Methods of Case Study Analysis

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Methods in Case Study Analysis Linda T. Kohn, Ph.D. The Center for Studying Health System Change Technical Publication No. 2 June 1997 Methods in Case Study Analysis Linda T. Kohn, Ph.D. The Center for Studying Health System Change Technical Publication No. 2 June 1997 Methods in Case Study Analysis by Linda T. Kohn, Ph.D. Preface This technical report is based on a panel discussion conducted at the 1996 meeting of the Association for Health Services Research. The Center for Studying Health System Change sponsored a session on case study methodology, and invited four noted researchers to share their views: n Rachel Feldman, Vice President, The Lewin Group, Fairfax, Va. n Stephen Shortell, A.C. Buehler Distinguished Professor, Health Services Management, Kellogg Graduate School, Northwestern University, Evanston, Ill. n Shoshanna Sofaer, Associate Professor, Department of Health Care Sciences, George Washington University Medical Center, Washington, D.C. n Robert K. Yin, President, COSMOS Corporation, Bethesda, Md. The session was moderated by Paul B. Ginsburg, President of the Center for Studying Health System Change. The Center’s interest in case studies arises from its Community Tracking Study. Recognizing that health care is predominately local, the Center is investigating what is happening in health care financing and delivery at the community level. The Community Tracking Study focuses on changes in the health care system in 60 sites that are representative of the nation. In all 60 sites, surveys are being conducted of households, physicians, employers and health care organizations. In addition, 12 of the communities are being visited by teams of researchers. The goal of the site visits is to obtain an understanding of and insight into the organization and functioning of the local health system. In-depth interviews are being conducted with

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