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Qualitative inquiry has made an important contribution to our understanding of health and illness over the past 40 years. Since the 1920s, qualitative research has been used by anthropologists to delineate beliefs about health and illness in various cultural groups, often in what they called “primitive natives.” In the 1960s and 1970s, sociologists began using ethnography and ethnomethodology to study health and illness in American cultural groups. From this era, several classics arose—most notably, Boys in White, an ethnography of medical students by Howard Becker and his colleagues, published in 1961.

In the late 1960s and early 1970s, qualitative research made inroads into nursing through nurse-anthropologists, such as Madeleine Leininger (University of Washington), Pamela Brink (University of California, Los Angles), and Marguerita Kay (University of Arizona) and through the development of grounded theory by Barney Glaser and Anselm Strauss (University of California, San Francisco). These researchers, with their colleagues and students, made important contributions to qualitative inquiry in three ways: (1) they conducted qualitative research and published the results in nursing journals, thus bringing qualitative inquiry to the attention of the nursing academic community; (2) in the training of their own doctoral students and the publication of qualitative methodology, they built a strong foundation for qualitative health research and the mentoring of a new generation of students; and (3) they brought qualitative inquiry into basic graduate programs and to the attention of funding agencies. Four decades later, qualitative inquiry is integrated into most graduate curricula and is used by most allied health disciplines (such as physical therapy, occupational therapy, and medicine). Specialized qualitative journals (such as Qualitative Health Research) and qualitative proposals are funded at the federal level. Qualitative health research conferences are well attended, and conducting qualitative health research is no longer a marginal activity.

Qualitative research has made significant advancement to the understanding of health and illness, to the provision of care, and to professional development and education. In order to achieve this advancement, qualitative methods have been modified for use with the ill and data collection in institutions. The perspective or context is unique in qualitative health research and certain qualitative methods have been more suited to this task than others. This entry reviews the major areas of qualitative research in the health sciences and describes the modifications made in adapting qualitative methods to this field.

Major Areas of Qualitative Health Research

The main areas within qualitative of research and the ways that qualitative methods are adapted when used in health research are as follows:

Delineating Health

Qualitative methods have made a major contribution in the understanding of health, in developing definitions of health, in eliciting perspectives of various populations about health, and in describing processes used for attaining health. Most commonly, this work is conducted using ethnographic methods and with a variety of types of interviews. Participant observation has also been particularly successful in eliciting this information by revealing discrepancies between what people say they do and what they actually do to become healthy.

Nevertheless, these studies have remained at the descriptive level, and relatively few models or theories of health have developed from this work. This research has identified the most optimal way to provide health education in community programs, to evaluate health programs, and to ascertain why various programs have failed. This important research could not have been achieved through quantitative methods.

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