Piths, Pearls, and Provocation

Abstract

Although qualitative research has considerable strengths both in assessing the effectiveness of organizational models of health care provision and in contributing to their development, its impact on local and national decision making in the United Kingdom appears to be negligible. This article examines three obstacles to the acceptance of qualitative research, illustrating some ways around them drawn from recent research at the Centre for Mental Health Services Development. However, our illustrations throw into relief the potential for tensions between the pragmatic world of health care management and the quality and integrity of qualitative research. The authors, therefore, examine these tensions with reference to recent work on the development of quality criteria and discuss some of the solutions they have attempted.