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Health Res Policy Syst. 2016 Aug 15;14(1):63. doi: 10.1186/s12961-016-0122-3.

Integrating qualitative research methods into care improvement efforts within a learning health system: addressing antibiotic overuse.

Author information

1
Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, 91101, United States of America. corrine.e.munoz-plaza@kp.org.
2
Patient Centered Outcomes Research Institute, Washington, DC, 20036, United States of America.
3
Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA, 91101, United States of America.
4
Quality and Clinical Analysis, Kaiser Permanente Southern California, Pasadena, CA, 91101, United States of America.

Abstract

BACKGROUND:

Despite reports advocating for integration of research into healthcare delivery, scant literature exists describing how this can be accomplished. Examples highlighting application of qualitative research methods embedded into a healthcare system are particularly needed. This article describes the process and value of embedding qualitative research as the second phase of an explanatory, sequential, mixed methods study to improve antibiotic stewardship for acute sinusitis.

METHODS:

Purposive sampling of providers for in-depth interviews improved understanding of unwarranted antibiotic prescribing and elicited stakeholder recommendations for improvement. Qualitative data collection, transcription and constant comparative analyses occurred iteratively.

RESULTS:

Emerging themes and sub-themes identified primary drivers of unwarranted antibiotic prescribing patterns and recommendations for improving practice. These findings informed the design of a health system intervention to improve antibiotic stewardship for acute sinusitis. Core components of the intervention are also described.

CONCLUSION:

Qualitative research can be effectively applied in learning healthcare systems to elucidate quantitative results and inform improvement efforts.

KEYWORDS:

Acute sinusitis; Antibiotics; Embedded research; Guidelines; Mixed methods; Qualitative research

PMID:
27527079
PMCID:
PMC4986245
DOI:
10.1186/s12961-016-0122-3
[Indexed for MEDLINE]
Free PMC Article

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