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姑息治疗中的定性研究:在临床试验工作中的应用

Qualitative Research in Palliative Care: Applications to Clinical Trials Work.

作者信息

Lim Christopher T, Tadmor Avia, Fujisawa Daisuke, MacDonald James J, Gallagher Emily R, Eusebio Justin, Jackson Vicki A, Temel Jennifer S, Greer Joseph A, Hagan Teresa, Park Elyse R

机构信息

1 Harvard Medical School , Boston, Massachusetts.

2 Harvard College , Cambridge, Massachusetts.

出版信息

J Palliat Med. 2017 Aug;20(8):857-861. doi: 10.1089/jpm.2017.0061. Epub 2017 Apr 7.

Abstract

BACKGROUND

While vast opportunities for using qualitative methods exist within palliative care research, few studies provide practical advice for researchers and clinicians as a roadmap to identify and utilize such opportunities.

OBJECTIVE

To provide palliative care clinicians and researchers descriptions of qualitative methodology applied to innovative research questions relative to palliative care research and define basic concepts in qualitative research. Body: We describe three qualitative projects as exemplars to describe major concepts in qualitative analysis of early palliative care: (1) a descriptive analysis of clinician documentation in the electronic health record, (2) a thematic content analysis of palliative care clinician focus groups, and (3) a framework analysis of audio-recorded encounters between patients and clinicians as part of a clinical trial.

CONCLUSIONS

This study provides a foundation for undertaking qualitative research within palliative care and serves as a framework for use by other palliative care researchers interested in qualitative methodologies.

摘要

背景

虽然在姑息治疗研究中存在大量使用定性方法的机会,但很少有研究为研究人员和临床医生提供实用建议,作为识别和利用此类机会的路线图。

目的

为姑息治疗临床医生和研究人员描述应用于与姑息治疗研究相关的创新性研究问题的定性方法,并定义定性研究中的基本概念。

主体

我们描述了三个定性项目作为示例,以描述早期姑息治疗定性分析中的主要概念:(1)对电子健康记录中临床医生文档的描述性分析,(2)对姑息治疗临床医生焦点小组的主题内容分析,以及(3)作为一项临床试验一部分的患者与临床医生之间录音会诊的框架分析。

结论

本研究为在姑息治疗中开展定性研究提供了基础,并为其他对定性方法感兴趣的姑息治疗研究人员提供了一个使用框架。

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