Although secondary analysis holds considerable promise for optimizing
the health knowledge that can be constructed in relation to existing q
ualitative databases, methodological developments to guide design and
evaluation of this research have not been fully explored in the qualit
ative research literature. This article extends preliminary methodolog
ical explorations to address two specific concerns arising from second
ary analysis: ethics and representation. Because secondary research cr
eates the potential for exaggerating certain errors in both ethics and
representation, the risks associated with such analyses must be consi
dered in the light of the opportunities. Preliminary strategies for he
lping secondary qualitative researchers to articulate and resolve the
representational and ethical problems that may arise from their work a
re offered.