The need for this study relates to the health disparity problem facing racially, ethnically, and socio-economically diverse people who may not seek or receive the necessary care to maintain their health. Describing the ways that underrepresented groups view wellness using Q methodology may lead to improvements in the quality and equity of health care delivery by increasing the cultural competency of providers. The Q sample was an expansion of one used previously (Sylvester, 2000). This study utilized Q methodology to identify attitudes about healthcare access of African Americans. Statements were added to broaden the range of opinions that might be expressed by other groups, including low-income and other ethnic groups. Of the 43 Oklahomans from various ethnic groups who sorted the 47-item Q set, three factors defined by 27 of the sorts were interpreted to be related to types of health care priorities. Care through Prevention view preventative health care most important, with an emphasis on a well-balanced lifestyle. Participants defining Care through Relationships place a particular focus upon developing strong relationships with caretakers. Participants defining Care for All recognize the need for all Oklahomans to have access to quality health care regardless of socioeconomic status. Implications for further research are discussed.
Operant Subjectivity

Chris M. Ray, Jerilyn Thorman, Diane Montgomery, Yan Yang, & Jovette Dew. (2006). Using Q Methodology as a Strategy to Explore Cultural Opinions toward Health Care. Operant Subjectivity, 29(3/4), 182–205. doi:10.15133/j.os.2006.002