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运用扎根理论方法捕捉和分析医疗保健体验。

Using Grounded Theory Method to Capture and Analyze Health Care Experiences.

作者信息

Foley Geraldine, Timonen Virpi

机构信息

Discipline of Occupational Therapy, School of Medicine, Trinity College Dublin, Trinity Centre for Health Sciences, Dublin, Ireland.

School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland.

出版信息

Health Serv Res. 2015 Aug;50(4):1195-210. doi: 10.1111/1475-6773.12275. Epub 2014 Dec 18.

Abstract

OBJECTIVE

Grounded theory (GT) is an established qualitative research method, but few papers have encapsulated the benefits, limits, and basic tenets of doing GT research on user and provider experiences of health care services. GT can be used to guide the entire study method, or it can be applied at the data analysis stage only.

METHODS

We summarize key components of GT and common GT procedures used by qualitative researchers in health care research. We draw on our experience of conducting a GT study on amyotrophic lateral sclerosis patients' experiences of health care services.

FINDINGS

We discuss why some approaches in GT research may work better than others, particularly when the focus of study is hard-to-reach population groups. We highlight the flexibility of procedures in GT to build theory about how people engage with health care services.

CONCLUSION

GT enables researchers to capture and understand health care experiences. GT methods are particularly valuable when the topic of interest has not previously been studied. GT can be applied to bring structure and rigor to the analysis of qualitative data.

摘要

目的

扎根理论(GT)是一种既定的定性研究方法,但很少有论文概括了就医疗保健服务的用户和提供者体验开展扎根理论研究的益处、局限性和基本原则。扎根理论可用于指导整个研究方法,也可仅应用于数据分析阶段。

方法

我们总结了扎根理论的关键组成部分以及医疗保健研究中定性研究人员使用的常见扎根理论程序。我们借鉴了开展一项关于肌萎缩侧索硬化症患者医疗保健服务体验的扎根理论研究的经验。

研究结果

我们讨论了为什么扎根理论研究中的某些方法可能比其他方法更有效,特别是当研究重点是难以接触到的人群时。我们强调了扎根理论程序在构建关于人们如何参与医疗保健服务的理论方面的灵活性。

结论

扎根理论使研究人员能够捕捉和理解医疗保健体验。当感兴趣的主题以前未被研究过时,扎根理论方法特别有价值。扎根理论可应用于为定性数据分析带来结构和严谨性。

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