Application of grounded theory approach in the analysis of integrated primary health care

Abstract

This study examined the application of grounded theory in analyzing integrated primary health care (IPHC) in KwaZulu-Natal province. A description of the similarities and differences between the two approaches to grounded theory research, namely the Glaserian (after Barney Glaser) and the Straussian (after Anselm Strauss) is presented. A cross-sectional study, using a qualitative approach was employed in this study to analyze IPHC. Interviews were conducted with policy makers and co-ordinators of primary health care (PHC) at national, provincial and district levels as well as PHC nurses at operational level. Strauss and Corbin’s process of data analysis was used. Three core categories namely comprehensive health care, supermarket approach and one stop shop were used by the participants as discriminatory dimensions of IPHC. The study suggests that one does not need to view either approach as right or wrong; rather, the grounded theory researcher can choose any approach based on the goal of the study.

Keywords: Grounded theory, qualitative research, primary health care, district health system, integrated primary health care.