MIXED METHODS IN HEALTH SERVICES & POLICY RESEARCH Shoshanna Sofaer, Dr.P.H.

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MIXED METHODS IN

HEALTH SERVICES &

POLICY RESEARCH

Shoshanna Sofaer, Dr.P.H.

School of Public Affairs

Baruch College

OVERVIEW

Why use mixed methods

Key issues

 Timing/sequencing

Multiple methods for collecting data for a single variable v. multiple variables

How one type of data collection can inform the other(s)

Conundrums of analyzing mixed data

Reporting challenges and opportunities with mixed data

WHY USE MIXED METHODS

 When you want to ask a question that has rarely been asked or has been asked with questionable results

 When you want the strength of multiple methods triangulation

When some, and only some, of your variables are easily quantifiable at this stage of inquiry

To “illuminate the black box”

TIMING/SEQUENCING

 Model One: Qualitative first, use results to refine study questions, think through sampling and develop measures

 Model Two: Qualitative and quantitative in tandem

 Model Three, Quantitative first, qualitative to explore results in depth and/or “in situ”

MULTIPLE METHODS DATA

COLLECTION

 Using qualitative approaches to confirm or further explore existing quantitative data

(secondary)

 Using both qualitative and quantitative methods to explore the same variables

(primary)

MULTIPLE METHODS DATA

COLLECTION

 Using qualitative methods to explore some variables (e.g. independent variables) and quantitative methods to explore others

(e.g. dependent variables)

 Using qualitative methods to develop and refine quantitative measures

USING ONE KIND OF DATA TO

INFORM ANOTHER

Even in a “purely” qualitative project, it is often wise to gather as much existing data about your site or respondent before you arrive

 In a more mixed project, qualitative data can help you identify and test alternative interpretations of quantitative findings, and vice versa

CHALLENGES OF ANALYSIS

 Mixed methods projects lend themselves to analysis along the way rather than just at the end

 Issue: do you analyze each kind of data separately and then look at how each sheds light on the other?

Or do you analyze the data “together?”

CHALLENGES OF ANALYSIS

 The elephant in the room: what if your quantitative data imply one set of findings which are open to question when qualitative findings are examined?

 This has to lead to a thorough re-examination of your methods and experiences

 This is one reason for starting analysis early so you can continue to do empirical exploration

REPORTING

 Challenges:

 How much do you integrate?

 How do you integrate?

 Do you present all kinds of data to all audiences?

REPORTING

 Opportunities

 Using qualitative findings to illustrate quantitative results

 Even though some audiences claim they only want hard, numerical evidence, most people really connect with the stories available through qualitative studies

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