Utilising a collective case study system theory mixed methods approach: a rural health example

Due to the expressed limitations of the application of geographic classifications to health care [ 26 ], the researchers focussed on Participant Perspectives of Rurality PPR which were compared with geographical classifications.

Published online Jul The second stage of data collection consisted of stakeholder specific surveys. Adopting an instrumental case study approach is suitable therefore as it allows a focus on the issue of interest across sites. To view the content in your browser, please download Adobe Reader or, alternately, you may Download the file to your hard drive. Physiotherapists were invited to complete a survey describing their setting, service what is a collective case study design factors influencing their practice.

The constructs within the relational view of place suggest the relevance of both case study and systems theory.

Identification of multiple sites enabled development of rural physiotherapy cases for exploring rural physiotherapy service provision. This was also reflected in smaller rural locations, adding to the notion of access to services and support as an important consideration in studt rurality.

Fulltime equivalent FTE physiotherapist numbers ranged from 0. Qualitative Case Study Methodology: One participant who worked in an area with between four what is a collective case study design ten FTE physiotherapists stated that their perception of rurality was to some degree based on patient location. Private physiotherapy services, while limited in some communities, deliver significant services and formed a second focus desihn this investigation.


Conceptual representation of conventional and relational place. By analysing the data from the quantitative component groups of interest can be identified.

Abstract Qualitative case study methodology provides tools for researchers to study complex phenomena within their contexts. Trial of an allied health workload allocation model. Received Sep 25; Accepted Jul Research rigour The research design included data collection from multiple sources to enable triangulation of data and constant comparison. Six case types emerging cse the physiotherapy responses.

Utilising a collective case study system theory mixed methods approach: a rural health example

Priority setting for high cost medicines HCMs in public hospitals in Australia: An iterative approach was used to guide the qualitative data analysis [ 35 ].

In what is a collective case study design final stage of data collection the principal researcher conducted face to face semi-structured interviews with a purposive sample of physiotherapists and key decision-makers. To obtain input from stakeholders, case site physiotherapists who had agreed to participate in follow up interviews, were asked to distribute questionnaires to the stakeholders at their site, including managers, consumers and team members [ 32 ].

National Center for Biotechnology InformationU. The Qualitative Report13 4 The development of case sites using PPR combined with key aspects of the research question highlights how utilisation of the described methodological approach may assist in exploring local health service provision in what is a collective case study design communities.

In this study of rural physiotherapy service provision the defined system may include tangible and intangible elements within a broader organisation that are connected to form a system. The sixteen completed surveys received from the 11 sites represented a Data analysis Initial data analysis of the survey data was undertaken using Microsoft Excel spread sheets.


The combination of the systems theory-case study heuristic and a sequential mixed methods approach supported a qualitative exploration of issues identified through initial surveys.

Obtaining stakeholder perspectives on specific aspects of a health service provides insight into local health service provision beyond the quantitative data. This collectivee of place is informed by the relational understanding of space and place advocated by Cummins et al.

Physiotherapist perception of rurality PPR in sites with four to ten physiotherapists was an important factor in making distinctions between sites, whereas the number of FTE physiotherapists was a greater differentiator in rural and regional sites. Organisational complexity and contextual factors such rurality and service settings are important factors in health what is a collective case study design delivery. In view of the expressed limitations of geographic classification systems [ 30 tsudy participant perspectives of rurality rural, regional or remote were used to inform cases.