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This Special Supplement Issue of Health Services Research draws attention to the growing role played by qualitative methods in health services research.This is consistent with developments in the social and policy sciences at large, reflecting the need for a more in-depth understanding of naturalistic settings, the importance of understanding context, and the complexity of implementing social change.Recent health care examples include the tunnoil and ambiguity created by managed care, the challenge of applying evidence- based medicine to everyday clinical practice, and the accelerated pace of change occurring within the health care sector at large.After briefly com- menting on these forces, I want to highlight the intended audiences for this volume, discuss some major impediments to qualitative research, and offer a few suggestions for their removal.
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