Centre for Public Health Research, University of Salford, UK.
Public Underst Sci. 2010 Jan;19(1):52-69. doi: 10.1177/0963662508094100.
Using discourse analysis, this study examines the representation of prescription medicines in the UK newsprint media and, specifically, how the meaning and function of medicines are constructed. At the same time, it examines the extent to which the newsprint media represents a resource for health information, and considers how it may encourage or challenge faith in modern medicine and medical authority. As such, it extends analysis around concepts such as the informed patient and examines the representation of patients and doctors and the extent to which patient-doctor identities promoted in the newsprint media reflect a shift away from paternalism to negotiated encounters. Findings show the media constructs a discrete, contradictory, and frequently oversimplified set of characterizations about medicine. Moreover, it discursively constructs realities that justify and sustain medial dominance. Ideological paradigms in discourse assign patients as passive and disempowered while simultaneously privileging "expert" knowledge. This constructs a reality that marginalizes patients' participation in decision-making.
本研究运用语篇分析方法，考察了英国新闻媒体对处方药品的呈现方式，具体探讨了药品的意义和功能是如何构建的。同时，本研究还考察了新闻媒体在多大程度上成为了健康信息的资源，并思考了它如何鼓励或挑战对现代医学和医学权威的信任。因此，本研究扩展了围绕知情患者等概念的分析，并考察了新闻媒体对患者和医生的呈现方式，以及新闻媒体所倡导的医患身份在多大程度上反映了从家长制向协商性医患关系的转变。研究结果表明，媒体构建了一套关于医学的离散、矛盾且常常过于简单化的特征描述。此外，媒体通过话语构建了一些现实，这些现实证明并维持了医学的主导地位。话语中的意识形态范式将患者描述为被动和无权的，同时又赋予“专家”知识特权。这构建了一种边缘化患者参与决策的现实。
