Case study approach
Case study pdf
The illustrative 'grand round', 'case report' and 'case series' have a long tradition in clinical practice and research. In , the NHS in England embarked on the most ambitious and expensive IT-based transformation in healthcare in history seeking to introduce electronic health records into all hospitals in England by Data collection: Semi-structured interviews, documentary data and field notes, observations and quantitative data. These are however not necessarily mutually exclusive categories. Objective: To understand and compare the process of workforce change in respiratory services and the impact on patient experience specifically in relation to the role of general practitioners with special interests in a theoretically selected sample of Primary Care Organisations PCOs , in order to derive models of good practice in planning and the implementation of a broad range of workforce issues. Whilst such a schema can be conceptually helpful, it may be appropriate to draw on more than one approach in any case study, particularly in the context of conducting health services research. Over the last 50 years, case study has been re-established as a credible, valid research design that facilitates the exploration of complex issues. Case studies in business[ edit ] At Harvard Law School In , Christopher Langdell departed from the traditional lecture-and-notes approach to teaching contract law and began using cases pled before courts as the basis for class discussions. On the other hand, STAKE takes a more flexible stance and while concerned with rigor in the processes, maintains a focus on what is studied the case rather than how it is studied the method. Case studies continued to be used during this time, however usually as a method within quantitative studies or referred to as descriptive research to study a specific phenomenon MERRIAM,
In clarifying lines of history and causation it is more useful to select subjects that offer an interesting, unusual or particularly revealing set of circumstances. Study design: Single intrinsic case study The case: Centred on the issue of recruitment of South Asian people with asthma.
The continued use of case study to understand the complexities of institutions, practices, processes, and relations in politics, has demonstrated the utility of case study for researching complex issues, and testing causal mechanisms that can be applied across varied disciplines.
A supplementary questionnaire was also provided to researchers. All the approaches mentioned here use preconceived categories in the analysis and they are ideographic in their approach, i.
The subject is the "practical, historical unity" through which the theoretical focus of the study is being viewed. Based on our experiences of conducting several health-related case studies, we reflect on the different types of case study design, the specific research questions this approach can help answer, the data sources that tend to be used, and the particular advantages and disadvantages of employing this methodological approach.
Change and progress have stemmed from parallel influences from historical approaches to research and individual researcher's preferences, perspectives on, and interpretations of case study research.
However, the turbulence, which surrounded reorganisation was found to have the opposite desired effect. The researcher attempts to capture her or his interpreted reality of the case, while studying the case situationally enables an examination of the integrated system in which the case unfolds.
Case study format
These examine one or more sites either for the purpose of examining a situation of unique interest with little to no interest in generalization, or to call into question a highly generalized or universal assertion. For STAKE , to understand the case "requires experiencing the activity of the case as it occurs in its context and in its particular situation" p. The unrealistic, politically driven, timeline implementation over 10 years was found to be a major source of frustration for developers, implementers and healthcare managers and professionals alike. Strengths of Case Studies Provides detailed rich qualitative information. In , the NHS in England embarked on the most ambitious and expensive IT-based transformation in healthcare in history seeking to introduce electronic health records into all hospitals in England by Abstract The case study approach allows in-depth, multi-faceted explorations of complex issues in their real-life settings. Here, anthropologists practiced their methods on university cultures or by conducting lengthy case studies involving field-based observations of groups with the aim of understanding their social and cultural lives CRESWELL et al. Most of this information is likely to be qualitative i. The case study is not itself a research method, but researchers select methods of data collection and analysis that will generate material suitable for case studies.
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