圆孔方榫：挪威社会不平等与卫生技术政治合法化的话语分析。
Round hole, square peg: a discourse analysis of social inequalities and the political legitimization of health technology in Norway.
机构信息
HUNT research center, Department of Public Health and Nursing, Norwegian University of Science and Technology, Levanger, Norway.
CHAIN research center, Department of Sociology and Political Science, Norwegian University of Science and Technology, Building 10, Dragvoll, 7491, Trondheim, Norway.
出版信息
BMC Public Health. 2019 Dec 16;19(1):1691. doi: 10.1186/s12889-019-8023-3.
BACKGROUND
As research increasingly investigates the impacts of technological innovations in health on social inequalities, political discourse often promotes development and adoption, limiting an understanding of unintended consequences. This study aimed to investigate national public health policy discourse focusing on innovative health technology and social inequalities, from a Norwegian context.
METHODS
The analysis relies on a perspective inspired by critical discourse analysis using central State documents typically influential in the lawmaking procedure.
RESULTS
The results and discussion focus on three major discourse strands: 1) 'technologies discourse' (types of technologies), 2) 'responsibility discourse' (who has responsibility for health and technology), 3) 'legitimization discourse' (how technologies are legitimized).
CONCLUSIONS
Results suggest that despite an overt political imperative for reducing social inequalities, the Norwegian national discourse gives little attention to the potential for these innovations to unintentionally (re) produce social inequalities. Instead, it is characterized by neoliberal undertones, individualizing and commercializing public health and promoting pro-innovation ideology.
背景
随着研究越来越多地关注医疗技术创新对社会不平等的影响，政治话语往往推动了技术的发展和采用，这限制了对意外后果的理解。本研究旨在从挪威的角度调查关注创新医疗技术和社会不平等的国家公共卫生政策话语。
方法
该分析依赖于批判性话语分析的观点，使用了在立法程序中通常具有影响力的中央政府文件。
结果和讨论
结果和讨论侧重于三个主要的话语线索：1）“技术话语”（技术类型），2）“责任话语”（谁对健康和技术负责），3）“合法化话语”（技术如何合法化）。
结论
研究结果表明，尽管有减少社会不平等的明确政治要求，但挪威的国家话语几乎没有关注这些创新可能无意中（重新）产生社会不平等的问题。相反，它的特点是带有新自由主义的弦外之音，使公共卫生个体化和商业化，并促进支持创新的意识形态。
Zotero 插件