Achieving Integration in Mixed Methods Designs-Principles and Practices

被引:2691
作者
Fetters, Michael D. [1 ]
Curry, Leslie A. [2 ]
Creswell, John W. [3 ]
机构
[1] Univ Michigan, Ann Arbor, MI 48104 USA
[2] Yale Sch Publ Hlth Hlth Policy, New Haven, CT USA
[3] Univ Nebraska, Lincoln, NE USA
关键词
Qualitative research; survey; sampling; focus groups; biostatistical methods; epidemiology; program evaluation; research methodology; ACUTE MYOCARDIAL-INFARCTION; HEALTH-SERVICES RESEARCH; PERFORMING HOSPITALS; MORTALITY-RATES; PRIMARY-CARE; TRIALS; INTERVENTION; COMMUNITY; SMOKING; PROJECT;
D O I
10.1111/1475-6773.12117
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Integration at the study design level occurs through three basic mixed method designsexploratory sequential, explanatory sequential, and convergentand through four advanced frameworksmultistage, intervention, case study, and participatory. Integration at the methods level occurs through four approaches. In connecting, one database links to the other through sampling. With building, one database informs the data collection approach of the other. When merging, the two databases are brought together for analysis. With embedding, data collection and analysis link at multiple points. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. The fit of integration describes the extent the qualitative and quantitative findings cohere. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods.
引用
收藏
页码:2134 / 2156
页数:23
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