A Patient-Centered Primary Care Practice Approach Using Evidence-Based Quality Improvement: Rationale, Methods, and Early Assessment of Implementation

1.      General Study Orientation

Research is basically a qualitative research study in general orientation. In the article, qualitative data collection technique “interview technique” is used as most of the interview questions were open-ended rather than close-ended (Rubenstein, et al., 2014). Research finding is based on the interview results of 84 stakeholders (total of 104 interviews)

2.      Sample technique

In the research study, the purposive sampling technique is used to select samples or participants from the population. The main concern of the research study was with the health care centers; therefore, participants are selected from healthcare centers only. To avoid response biases and other unethical actions researcher only selected those people or groups that have a direct concern with the research. Therefore, research only selected 84 key stakeholders only for the purpose of collecting data through interview questions.

3.      Sample Characteristics

             Selected samples are from both genders’ male and female. Basically, all samples are representative of their HCS, regional, and local clinics. While samples are also representatives from quality council coordinators. At the time of sampling, the researcher emphasized social status characteristics such as position in local and regional clinics, project management position, and leading positions in quality council coordinators. As in the research study, other characteristics such as gender, age, and economic status were not important therefore the researcher did not mention these characteristics in the research article.     

4.      Choice of research design strategy

          The descriptive cross-sectional design is used in the research as a research design strategy. The researcher also presented limitations and problem statement in the research article to elaborate on the reliability and validity of the research study for future use. The researcher also discussed how these research findings can be used in the future for applicability to non-VA care and VA-care systems.

5.      The process of Instrument Development

             In the research, the study interview was used as the data collection technique to collect. The researcher used a formally structured interview template to collect information about different selected domains. Researchers summarized the qualitative interview results.  Moreover, a matrix was developed to examine the collected response or data in different dimensions.    

6.      Data Analysis and Interpretation

Collected data was analyzed on the basis of the matrix. While interpretation is made on the basis of implementation results or outcomes. The research was basically based on the healthcare system improvement through implementation of EBQI-PACT, therefore, no generalization was made on the basis of assumption (Rubenstein, et al., 2014). Somehow, results can be used for generalization but only in the healthcare sector as research findings cannot be used in other educational or industrial sectors.  

7.      Other Analysis

The format of the research article was relatively different and unique. There was no conclusion or proper statistical results discussion section in the article that could help out the reader in understanding research methodology and outcomes.

References

Rubenstein, L. V., Stockdale, S. E., Sapir, N., Altman, L., Dresselhaus, T., Salem-Schat, S., . . . Yano, E. M. (2014). A Patient-Centered Primary Care Practice Approach Using Evidence-Based Quality Improvement: Rationale, Methods, and Early Assessment of Implementation. Journal of general internal medicine, 29(2), 589-597. Retrieved 02 16, 2019