Multilevel perspectives across communities, medical systems and policy environments are needed, but few methods are available for health services researchers with limited resources. We developed a mixed methods health policy approach, the focused Rapid Assessment Process (fRAP), that is designed to uncover multilevel modifiable barriers and facilitators contributing to public health issues. We illustrate with a study applying fRAP to the issue of cancer survivorship care. Through this multilevel investigation we identified two major modifiable areas affecting high-quality cancer survivorship care: (1) the importance of cancer survivorship guidelines/data and (2) the need for improved oncology–primary care relationships. This article contributes to the mixed methods literature by coupling geospatial mapping to qualitative rapid assessment to efficiently identify policy change targets.

需要跨社区、医疗系统和政策环境的多层次视角，但资源有限的卫生服务研究人员几乎没有可用的方法。我们开发了一种混合方法的卫生政策方法，即重点快速评估流程(fRAP)，旨在发现导致公共卫生问题的多层次可修改障碍和促进因素。我们通过一项将 fRAP 应用于癌症生存护理问题的研究来说明这一点。通过这项多层次调查，我们确定了影响高质量癌症生存护理的两个主要可修改领域：（1）癌症生存指南/数据的重要性和（2）改善肿瘤学-初级保健关系的必要性。本文通过将地理空间映射与定性快速评估相结合以有效识别政策变化目标，为混合方法文献做出贡献。