Researching Health Care: Designs, Dilemmas, and Disciplines

Health care delivery is undergoing intense scrutiny and pressure for change: people have high expectations and want value for money. Research can do much to evaluate the effectiveness of health care, but deeply rooted disciplinary preconceptions - about what should be done and how, and about what is scientific - have hampered relevant research. "Researching Health Care" brings together an international team of health researchers from the fields of clinical care, clinical epidemiology, bio-statistics, sociology, health economics and health policy. The problem of research method is central to the evaluation of health care, and the contributors therefore focus on the three most important methods in use at present: experimental methods, surveys and other quantitative methods, and qualitative methods. The strengths and limitations of each method are spelled out, and the contributors show how some methods are more appropriate for evaluating the technical aspects of medicine, others for social and community issues. They argue that complex health care problems can be adequately addressed only by an equally broad range of research study designs, as well as by a willingness to co-operate. This book should be of interest to researchers and professionals in training and practice in social policy, social work, health studies and sociology.