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Qualitative Methods for Health Economics

Qualitative Methods for Health Economics

Joanna Coast

(2017)

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Book Details

Abstract

Qualitative methods are increasingly used within health economics research, but there is almost no specific material to guide the use of these methods in this context; there is very little that links them to the specific questions that (health) economists ask or that provides guidance on analyzing from an ‘economic’ or ‘resource-focused’ perspective.

Whilst the main themes within the book will look very similar to those in many other texts on qualitative research methods, they will:

  • Apply the concepts familiar from qualitative methods to health economics issues in a way that is meaningful in this specific context;
  • Work within an economic analytical approach where the analytic focus is on issues around scarcity and resource allocation;
Incorporate examples that are relevant to health economists grappling with resource allocation problems in health care.
This work will be welcomed by so many people in health economics and beyond, as more and more we realise the fundamental contributions that qualitative research brings to our endeavours to improve efficiency and equity in health care and other health-related activities. The work presented will also be of great use to research commissioners, policy makers and, ultimately, patients and the public. This volume is the product not just of leading qualitative researchers but some of the world’s best health economists; an exciting and insightful combination.
Cam Donaldson, Yunus Chair in Social Business and Health, Glasgow Caledonian University
In real life numbers are often useful and convincing, but usually fail to explain "why?". Well performed qualitative analysis can come in here to enlighten and guide researchers, advisers and policy-makers alike in understanding a situation and finding the most appropriate solution to a problem. Joanna Coast and co-authors have put together a reference book that is extremely useful in introducing such qualitative research, giving examples of applied research and at the same time cautioning against its unreflected use. The book sets standards and every researcher and practitioner wanting to supplement "number crunching" should have a copy.
Konrad Obermann MD PhD, Professor, Mannheim Institute of Public Health, University of Heidelberg
Coast's new book is a clear, insightful, and educational volume that brings qualitative methods in health economics to life. With a superb lineup of leading scholars in the field, and including a wide range of theoretical and empirical approaches, this book is a must have for students and practitioners of health economics.
Stuart Peacock, Leslie Diamond Chair in Cancer Survivorship Faculty of Health Sciences, Simon Fraser University
With easy-to-follow exemplars, Coast illustrates how to use qualitative research to develop and interpret quantitative research, and enhance economic understanding. She highlights novel qualitative applications for decision models; and deliberative approaches to health state valuation. As a leader in the field, Coast makes a comprehensive argument for why health economists can and should embrace qualitative research methods.
Rachael Morton, Director of Health Economics, NHMRC Clinical Trials Centre and Associate Professor, Sydney Medical School, University of Sydney, Australia
For decades Joanna Coast and her colleagues have challenged health economists to think outside the box. In this new edited work they provide readers with a comprehensive overview how one can use qualitative methods to advance the depth of understanding of problems that individuals and societies face. It is a must read.
John F P Bridges, Associate Professor, John Hopkins University and founding editor of The Patient
This is a compelling, comprehensive and much needed take on the use of qualitative methods in health economics. Without a doubt required reading for both students and academics alike.
Craig Mitton, Professor of Health Economics, University of British Columbia
Has the ‘cheerful face of the dismal science’ gone fluffy? Coast and colleagues provide robust justification why health economists, historically more comfortable with numbers than words, should recognise the strengths of qualitative methods. The book introduces perhaps unfamiliar terms, ontology and epistemology, before taking the reader carefully through the key methodological considerations and neatly using a series of case studies to illustrate the potential applications of qualitative methods in health economics.
Katherine Payne, Professor of Health Economics, Manchester Centre for Health Economics, The University of Manchester
Joanna Coast is a Professor in the Economics of Health & Care at the University of Bristol. She has published numerous papers on the role and implementation of qualitative methods in health economics and one of her main research areas is in end of life care.
To paraphrase from the book itself this is an ‘antidote for arrogance’. Health economists need to start questioning their data and appreciating the value of qualitative research. Offering insights from think-aloud techniques to Q methodology to pictorial tools, a range of qualitative approaches and case studies are showcased. This comprehensive text embodies nearly two decades of research by Joanna Coast; the rest of us have a lot of catching up to do.
Paula Lorgelly, Visiting Professor, Division of Cancer Studies, King’s College London

Table of Contents

Section Title Page Action Price
Qualitative Methods for Health Economics Cover
Contents vii
List of Figures xi
List of Tables xiii
List of Boxes xv
Acknowledgements xvii
Part I: Choices about methods 1
1 Theoretical and methodological positions and the choice to use qualitative methods 3
2 Designing qualitative research studies in health economics 19
3 Understanding sampling and recruitment 42
4 Understanding data collection: Interviews, focus groups and observation 59
5 Understanding primary data analysis 92
6 Understanding secondary data analysis 119
7 Presenting and publishing qualitative research in health economics 139
Part II: Case studies 153
8 Introduction to the case studies 155
Part II A: Using qualitative methods to develop and enhance quantitative research 161
9 Constructing statement sets for use in Q methodology studies 163
10 Qualitative methods in discrete choice experiments: Two case studies 175
11 Using qualitative methods to develop a preference-based health-related quality of life measure for use in economic evaluation: The development of the Child Health Utility 9D 193
12 Incorporating novel qualitative methods within health economics: The use of pictorial tools 205
13 Using non-participant observation and think-aloud to understand and improve modelling processes 217
Part II B: Using qualitative methods to interpret quantitative findings 229
14 Using ‘think-aloud’ and interview data to explore patient and proxy completion of health and capability measures at the end of life 231
15 Getting beyond the numbers: Using qualitative methods to explore the validity of health state valuation techniques 245
16 Use of deliberative methods to facilitate and enhance understanding of the weighting of survey attributes 257
Part II C: Using qualitative methods to enhance and generate economic understanding 275
17 Using qualitative methods in impact evaluation: The case of the results-based financing for maternal and neonatal care impact evaluation in Malawi 277
18 An assessment of an international declaration on aid effectiveness through qualitative methods at the country level 293
19 Using cost-effectiveness evidence in making priority gradings: The case of the Swedish National Guidelines for heart diseases 307
20 Contributions of qualitative methods to the study of priority setting and resource allocation in health care 319
Part III: Afterword 333
21 Afterword: Walking the disciplinary tightrope 335
References 339
Index 377
Contributors 385