![]() It begins with the role of mixed methods in health services research and the rationale for integration. This article examines key integration principles and practices in mixed methods research. Understanding these principles and practices of integration can help health services researchers leverage the strengths of mixed methods. The fit of integration describes the extent the qualitative and quantitative findings cohere. Integration at the interpretation and reporting level occurs through narrative, data transformation, and joint display. With embedding, data collection and analysis link at multiple points. When merging, the two databases are brought together for analysis. With building, one database informs the data collection approach of the other. In connecting, one database links to the other through sampling. Integration at the methods level occurs through four approaches. Integration at the study design level occurs through three basic mixed method designs-exploratory sequential, explanatory sequential, and convergent-and through four advanced frameworks-multistage, intervention, case study, and participatory. This article describes integration principles and practices at three levels in mixed methods research and provides illustrative examples. Mixed methods research offers powerful tools for investigating complex processes and systems in health and health care.
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