This post is part of the continuing mini-series on RQ–RH–D–M across fields. Its purpose is to provide a compact, practical toolkit showing how research questions, research hypotheses or working propositions, data, and methodology can be aligned in one specific discipline.
Medicine is especially suitable for this exercise because it naturally combines symptoms, diagnoses, treatments, risk factors, biomarkers, patient-reported outcomes, clinical workflows, health-system performance, and ethical decision-making. It also supports quantitative, qualitative, and mixed methods designs, making it ideal for showing how the same medical issue can be studied through clinical trials, observational datasets, electronic health records, interviews, patient narratives, and integrated designs.
In medical research, common theoretical and conceptual foundations include the biomedical model, biopsychosocial model, clinical epidemiology, evidence-based medicine, health behavior theories, shared decision-making frameworks, patient-centered care models, implementation science frameworks, and models of health services quality and safety. These frameworks define constructs such as disease severity, treatment response, adherence, risk, trust, symptom burden, quality of life, acceptability, and care experience, which are then operationalized through laboratory values, diagnostic indicators, clinical scales, patient-reported outcome measures, utilization records, interviews, observations, or integrated clinical and experiential datasets.
Note: The entries in the Methodology are intentionally general and indicative. They are meant to illustrate plausible methodological directions, not to exhaust the full range of possible methods, model variants or analytic choices available to the researcher. Researchers are not expected to apply all of the methodological tools listed in column Methodology in a single study. The entries are intended to indicate suitable methodological options or families of approaches from which the researcher selects those that best fit the research question, hypothesis, data, and design.
Medicine – quantitative research
Descriptive questions
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RQ: What is the average systolic blood pressure among adults newly diagnosed with hypertension in an outpatient clinic?
RH: The average systolic blood pressure among newly diagnosed hypertensive patients exceeds 140 mmHg.
D: Systolic blood pressure (continuous); age (continuous); sex (categorical); diagnosis date (date).
M: Descriptive statistics, one-sample t test, confidence intervals, subgroup summaries.
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RQ: What proportion of patients with type 2 diabetes in a primary-care practice have HbA1c above target at annual review?
RH: More than 40% of patients with type 2 diabetes have HbA1c above target at annual review.
D: HbA1c status above target (binary); HbA1c value (continuous); age; sex; medication class.
M: Proportions, binomial test, confidence intervals, stratified prevalence estimation.
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RQ: What is the average time from emergency department arrival to first antibiotic dose in patients with suspected sepsis?
RH: The average time from arrival to first antibiotic dose exceeds 60 minutes.
D: Door-to-antibiotic time (continuous/time); triage category (ordinal); age; shift time.
M: Descriptive statistics, one-sample t test or Wilcoxon signed-rank test, time summaries, distribution plots.
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RQ: How many follow-up visits are completed on average within 12 months after bariatric surgery?
RH: Patients complete at least 3 follow-up visits on average within 12 months after bariatric surgery.
D: Number of follow-up visits (count); surgery type (categorical); sex; age; complication status (binary).
M: Descriptive statistics, Poisson or negative binomial summary model, confidence intervals.
Comparative questions
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RQ: Do patients receiving cognitive behavioral therapy plus medication differ from those receiving medication alone in depression symptom reduction after 12 weeks?
RH: Patients receiving combined treatment show greater reduction in depression scores than those receiving medication alone.
D: Depression score change (continuous); treatment group (binary); baseline severity (continuous); age; sex.
M: Independent-samples t test, ANCOVA, LMM, nonparametric alternative if needed.
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RQ: Do smokers and non-smokers differ in postoperative wound-healing time after elective surgery?
RH: Smokers have longer postoperative wound-healing time than non-smokers.
D: Wound-healing time (continuous/time-to-event); smoking status (binary); procedure type; age; comorbidity score.
M: t test, survival/time-to-event analysis, Cox model, matching as alternative.
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RQ: Are telemedicine follow-up patients different from in-person follow-up patients in satisfaction scores after dermatology consultation?
RH: Telemedicine follow-up patients report satisfaction scores not lower than in-person patients.
D: Satisfaction score (continuous/scale); follow-up mode (binary); age; diagnosis group; waiting time.
M: t test, ANCOVA, propensity score matching, ordinal model if satisfaction is ordinal.
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RQ: Do nurses working rotating night shifts differ from day-shift nurses in burnout scores in an intensive care unit?
RH: Rotating night-shift nurses have higher burnout scores than day-shift nurses.
D: Burnout score (continuous/scale); shift type (categorical); years of experience; ICU unit.
M: t test, ANOVA, OLS regression, multilevel model if nurses nested within units.
Relational / correlational questions
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RQ: Is body mass index associated with fasting glucose among adults attending a metabolic clinic?
RH: Higher body mass index is associated with higher fasting glucose.
D: BMI (continuous); fasting glucose (continuous); age; sex; medication status.
M: Pearson/Spearman correlation, OLS regression, generalized additive model as alternative.
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RQ: Is medication adherence associated with blood-pressure control in hypertensive patients?
RH: Higher adherence is associated with better blood-pressure control.
D: Adherence score (continuous/ordinal); controlled BP status (binary) or BP value (continuous); age; sex; comorbidities.
M: Logistic regression, OLS regression, mediation analysis if adherence pathway examined.
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RQ: Is physician communication quality associated with patient trust in oncology consultations?
RH: Better perceived communication quality is associated with higher patient trust.
D: Communication score (continuous/scale); trust score (continuous/scale); visit type; age; cancer stage.
M: Correlation, OLS regression, SEM/PLS-SEM as alternative.
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RQ: Is frailty score associated with 30-day hospital readmission risk in older adults?
RH: Higher frailty scores are associated with higher 30-day readmission risk.
D: Frailty score (continuous/ordinal); readmission within 30 days (binary); age; diagnosis group; length of stay.
M: Logistic regression, survival/event-history analysis, ROC analysis as supplement.
Causal / experimental-style questions
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RQ: What is the effect of a new antihypertensive drug compared with standard therapy on systolic blood pressure after 8 weeks?
RH: The new antihypertensive drug produces a greater reduction in systolic blood pressure than standard therapy.
D: Systolic BP baseline and 8-week follow-up (continuous); treatment arm (binary); age; sex; adverse events.
M: Randomized experiment, ANCOVA, LMM, repeated-measures ANOVA as alternative.
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RQ: Does a pharmacist-led medication review reduce potentially inappropriate prescribing in older hospitalized patients?
RH: Pharmacist-led medication review reduces the number of potentially inappropriate prescriptions compared with usual care.
D: Inappropriate prescribing count (count); intervention group (binary); age; ward; polypharmacy count.
M: Cluster randomized trial analysis, mixed-effects count model, difference-in-differences if phased implementation.
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RQ: What is the effect of a text-message reminder intervention on attendance at cervical screening appointments?
RH: Patients receiving text-message reminders have higher attendance rates than those not receiving reminders.
D: Appointment attendance (binary); reminder arm (binary); age; prior attendance history; clinic site.
M: Randomized experiment, logistic regression, generalized linear mixed model if clustered by clinic.
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RQ: Does early mobilization after surgery shorten length of stay without increasing complication rates?
RH: Early mobilization shortens length of stay and does not increase complications.
D: Length of stay (continuous/time); complication status (binary); mobilization protocol group (binary); age; surgery type.
M: Randomized or quasi-experimental design, survival/time-to-event analysis, logistic regression, LMM for repeated recovery measures.
Medicine – qualitative research
Patient experience, communication, and trust
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RQ: How do patients with chronic heart failure describe trust in their physicians during long-term care?
RH: Patients are likely to describe trust through continuity, clarity, empathy, and perceived competence.
D: Semi-structured interviews; follow-up narratives; consultation reflections; patient diaries.
M: Thematic analysis, interpretative phenomenological analysis, narrative inquiry.
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RQ: How do patients experience communication about side effects during chemotherapy treatment?
RH: Patients are likely to describe communication quality as central to preparedness, safety, and emotional reassurance.
D: Interviews; treatment diaries; patient information leaflets; consultation notes used qualitatively.
M: Thematic analysis, qualitative content analysis, framework analysis.
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RQ: How do parents of children with asthma describe their confidence in emergency advice given by clinicians?
RH: Parents are likely to connect confidence with clarity, timeliness, and consistency of advice.
D: Parent interviews; discharge instruction documents; follow-up reflections.
M: Thematic analysis, narrative inquiry, case-oriented coding.
Adherence, self-management, and everyday illness work
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RQ: Why do some patients with hypertension not adhere to prescribed medication regimens?
RH: Non-adherence is likely to be shaped by side effects, forgetfulness, beliefs about medication, and daily routines.
D: Interviews; medication narratives; self-management diaries; pharmacy reflections.
M: Thematic analysis, grounded theory, qualitative content analysis.
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RQ: How do patients with rheumatoid arthritis describe the burden of self-managing flares at home?
RH: Patients are likely to describe self-management as involving uncertainty, adaptation, and negotiation with daily life demands.
D: Interviews; symptom diaries; home-management narratives.
M: Phenomenological analysis, thematic analysis, narrative inquiry.
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RQ: How do adolescents with type 1 diabetes explain moments of disruption in glucose-monitoring routines?
RH: Adolescents are likely to link disruption to school context, peer dynamics, emotional fatigue, and identity concerns.
D: Interviews; diary entries; clinic reflection notes; participant-generated timelines.
M: Thematic analysis, narrative inquiry, grounded coding.
Clinical decision-making and patient-centered care
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RQ: How do patients experience shared decision-making when choosing between surgical and non-surgical treatment options?
RH: Patients are likely to experience shared decision-making unevenly, depending on explanation quality, values discussion, and perceived pressure.
D: Interviews; decision-aid materials; consultation observations; patient reflections.
M: Thematic analysis, framework analysis, discourse-informed analysis.
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RQ: How do oncologists describe uncertainty when discussing prognosis with patients?
RH: Clinicians are likely to describe uncertainty as both cognitive and emotional, shaped by ethics, timing, and patient readiness.
D: In-depth interviews; reflective notes; case-based discussion materials.
M: Thematic analysis, interpretive field-note analysis, narrative inquiry.
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RQ: How do patients undergoing fertility treatment describe their role in treatment choices?
RH: Patients are likely to describe their role as active but constrained by medical authority, emotional pressure, and time.
D: Interviews; treatment journey narratives; clinic information materials.
M: Thematic analysis, phenomenological analysis, case study.
Clinician work, burnout, and moral distress
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RQ: How do ICU nurses describe burnout and coping during sustained staffing shortages?
RH: Nurses are likely to describe burnout through emotional exhaustion, ethical strain, and diminished recovery opportunities.
D: Interviews; shift reflections; field notes; staff diaries.
M: Thematic analysis, phenomenological analysis, ethnographic fieldwork reflection.
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RQ: How do junior doctors experience moral distress when resource limitations affect patient care decisions?
RH: Junior doctors are likely to describe moral distress as arising from conflict between clinical ideals and institutional constraints.
D: Interviews; reflective journals; case reflections; departmental notes.
M: Thematic analysis, interpretive process tracing, narrative inquiry.
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RQ: How do palliative care clinicians describe emotional boundaries in end-of-life communication?
RH: Clinicians are likely to describe emotional boundaries as negotiated rather than fixed, balancing empathy and self-protection.
D: Interviews; reflective writing; supervision records.
M: Phenomenological analysis, thematic analysis, qualitative case study.
Trials, implementation, and care pathways
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RQ: How do patients experience recruitment, consent, and randomization in a clinical trial?
RH: Patients are likely to experience the trial process through hope, uncertainty, information burden, and trust in the research team.
D: Trial participant interviews; consent reflections; follow-up narratives.
M: Thematic analysis, framework analysis, trial-process case study.
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RQ: How do clinicians describe barriers to implementing a new sepsis pathway in emergency care?
RH: Clinicians are likely to describe barriers through workflow disruption, staffing pressure, and ambiguity about protocol ownership.
D: Interviews; implementation meeting notes; pathway documents; observational notes.
M: Thematic analysis, implementation-focused case study, qualitative comparative analysis of site narratives.
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RQ: How do patients discharged after stroke describe transitions between hospital and community rehabilitation services?
RH: Patients are likely to describe transitions as fragmented when communication, continuity, and service navigation are weak.
D: Interviews; discharge summaries; care-transition narratives; caregiver accounts.
M: Thematic analysis, narrative inquiry, framework analysis.
Medicine – mixed methods
Clinical intervention outcomes and patient explanation
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RQ: How does a trial intervention for chronic pain affect pain intensity and function, and how do participants explain its acceptability and usefulness?
RH: The intervention will reduce pain intensity and improve function; participants are likely to explain acceptability through perceived relief, feasibility, and fit with daily life; integration is expected to clarify why outcome gains vary across patients.
D: Quantitative: pain score, functional score, adherence, adverse events; Qualitative: participant interviews, treatment diaries, acceptability narratives.
M: Explanatory sequential design, ANCOVA/LMM plus thematic analysis, joint display integration.
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RQ: What is the effect of a structured cardiac rehabilitation program on exercise capacity, and how do patients describe barriers to adherence during recovery?
RH: The program will improve exercise capacity; patients are likely to explain lower adherence through fatigue, fear, transport, and competing responsibilities; integrated analysis is expected to explain heterogeneity in response.
D: Quantitative: exercise capacity, attendance, readmission, age, sex; Qualitative: interviews, rehabilitation diaries, follow-up reflections.
M: Explanatory sequential design, repeated-measures model plus thematic analysis, matrix-based integration.
Telemedicine, satisfaction, and digital care experience
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RQ: What is the relationship between telemedicine use frequency and patient satisfaction in follow-up care, and how do patients explain barriers, trust, and usability?
RH: More satisfactory telemedicine encounters will be associated with higher continued-use intention; patients are likely to explain satisfaction through convenience, clarity, trust, and technical ease; integration is expected to distinguish usability barriers from relational barriers.
D: Quantitative: telemedicine use frequency, satisfaction score, age, diagnosis group, continued-use intention; Qualitative: interviews, usability reflections, trust narratives.
M: Convergent mixed methods design, regression/ordinal model plus thematic analysis, joint display integration.
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RQ: How does telepsychiatry compare with in-person follow-up in symptom control and missed appointments, and how do patients and clinicians explain those patterns?
RH: Telepsychiatry will show comparable symptom control and fewer missed appointments; patients and clinicians are likely to explain differences through accessibility, privacy, and rapport; integration is expected to clarify when convenience strengthens or weakens care engagement.
D: Quantitative: symptom scale, missed appointments, visit mode, demographics; Qualitative: patient and clinician interviews, visit reflections.
M: Convergent mixed methods design, comparative regression plus thematic analysis, integrated interpretation using joint displays.
Quality improvement, implementation, and readmissions
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RQ: What is the impact of a hospital discharge-coordination intervention on 30-day readmission rates, and how do staff and patients experience its implementation?
RH: The intervention will reduce 30-day readmissions; staff and patients are likely to describe implementation quality through clarity, coordination, continuity, and workload; integration is expected to explain why similar protocols produce different outcomes across wards.
D: Quantitative: readmission status, length of stay, ward, diagnosis group; Qualitative: staff interviews, patient discharge narratives, implementation notes.
M: Explanatory sequential or convergent mixed methods design, logistic/multilevel regression plus thematic analysis, matrix-based integration.
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RQ: How does a medication-reconciliation program affect prescribing discrepancies at discharge, and how do clinicians explain variation in uptake across units?
RH: The program will reduce prescribing discrepancies; clinicians are likely to explain variation through workflow fit, role clarity, and documentation burden; integrated results are expected to identify implementation-sensitive mechanisms.
D: Quantitative: discrepancy count, unit type, discharge volume, patient complexity; Qualitative: clinician interviews, workflow observations, implementation reflections.
M: Explanatory sequential design, mixed-effects count model plus qualitative case analysis, joint display integration.
Director of Wellington based My Statistical Consultant Ltd company. Retired Associate Professor in Statistics.
Has a PhD in Statistics and over 45 years experience as a university professor, consultant, international researcher and government advisor.