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How does the operation of PHARMAC's 'Community Exceptional ...

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Qualitative research methods were described by Strauss and Corbin (1990) as<br />

a variety <strong>of</strong> useful methods <strong>of</strong> ga<strong>the</strong>ring information when <strong>the</strong> research<br />

perspective is a process or a social distribution. They also advised that<br />

interviews are useful in ga<strong>the</strong>ring information on what happened and why. In<br />

my study I researched <strong>the</strong> published material, <strong>of</strong>ficial information and interviews<br />

for deeper meaning which could be extracted by raising <strong>the</strong> particular<br />

experiences described in this data to a more general meaning.<br />

Marshal and Rossman (1999) caution that <strong>the</strong> more general meaning should<br />

not be considered in <strong>the</strong> sense <strong>of</strong> a total truth, although <strong>the</strong>y agreed that<br />

qualitative methods do paint a valid picture <strong>of</strong> <strong>the</strong> general meaning. This study<br />

searched for that general meaning about PHARMAC’s Community <strong>Exceptional</strong><br />

Circumstances policy from iterative perspectives <strong>of</strong> written material and <strong>the</strong><br />

common perspectives <strong>of</strong> actors and institutions who agreed to take part.<br />

Authors have also described policy research methods as akin to a highly<br />

tentative iterative problem solving process (Baehler, 2000; Bardach, 2000;<br />

Smith & Robbins, 1982). Policy researchers have to contend with analysing<br />

social values and <strong>the</strong> goals and assumptions that support public policy while<br />

simultaneously understanding <strong>the</strong> effects <strong>of</strong> policy on society’s institutions,<br />

budgets and outcomes. For <strong>the</strong>se reasons Smith and Robbins (1982)<br />

suggested that <strong>the</strong> best policy research <strong>of</strong>ten finds itself at <strong>the</strong> margins <strong>of</strong><br />

existing social science methodology: adapting, combining, iterating and<br />

improvising on <strong>the</strong> methods as <strong>the</strong> research proceeds.This has certainly been<br />

<strong>the</strong> case with my research as I explored alternative research tools.<br />

The following is a presentation <strong>of</strong> possible methodological approaches and <strong>the</strong>ir<br />

relevance to my research question.<br />

I did not choose using feminist <strong>the</strong>ory because <strong>the</strong>re are no gender specific<br />

constructs associated with PHARMAC’s decision making on <strong>the</strong> distribution <strong>of</strong><br />

pharmaceuticals. This is not to say that <strong>the</strong>re are not specific classes <strong>of</strong><br />

medicines for women, men and o<strong>the</strong>r genders. Clearly <strong>the</strong>re are. But decision<br />

making about distributions <strong>of</strong> state funding for medicines is gender neutral. This<br />

is required under <strong>the</strong> New Zealand Bill <strong>of</strong> Rights Act (1990). The only<br />

discernable area <strong>of</strong> possible alignment with gender specific power differentials<br />

is a possible bias towards <strong>the</strong> proportion <strong>of</strong> men appointed to PHARMAC’s<br />

83

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