Abstract
Introduction:In this paper, we provide a detailed and explicit description of the processes and decisions underlying and shaping the emergent multimethod research design of our study on workforce changes in integrated chronic care.Theory and methods:The study was originally planned as mixed method research consisting of a preliminary literature review and quantitative check of these findings via a Delphi panel. However, when the findings of the literature review were not appropriate for quantitative confirmation, we chose to continue our qualitative exploration of the topic via qualitative questionnaires and secondary analysis of two best practice case reports.Results:The resulting research design is schematically described as an emergent and interactive multimethod design with multiphase combination timing. In doing so, we provide other researchers with a set of theory- and experience-based options to develop their own multimethod research and provide an example for more detailed and structured reporting of emergent designs.Conclusion and discussion:We argue that the terminology developed for the description of mixed methods designs should also be used for multimethod designs such as the one presented here.
Highlights
In this paper, we provide a detailed and explicit description of the processes and decisions underlying and shaping the emergent multimethod research design of our study on workforce changes in integrated chronic care
This paper described the development of an emergent and interactive multimethod design with multiphase combination timing to investigate the workforce changes implemented as part of integrated care interventions for people with chronic conditions, the barriers and facilitators to their implementation, as well as their outcomes
The original research plan foresaw an initial investigation of the workforce changes, their barriers and facilitators, and their outcomes as described in the international scientific literature
Summary
We provide a detailed and explicit description of the processes and decisions underlying and shaping the emergent multimethod research design of our study on workforce changes in integrated chronic care. Workforce changes in integrated care interventions The demand for health care is on the rise and changing from acute, short-term care to chronic, long-term care [1, 2]. This is mainly due to population ageing, increased prevalence of lifestyle factors conducive to chronic disease and a change in the definition of illness to include those at risk of disease [1,2,3]. In line with previous research, we operationally defined integrated care as interventions targeting at least two components of the Chronic Care Model [9,10,11]
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