30.06.2013 Views

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

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

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

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

equirements and considerable political drivers. I considered <strong>the</strong> examination <strong>of</strong><br />

discourse to be too narrow a methodology to develop insights into such a<br />

broard range <strong>of</strong> interests.<br />

A descriptive statistical method was undertaken by Rasiah (2009) in her study<br />

<strong>of</strong> Community <strong>Exceptional</strong> Circumstances applications. As a PHARMAC insider,<br />

she acknowledged <strong>the</strong> assistance that she received in <strong>the</strong> preparation <strong>of</strong> <strong>the</strong><br />

statistical data and <strong>the</strong> analysis which was conducted by PHARMAC staff. In my<br />

study however, such a quantitative approach would not have been used in<br />

isolation from qualitative data and I was not acquainted with what types <strong>of</strong><br />

statistical records PHARMAC kept on this type <strong>of</strong> rationing. The purpose to<br />

such quantitative data is to help verify <strong>the</strong> decision making and I had no<br />

confiodence that, as an outsider to PHARMAC, I could guarantee I was being<br />

given full access to <strong>the</strong> data. Also I was not confident that PHARMAC’s<br />

quantitative data was such that I could make an accurate connection between<br />

<strong>the</strong> qualitative information and <strong>the</strong> quantitative data. If this lack <strong>of</strong> connection<br />

did not exist (or <strong>the</strong> tacit possibility that <strong>the</strong> connection did not exist) I would not<br />

be able to establish a causal relationship between <strong>the</strong> numbers <strong>of</strong> claims and<br />

<strong>the</strong> decisions which were made.and why <strong>the</strong>y were made.<br />

Thematic analysis allows triangulation <strong>of</strong> all <strong>the</strong> collected data which could be<br />

obtained from PHARMAC; from publicly available material and material that I<br />

was able to bring into <strong>the</strong> public domain. I particularly liked this methodology<br />

because it is relatively simple. It is a qualitative methodology with <strong>the</strong> ability to<br />

handle large volumes and several different types <strong>of</strong> data and provides a clear<br />

set <strong>of</strong> research outcomes.<br />

Grounded <strong>the</strong>ory is possibly <strong>the</strong> closest methodology to <strong>the</strong>matic analysis which<br />

could be used handle this data. It utilises selecting, recording, coding and<br />

categorising activities. <strong>How</strong>ever <strong>the</strong> purpose <strong>of</strong> grounded <strong>the</strong>ory is to establish<br />

an emergent <strong>the</strong>ory out <strong>of</strong> <strong>the</strong> data which supports a hypo<strong>the</strong>sis. The quest<br />

underlying this study however sought to uncover <strong>the</strong> truth about how this<br />

Community Eceptional Circumstances policy was <strong>operation</strong>alised.<br />

In conclusion, this research required me to explore both social policy values and<br />

outcomes simultaneously. Thematic analysis allowed me to achieve <strong>the</strong>se two<br />

objectives. This experience was aligned with Smith and Robbins (1982) and<br />

85

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!