TY - jour a2 - 鹰，谢丽尔·奥 - 考伦，拉赫勒阿·奥恩，Angela B. Au - Lisi，Anthony J. Au - Smith，Monica M. Au - Delevan，Deborah Au - Armstrong，Courtney Au - Mittman，Brian S。PY - 2013 DA - 2013/12/31 TI - 混合方法在复杂的多站体VA卫生服务研究中研究：VA SP - 701280 VL - 2013 AB中脊椎按摩术服务的实施和特征的变化 - 最大化质量和益处of newly established chiropractic services represents an important policy and practice goal for the US Department of Veterans Affairs’ healthcare system. Understanding the implementation process and characteristics of new chiropractic clinics and the determinants and consequences of these processes and characteristics is a critical first step in guiding quality improvement. This paper reports insights and lessons learned regarding the successful application of mixed methods research approaches—insights derived from a study of chiropractic clinic implementation and characteristics, Variations in the Implementation and Characteristics of Chiropractic Services in VA (VICCS). Challenges and solutions are presented in areas ranging from selection and recruitment of sites and participants to the collection and analysis of varied data sources. The VICCS study illustrates the importance of several factors in successful mixed-methods approaches, including (1) the importance of a formal, fully developed logic model to identify and link data sources, variables, and outcomes of interest to the study’s analysis plan and its data collection instruments and codebook and (2) ensuring that data collection methods, including mixed-methods, match study aims. Overall, successful application of a mixed-methods approach requires careful planning, frequent trade-offs, and complex coding and analysis. SN - 1741-427X UR - https://doi.org/10.1155/2013/701280 DO - 10.1155/2013/701280 JF - Evidence-Based Complementary and Alternative Medicine PB - Hindawi Publishing Corporation KW - ER -