Show simple item record

dc.contributor.authorRegmi, Krishnaen
dc.date.accessioned2018-11-30T11:16:45Z
dc.date.available2018-11-30T11:16:45Z
dc.date.issued2017-09-11
dc.identifier.citationRegmi K (2018) 'Methodological and practical viewpoints of qualitative-driven mixed method design: The case of decentralisation of primary healthcare services in Nepal', Primary Health Care Research and Development, 19 (1), pp.64-76.en
dc.identifier.issn1463-4236
dc.identifier.pmid28889831
dc.identifier.doi10.1017/S1463423617000597
dc.identifier.urihttp://hdl.handle.net/10547/623021
dc.description.abstractBackground Although considerable attention has been paid to the use of quantitative methods in health research, there has been limited focus on decentralisation research using a qualitative-driven mixed method design. Decentralisation presents both a problematic concept and methodological challenges, and is more context-specific and is often multi-dimensional. Researchers often consider using more than one method design when researching phenomena is complex in nature. Aim To explore the effects of decentralisation on the provision of primary healthcare services. Methods Qualitative-driven mixed method design, employing three methods of data collections: focus group discussions (FGDs), semi-structured interviews (SSIs) and participant observations under two components, that is, core component and supplementary components were used. Four FGDs with health service practitioners, three FGDs with district stakeholders, 20 SSIs with health service users and 20 SSIs with national stakeholders were carried out. These were conducted sequentially. NVivo10, a data management program, was utilised to code the field data, employing a content analysis method for searching the underlying themes or concepts in the text material. Findings Both positive and negative experiences related to access, quality, planning, supplies, coordination and supervision were identified. Conclusion This study suggests some evidence of the effects of decentralisation on health outcomes in general, as well as filling a gap of understanding and examining healthcare through a qualitative-driven mixed methods approach, in particular. Future research in the area of qualitative in-depth understanding of the problems (why decentralisation, why now and what for) would provoke an important data set that benefits the researchers and policy-makers for planning and implementing effective health services.
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.relation.urlhttps://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/methodological-and-practical-viewpoints-of-qualitativedriven-mixed-method-design-the-case-of-decentralisation-of-primary-healthcare-services-in-nepal/2B3A0577E20B9A856DC2BA8E4A637C34en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectprimary health careen
dc.subjectNepalen
dc.subjecthealth services researchen
dc.subjectqualitative researchen
dc.subjectmixed-methods researchen
dc.subjectL510 Health & Welfareen
dc.titleMethodological and practical viewpoints of qualitative-driven mixed method design: The case of decentralisation of primary healthcare services in Nepalen
dc.typeArticleen
dc.identifier.journalPrimary Health Care Research and Developmenten
dc.date.updated2018-11-30T11:06:59Z
html.description.abstractBackground Although considerable attention has been paid to the use of quantitative methods in health research, there has been limited focus on decentralisation research using a qualitative-driven mixed method design. Decentralisation presents both a problematic concept and methodological challenges, and is more context-specific and is often multi-dimensional. Researchers often consider using more than one method design when researching phenomena is complex in nature. Aim To explore the effects of decentralisation on the provision of primary healthcare services. Methods Qualitative-driven mixed method design, employing three methods of data collections: focus group discussions (FGDs), semi-structured interviews (SSIs) and participant observations under two components, that is, core component and supplementary components were used. Four FGDs with health service practitioners, three FGDs with district stakeholders, 20 SSIs with health service users and 20 SSIs with national stakeholders were carried out. These were conducted sequentially. NVivo10, a data management program, was utilised to code the field data, employing a content analysis method for searching the underlying themes or concepts in the text material. Findings Both positive and negative experiences related to access, quality, planning, supplies, coordination and supervision were identified. Conclusion This study suggests some evidence of the effects of decentralisation on health outcomes in general, as well as filling a gap of understanding and examining healthcare through a qualitative-driven mixed methods approach, in particular. Future research in the area of qualitative in-depth understanding of the problems (why decentralisation, why now and what for) would provoke an important data set that benefits the researchers and policy-makers for planning and implementing effective health services.


Files in this item

Thumbnail
Name:
PHC1700059PRFb.pdf
Size:
228.3Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Green - can archive pre-print and post-print or publisher's version/PDF
Except where otherwise noted, this item's license is described as Green - can archive pre-print and post-print or publisher's version/PDF