The use of the emergency department for non-emergent care.

What qualitative assessment instrument or instruments will complement your choice of quantitative data surveys? That is what qualitative approach you would use to reinforce or highlight the need for an intervention in your community. Recall that you learned how national quantitative databases are frequently used along with local qualitative studies to reinforce the relevance of a proposed intervention. Here are a few suggested topics where the quantitative/qualitative approach have been successfully used.

• The use of the emergency department for non-emergent care.
• The incidence and prevalence rates for diabetes in middle school-aged children.
• The effectiveness of pediatric urgent care.

Full Answer Section

         
  • Benefits:
    • Gain deeper insights into patient motivations and experiences.
    • Identify underlying systemic issues contributing to non-emergent ED use.
    • Generate ideas for targeted interventions and patient education campaigns.

Scenario: Incidence and Prevalence of Diabetes in Middle School-Aged Children

Quantitative Data:

  • Analyze health records to determine the prevalence of diabetes diagnoses.
  • Conduct surveys to assess risk factors like obesity, family history, and lifestyle habits.

Qualitative Approach: Semi-Structured Interviews

  • Participants: Interview parents and healthcare providers of children with diabetes.
  • Interview Topics:
    • Challenges in managing diabetes in children.
    • Access to diabetes education and support services.
    • Impact of diabetes on the child's quality of life and family dynamics.
    • Barriers to healthy lifestyle practices.
  • Benefits:
    • Identify specific needs and challenges faced by families.
    • Explore the impact of cultural and socioeconomic factors on diabetes management.
    • Inform the development of culturally tailored interventions and support programs.

Scenario: Effectiveness of Pediatric Urgent Care

Quantitative Data:

  • Analyze patient satisfaction surveys and wait times.
  • Track utilization rates and outcomes for common pediatric conditions.

Qualitative Approach: Patient and Provider Surveys

  • Patient Surveys:
    • Assess satisfaction with the overall care experience.
    • Evaluate the convenience and accessibility of the urgent care clinic.
    • Identify any barriers to accessing care.
  • Provider Surveys:
    • Assess the impact of the urgent care clinic on patient outcomes and satisfaction.
    • Identify challenges and opportunities for improvement.
    • Evaluate the effectiveness of communication and coordination with primary care providers.

By combining quantitative and qualitative methods, researchers can gain a comprehensive understanding of the problem and develop evidence-based interventions to address the identified needs.

Sample Answer

       

Qualitative Assessment Instruments to Complement Quantitative Data

Scenario: Non-Emergent Emergency Department Use

Quantitative Data:

  • Analyze emergency department (ED) visit data to identify patterns of non-emergent use.
  • Track wait times, length of stay, and disposition for non-emergent visits.

Qualitative Approach: Focus Group Discussions

  • Participants: Recruit a diverse group of patients who have used the ED for non-emergent care.
  • Discussion Topics:
    • Reasons for choosing the ED over primary care or urgent care.
    • Perceptions of wait times and quality of care.
    • Barriers to accessing primary care or urgent care.
    • Suggestions for improving access to appropriate care.