct 21.
OBJECTIVE: To demonstrate the value of using a variable derived from qualitative analysis in subsequent quantitative analyses. DATA SOURCES/STUDY SETTING: Mixed methods data were combined with 10-year mortality outcomes. Participants with cancer were recruited from services at a large teaching hospital, and mortality data were from the Social Security Death Index. STUDY DESIGN: An observational concurrent or convergent mixed methods design was used to collect demographics and structured ratings along with qualitative data from 909 cancer patients at baseline. DATA COLLECTION/EXTRACTION METHODS: Coding rules for qualitative data were defined for open-ended responses from cancer participants speaking about their view of self, and a variable was numerically coded for each case. Mortality outcomes were matched to baseline data, including the view of self variable. PRINCIPAL FINDINGS: Individuals with an improved view of self had a significantly lower mortality rate than those for whom it was worse or unchanged, even when adjusting for age, gender, and cancer stage. CONCLUSIONS: Statistical analysis of qualitative data is feasible and can identify new predictors with health services' implications associated with cancer mortality. Future studies should consider the value of testing coded qualitative variables in relation with key health care outcomes.
目的:展示在后续定量分析中使用源自定性分析的变量的价值。
资料来源/研究环境:混合方法数据与 10 年死亡率结果相结合。癌症患者是从一家大型教学医院的服务中招募的,死亡率数据来自社会保障死亡指数。
研究设计:采用观察性同期或收敛混合方法设计,在基线时从 909 名癌症患者中收集人口统计学和结构化评分以及定性数据。
资料收集/提取方法:为癌症参与者关于自我看法的开放式回答定义了定性数据的编码规则,并为每个病例进行了数字编码。将死亡率结果与包括自我看法变量在内的基线数据相匹配。
主要发现:自我看法改善的个体的死亡率明显低于自我看法恶化或不变的个体,即使在调整年龄、性别和癌症分期后也是如此。
结论:对定性数据进行统计分析是可行的,并且可以确定与癌症死亡率相关的具有卫生服务意义的新预测因素。未来的研究应考虑测试与关键医疗保健结果相关的编码定性变量的价值。
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