3-5 PAGES. Using the attached EXAMPLE CAPSTONE AS YOUR GUIDE and the POWERPOINT, provide the data collection procedures, analysis and results of your proposed research study.
I will attach chapters 1-3 of the capstone for reference and guidance.
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Chapter3MethodologyFinal.doc
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Chapter3MethodologyFinal.doc
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Chapter 3: Methodology
Ivory Coachman
National University
COH 694B
August 8, 2023
CHAPTER 3: METHODOLOGY
Introduction
The research design that will be used in this study is the qualitative research method. This is a type of research method that focuses on collecting and analyzing non-numerical data to understand the reality of the situation (Hall et al, 2022). Different research methods can be used in a study; therefore, the researcher needs to understand the nature of their study so that they can use the most effective method to collect and analyze data. The qualitative study will be used in this research because it has a variety of benefits. It addresses two important questions “How?” and “Why?”. This ensures that detailed data is collected and through analysis, the reality will be revealed. Interviews are not restricted, therefore, deeper and more useful information will be gathered. The qualitative research method is beneficial because it makes it possible to use multiple methods to gather data. The method is also efficient in the sense very few resources are used but the output is huge.
Research Question
This systematic review of articles looks forward to answering the following question:
What factors lead to poor access to healthcare by communities in rural America? What risks do rural communities face due to lack of access proper healthcare? How can the situation be resolved to increase access to healthcare in rural communities in the United States?
Description of the Participants
Participants are the people that the research is focused on; they are the subjects that the research will target to collect data (Hall et al, 2022). The selection of participants is one of the most important steps in a research process. They are the sources of data; therefore, they should be selected carefully. In this research, participants were residents of rural areas in the United States. They are the recipients of the services and will play a critical role in providing information concerning the research question. These participants were selected because they are directly affected by the situation. They will provide first-hand information that will help in understanding the situation.
Another lot of participants is made of healthcare service providers. These are professionals of different capacities in the healthcare sector working in facilities in the rural communities of the United States. They were selected randomly from different healthcare facilities in the rural areas. They have a deeper understanding of why the services they provide are not sufficient. They will be essential in providing information, especially about the resources at their disposal. The recommendations made after data analysis will largely rely on the feedback received from healthcare professionals. They come in direct contact with the patients as well as the situation on the ground, therefore, they have useful information that will help in making decisions that will solve the problems.
Government agencies responsible for different types of infrastructure such as roads and communication will also participate. They will help in addressing the issue of how infrastructure can be used to increase accessibility in rural areas. Every research has different participants. It is important to ensure that the participants have relevant information about what the study is about.
Instrumentation
The systematic review was conducted May and August 2022 using different searches such as the www.gao.gov . This is the website for the U.S. Government Accountability Office which is responsible for assisting Congress to oversee federal programs as well as operations to make sure they are accountable to the American people. Rural health is one of the areas that the GAO website has useful information about and this is why it was used to obtain data. The U.S. Department of Health also has important statistics about access to healthcare services by rural communities in the United States. These websites are reliable because the data and information available on them are based on research by professionals. They have factual content that can be used to make strategic decisions. Instruments used in research should be reliable in the sense that their content must be factual and research-based (Samuels et al, 2014). Extensive search was conducted on Google Scholar and key words and phrases included “rural health in the US”, “access to health”, “barriers to accessing healthcare”, “healthcare improvement”, and “patient satisfaction”.
Data Collection Procedures
Informed consent was used in the process. Respondents and participants were educated about the research, its purpose, the procedures to be used, and potential impacts. They voluntarily decided to take part in the process. Informed consent is an important element in healthcare research. It is in line with ethical requirements. Participants have a right to understand what is entailed in a research process (Isaacs, 2014). Interviews and questionnaires were used to collect data. They contained sets of questions that aimed at the primary research question. Most of the questions were open-ended allowing respondents the freedom to speak their minds. Depending on the nature of the research, different data collection procedures can be used to obtain the best outcomes.
Data Analysis and Results
The most common type of data collected was ordinal data. This type of data has ordered or ranked categories (Osuagwu, 2020). For instance, ordinal data ranks the levels of satisfaction of patients. To prepare data for analysis, it will first be assembled from the different tools that were used in the collection process. The next step involves cleaning. This implies that errors will be removed or corrected to make sure everything is accurate. The data will then be labeled so that it is easy to identify different sets of data. Lastly, the data will be validated and visualized. The data will be coded depending on the participants that it was collected from. For instance, data from residents will be coded differently from the data from healthcare professionals. Data will be initially analyzed through the grounded theory. The methodology explains the experiences of people that took part in the research; it gives meaning to their interactions.
Ethical Considerations
The study required the approval of the Institutional Review Board (IRB) as it involved a wide range of participants whose rights had to be observed. The first ethical consideration is the use of the informed consent protocol. Participants were educated about the research, and they confirmed that they understood what it entailed. They willingly took part in the process. The study promotes the aims by revealing problems in the system and making recommendations for how the problem can be solved. It also promotes the values of collaborative work because different stakeholders are putting their efforts together to get the work done. The research promotes moral and social values by focusing on improving accessibility to healthcare in rural communities in the United States.
References
Hall, J., Mitchel. N., Halpin, S., & Kilanko, G. (2022). Using focus groups for empowerment purposes in qualitative health research and evaluation. International Journal of Social Research Methodology, 26(4): 409-423.
Osuagwu, L. (2020). Research methods: Issues and research direction. Business and Management Research, 9(3): 46-55.
Isaacs, A. (2014). An overview of qualitative research methodology for public health researchers. International Journal of Medicine and Public Health, 4(4): 318-323.
EgglestonreviewedChapter4DataCollectionsResultsandAnalysisIVORYCOACHMAN.docx
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Chapter 4. Data Collection, Analysis, and Results
Ivory Coachman
National University
COH 694B
August 6, 2023
CHAPTER 4. DATA COLLECTION, ANALYSIS, AND RESULTS
Introduction
In the present chapter, I will discuss the study data collection methods, procedures, and considerations employed during data gathering and examination. The methods and steps to identify and select the selected articles used in this study will be explained. The reviewed articles' results are also presented in this chapter. Comment by Brandon Eggleston: This not how you are supposed to write chapter 4. You are to include the at a collection and procures in chapter 3. Chapter 4 should just be the results.
Data Collection Procedures
The current qualitative study using a grounded theory design was done to investigate some of the factors that lead to poor access to healthcare among the American communities living in rural America. Previous research has revealed that rural communities in the United States have challenges accessing proper health care. This study, therefore, focused on unearthing the reasons for the situation and providing recommendations. The study also examined how medical technology can improve healthcare access in rural areas. The study focused on a review of published literature on the topic and related subjects. Comment by Brandon Eggleston: This is not a qualitative study and it does not use Grounded Theory. This is a systematic review using PRISMA.
From the onset of the study, several articles were retrieved from different databases and were subjected to further scrutiny. A total of (n=77) articles were identified and selected initially. After reading the abstracts of the articles, which include article overview, results, discussion, and conclusion, (n=53) were identified but (n=13) articles were deleted from the list of identified because they did not meet the inclusion criteria. The remaining articles ( n = 40) were grouped into three; one group talked about access to care ( n = 19); the second group was all about how access can be improved ( n =11); the third group focused on access and improvement strategies ( n = 6). Figure 1: (Appendix 1) and Table 1: (Appendix 2) show the article identification, selection map, and articles incorporated in the review.
General overviews of the article findings indicate that many obstacles, including demography, terrain, poor internet connection, lack of insurance coverage, and poor staffing of the health facilities, hinder healthcare access in rural America. The authors agreed that mobile health, telehealth, and telemedicine technology could help increase healthcare access in rural areas. The role of medical technology in delivering health care to people in rural areas presents an exclusive avenue where this system/s was used to address patient needs. Still, the focus of this study was access to care and eliminating barriers.
Data Analysis and Results
The titles, authors' names, and the date of publication of the articles reviewed in this study are provided in Appendix 2. The findings of the studies indicate that lack of access to healthcare or limited access is a huge problem that the American healthcare system has tomust address. For instance, a study that Rural Health Information Hub did. (2022) that American citizens are entitled to access at least basic healthcare services such as primary care, behavioral care, dental care, and public health services, among others. However, this is not possible in rural America, where it is estimated that more than 45% of the population has no or limited access to healthcare services. Similarly, authors of the articles that were reviewed in this study agree that access to healthcare in rural America is imperative for several reasons presented in Table 1 below:
|
No |
Importance Of Healthcare Services Access |
Article In-Text Citation |
|
1. |
Improving overall physical, mental, and social health status |
(Rural Health Information Hub, 2022) |
|
2. |
Prevention of diseases |
(NCSL, 2020) |
|
3. |
Detection, diagnosis, and treatment of illnesses |
(HRSA, 2022) |
|
4. |
Improving the quality of care |
(Griffiths, 2009) |
|
5. |
Avoiding preventable loss of life |
(Federal Emergency Management Agency (2022) |
|
6. |
Increasing life expectancy |
(Singh & Siahpush, 2013) |
Data and findings from the studies that have focused on understanding the impacts of limited or no access to health care services in rural areas in Table 1 above show an urgent need to solve the health care problem. For instance, a study by Singh and Siahpush (2013) noted that life expectancy in rural America was 76.7 years, while in urban was 79.1 years.
The article's authors found that telehealth is a significant solution to increase access to healthcare in rural communities in the United States. This innovative solution enables patients to receive healthcare services without necessarily meeting with providers. Telehealth is usually done online, implying that there needs to be a stable internet service on both ends (Mayo Clinic, 2022). Mobile health clinics are in place to increase access to healthcare in rural communities in the United States (Waldrop & Gee, 2022). Mobile clinics enable healthcare professionals to provide healthcare services where the patient is. In conventional healthcare, the patient visits the healthcare facility. The delivery of quality healthcare is a collective responsibility. It requires the input of different stakeholders to make it achievable. Rural communities are challenging to reach. Therefore, organizations need to play different roles in ensuring people access services.
An organization such as Families USA accesses the most rural areas in the United States and provides them with healthcare services (Tulane University School of Public Health and Tropical Medicine, 2023). The authors agreed that solutions could be implemented once the barriers have been addressed, and locals will start experiencing the benefits of accessing quality healthcare (Rural Health Information Hub, 2023). One of the barriers addressed is poor transportation. If this is handled, there will be better roads in the rural areas, which implies that it will be easier for locals to reach healthcare facilities to be treated for different needs.
References
AAMC. (2017). Health disparities affect millions in rural U.S. communities. Retrieved from https://www.aamc.org/news/health-disparities-affect-millions-rural-us-communities
Advent Health University (2022). How to improve healthcare in rural areas. Retrieved from https://www.ahu.edu/blog/improve-healthcare-in-rural-areas
Bergum, A. & Catlin, B. (2016). What works? Strategies to improve rural health. Retrieved from https://www.countyhealthrankings.org/reports/what-works-strategies-improve-rural-health
Bowling, A. (2023). Research methods in health: Investigating health and health services. Open University Press.
CDC. (2023). About rural health. Centers for Disease Control and Prevention Rural Healt Page. Retrieved from https://www.cdc.gov/ruralhealth/about.html
Charalambous, P. (2023). Less staff, longer delays, and fewer options: Rural America confronts a healthcare crisis. Retrieved from https://abcnews.go.com/Health/staff-longer-delays-fewer-options-rural-america-confronts/story?id=97911613
CMS. (2022). Rural health strategy. Retrieved from https://www.cms.gov/files/document/rural-strat-guide-08-may.pdf
Federal Emergency Management Agency. (2022). The rural fire problem in the United States. Retrieved from https://www.usfa.fema.gov/downloads/pdf/statistics/rural.pdf
Griffiths, F. (2009). Research mMethods for hHealthcare pPractice. Los Angeles: SAGE.
Harvard University (2019). Poll: Financial insecurity and limited access to health care plague many rural Americans. Retrieved from https://www.hsph.harvard.edu/news/hsph-in-the-news/poll-financial-insecurity-and-limited-access-to-health-care-plague-many-rural-americans/
HRSA. (2022). Rural access to healthcare services request for information. Retrieved from https://www.hrsa.gov/rural-health/rfi-rural-health-care-access
Mayo Clinic (2022). Telehealth: Technology meets healthcare. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/telehealth/art-20044878#:~:text=What%20is%20telehealth%3F,technology%20you%20use%20from%20home.
NCSL. (2020). Improving rural health: State policy options for increasing access to healthcare. Retrieved from https://www.ncsl.org/health/improving-rural-health Comment by Brandon Eggleston: You should mention PRISMA in chapter 4 and include an in-text citation and add it to your references.
PhRMA. (2022). Addressing health disparities – Addressing barriers in health. Retrieved from https://phrma.org/equity?utm_campaign=2023-q2-equ-acc&utm_medium=pai_srh_cpc-ggl-adf&utm_source=ggl&utm_content=clk-pat-tpv_scl-geo_std-usa-all-pai_srh_cpc-ggl-adf-EquityEvergreenSearchWCDCKeyStatesMemberCo2-pra_equ-edu-inf-lrm-soc_txt-std-vrb-adf&utm_term=&gclid=Cj0KCQjw8NilBhDOARIsAHzpbLD_iy8DNZDGQv_622Qw48OgVFy79se3wPj1a--2uRnhwg7SynBEUWEaAoYaEALw_wcB
Regis College. (2023). Improving access to rural healthcare. Retrieved from https://online.regiscollege.edu/blog/rural-health-care/
Rural Health Information Hub. (2022). Health access in rural Communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access
Rural Health Information Hub. (2023). Families USA. Retrieved from https://www.ruralhealthinfo.org/organizations/968
Rushton, S., & Youde, J. (2017). Routledge Handbook of global health security. Routledge.
Samuels, K., McClellan, M., Patel, K., & Darling, M. (2014). Transforming rural healthcare: High-quality, sustainable access to quality care. Retrieved from https://www.brookings.edu/articles/transforming-rural-health-care-high-quality-sustainable-access-to-specialty-care/
Singh, G., & Siahpush, M. (2013). Widening rural-urban disparities in life expectancy, U.S., 1969-2009. American Journal of Preventive Medicine, 46(2),: 19-29.
Strasser, R. (2003). Rural health around the world: Challenges and solutions. Family Practice, 20(4), : 457-463.
Tulane University School of Public Health and Tropical Medicine. (2023). How to improve healthcare in rural areas. Retrieved from https://publichealth.tulane.edu/blog/how-to-improve-health-care-in-rural-areas/
United Nations (2015). A New U.N. report finds most of the world's rural populations excluded from healthcare access. Retrieved from https://www.un.org/sustainabledevelopment/blog/2015/04/new-un-report-finds-bulk-of-worlds-rural-populations-excluded-from-healthcare-access/#:~:text=The%20ILO's%20findings%20%E2%80%93%20published%20in,cent%20of%20rural%20inhabitants%20are
US Government Accountability Office. (2023). Why healthcare is harder to access in rural America. Retrieved from https://www.gao.gov/blog/why-health-care-harder-access-rural-america
Waldrop, T., & Gee, E. (2022). How states can expand healthcare access in rural communities. American Progress Organization. Retrieved from https://www.americanprogress.org/article/how-states-can-expand-health-care-access-in-rural-communities/