Abstract：
PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improve team-based qualitative research. METHODS:We drew on our experiences in working on numerous projects of varying, size, duration, and purpose. Through trials of different tools and techniques, expert consultation, and review of the literature, we learned to improve how we build teams, manage information, and disseminate results. RESULTS:Attention given to team members and team processes is as important as choosing appropriate analytical tools and techniques. Attentive team leadership, commitment to early and regular team meetings, and discussion of roles, responsibilities, and expectations all help build more effective teams and establish clear norms. As data are collected and analyzed, it is important to anticipate potential problems from differing skills and styles, and how information and files are managed. Discuss analytical preferences and biases and set clear guidelines and practices for how data will be analyzed and handled. As emerging ideas and findings disperse across team members, common tools (such as summary forms and data grids), coding conventions, intermediate goals or products, and regular documentation help capture essential ideas and insights. CONCLUSIONS:In a team setting, little should be left to chance. This article identifies ways to improve team-based qualitative research with more a considered and systematic approach. Qualitative researchers will benefit from further examination and discussion of effective, field-tested, team-based strategies.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Fernald DH,Duclos CWdoi
10.1370/afm.290keywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
360-4issue
4eissn
1544-1709issn
1544-1717pii
3/4/360journal_volume
3pub_type
杂志文章abstract：PURPOSE:Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection;...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
doi：10.1370/afm.1954
更新日期：2016-07-01 00:00:00
abstract：PURPOSE:This study was conducted to document current immunization practices by family physicians. METHODS:In 2008 the American Academy of Family Physicians (AAFP) conducted a survey among a random sample of 2,000 of its members who reported spending 80% or more of their time in direct patient care. The survey consiste...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1185
更新日期：2010-11-01 00:00:00
abstract：:Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2313
更新日期：2018-11-01 00:00:00
abstract：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1565
更新日期：2013-11-01 00:00:00
abstract：PURPOSE:Despite growing calls for team-based care, the current staff composition of primary care practices is unknown. We describe staffing patterns for primary care practices in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Primary Care (CPC) initiative. METHODS:We undertook a descriptive analysi...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1626
更新日期：2014-03-01 00:00:00
abstract：PURPOSE:Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS:We de...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1472
更新日期：2013-05-01 00:00:00
abstract：PURPOSE:In this study, we compared the rate of depression diagnoses in adults with and without diabetes mellitus, while carefully controlling for number of primary care visits. METHODS:We matched adults with incident diabetes (n = 2,932) or prevalent diabetes (n = 14,144) to nondiabetic control patients based on (1) a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.964
更新日期：2009-07-01 00:00:00
abstract：PURPOSE:Overtreatment of screen-detected localized prostate cancer (LPC) is an important public health concern, since the survival benefit of aggressive treatment (surgery or radiation) has not been well established. We investigated the survival expectations of patients who had LPC with and without their chosen treatme...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1926
更新日期：2016-05-01 00:00:00
abstract：PURPOSE:Primary care practices in the United Kingdom have received substantial financial rewards for achieving standards set out in the Quality and Outcomes Framework since April 2004. This article reviews the growing evidence for the impact of the framework on the quality of primary medical care. METHODS:Five hundred...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.1377
更新日期：2012-09-01 00:00:00
abstract：PURPOSE:Most new mothers return to work soon after childbirth. A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding. METHODS:Using a prospective cohort design, we recruited Minnesota wom...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.519
更新日期：2006-03-01 00:00:00
abstract：PURPOSE:We undertook a study to identify distinct functional trajectories in the year before hospice, to determine how patients with these trajectories differ according to demographic characteristics and hospice diagnosis, and to evaluate the association between these trajectories and subsequent outcomes. METHODS:From...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1720
更新日期：2015-01-01 00:00:00
abstract：:Hatpins is a first-person narrative that delves into a physician's experience of a patient death during the early years of residency. The essay reflects on the conflicted physician-patient relationships that can develop even over the short tenure of residency. While residency seeks to create medically prepared and com...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2135
更新日期：2017-11-01 00:00:00
abstract：PURPOSE:Multimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity. METHODS:We u...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2271
更新日期：2018-07-01 00:00:00
abstract：PURPOSE:Traditionally first-void urine specimens are used to test for Chlamydia trachomatis. In contrast, midstream urine specimens are traditionally recommended for microscopy and culture of presumptive bacterial urinary tract infections. The ability to test for both C trachomatis and urinary tract infection on a sing...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1323
更新日期：2012-01-01 00:00:00
abstract：PURPOSE:We aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation. METHODS:This mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the chang...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1904
更新日期：2016-03-01 00:00:00
abstract：PURPOSE:Describe the duration of symptoms, proportion of parents seeking primary care consultations, and costs for respiratory tract infections (RTIs) of children in the community. METHODS:Community-based, online, prospective inception cohort study. General practitioners from socioeconomically diverse practices posted...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2327
更新日期：2019-01-01 00:00:00
abstract：PURPOSE:The explosion of evidence in the last decade supporting the role of spirituality in whole-person patient care has prompted proposals for a move to a biopsychosocial-spiritual model for health. Making this paradigm shift in today's multicultural societies poses many challenges, however. This article presents 2 t...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.864
更新日期：2008-09-01 00:00:00
abstract：:Efforts to address the current fragmented US health care structure, including controversial federal reform, cannot succeed without a reinvigoration of community-centered health systems. A blueprint for systematic implementation of community services exists in the 1967 Folsom Report--calling for "communities of solutio...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1350
更新日期：2012-05-01 00:00:00
abstract：PURPOSE:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.27
更新日期：2003-07-01 00:00:00
abstract：:This narrative presents my personal reflections as a medical anthropology researcher, and my journey as a chronic patient suffering for 30 years from ulcerative colitis. My surgeon promised me "a new life" after recommending a total colectomy 20 years ago. Indeed, a new life did begin following surgery, but I find I m...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2181
更新日期：2018-03-01 00:00:00
abstract：PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2382
更新日期：2019-08-12 00:00:00
abstract：PURPOSE:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2536
更新日期：2020-07-01 00:00:00
abstract：PURPOSE:In screening for type 2 diabetes, guidelines recommend targeting high-risk individuals. Our objectives were to assess the yield of opportunistic targeted screening for type 2 diabetes in primary care and to assess the diagnostic value of various risk factors. METHODS:In 11 family practices (total practice popu...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.997
更新日期：2009-09-01 00:00:00
abstract：PURPOSE:To address doubts regarding National Lung Screening Trial (NLST) generalizability, we analyzed over 6,000 lung cancer screenings (LCSs) within a community health system. METHODS:Our LCS program included 10 sites, 7 hospitals (2 non-university tertiary care, 5 community) and 3 free-standing imaging centers. Pri...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2519
更新日期：2020-05-01 00:00:00
abstract：:During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2414
更新日期：2019-09-01 00:00:00
abstract：PURPOSE:To assess the effect of a primary care-based community-links practitioner (CLP) intervention on patients' quality of life and well-being. METHODS:Quasi-experimental cluster-randomized controlled trial in socioeconomically deprived areas of Glasgow, Scotland. Adult patients (aged 18 years or older) referred to ...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1370/afm.2429
更新日期：2019-11-01 00:00:00
abstract：PURPOSE:The health care system in the United States is inherently hierarchical. Patients are "nested" within physicians who in turn are "nested" within practices. Much of the research data gathered in practice-based research networks (PBRNs) also have similar patterns of nesting (clustering). When research data are nes...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.340
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.330
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:We undertook a study to examine the impact of experiences shared between patient and physician and the value patients place on continuity of care. METHODS:Data on 4,454 patients collected in The Direct Observation of Primary Care (DOPC) study conducted between October 1994 and August 1995 were analyzed to asse...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.84
更新日期：2004-09-01 00:00:00
abstract：:Patient-choice cesarean delivery is increasing in the United States. The American College of Obstetricians and Gynecologists supports this option, citing ethical premises of autonomy and informed consent, despite a lack of evidence for its safety. This increase in patient-choice cesarean delivery occurs during a time ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.537
更新日期：2006-05-01 00:00:00
