Connecting the dots and merging meaning: using mixed methods to study primary care delivery transformation

Update item information
Publication Type pre-print
School or College College of Social & Behavioral Science
Department Economics
Creator Waitzman, Norman J.
Other Author Scammon, Debra L.; Tomoaia-Cotisel, Andrada; Day, Rachel L.; Day, Julie; Kim, Jaewhan; Farrell, Timothy W.; Magill, Michael K.
Title Connecting the dots and merging meaning: using mixed methods to study primary care delivery transformation
Date 2013-01-01
Description Objective: To demonstrate the value of mixed methods in the study of practice transformation and illustrate procedures for connecting methods and for merging findings to enhance the meaning derived.. Data Source/Study Setting: An integrated network of university-owned, primary care practices at the University of Utah (Community Clinics or CCs). CC has adopted Care by Design™, its version of the Patient Centered Medical Home. Study Design: Mixed methods. Data Collection/Extraction Methods: Analysis of archival documents, internal operational reports, in-clinic observations, chart audits, surveys, semi-structured interviews, focus groups, Centers for Medicare and Medicaid Services database and the Utah All Payers Claims Database. Principal findings: Each data source enriched our understanding of the change process and understanding of reasons that certain changes were more difficult than others both in general and for particular clinics. Mixed methods enabled generation and testing of hypotheses about change and led to a comprehensive understanding of practice change. Conclusions: Mixed methods are useful in studying practice transformation. Challenges exist but can be overcome with careful planning and persistence.
Type Text
Publisher Wiley-Blackwell
Volume 48
Issue 6 Pt 2
First Page 2181
Last Page 2207
Language eng
Bibliographic Citation Scammon, D.L., Tomoaia-Cotisel, A., Day, R. L., Day, J., Kim, J., Waitzman, N. J., Farrell, T. W., & Magill, M. K. (2013). Connecting the dots and merging meaning: using mixed methods to study primary care delivery transformation. Health Services Research, 48(6 Pt 2), 2181-207.
Rights Management (c) Wiley-Blackwell The definitive version is available at www3.interscience.wiley.com ; This is the pre-peer reviewed version of the following article: Scammon, D.L., Tomoaia-Cotisel, A., Day, R. L., Day, J., Kim, J., Waitzman, N. J., Farrell, T. W., & Magill, M. K. (2013). Connecting the dots and merging meaning: using mixed methods to study primary care delivery transformation. Health Services Research, 48(6 Pt 2), 2181-207, which has been published in final form at DOI: 10.1111/1475-6773.12114 ; http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12114/pdf
Format Medium application/pdf
Format Extent 1,524,083 bytes
Identifier uspace,18461
ARK ark:/87278/s6t75sg2
Setname ir_uspace
Date Created 2014-03-28
Date Modified 2021-05-06
ID 712045
Reference URL https://collections.lib.utah.edu/ark:/87278/s6t75sg2
Back to Search Results