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媒体切片检查:审视澳大利亚 1997 年和 2017 年的癌症报道质量。

A Media Biopsy: Examining the Quality of Cancer Reporting in Australia, 1997 and 2017.

机构信息

Faculty of Medicine, Dentistry and Health Sciences, Medicine, University of Melbourne.

Department of Politics, Media and Philosophy, La Trobe University.

出版信息

Health Commun. 2021 Sep;36(10):1216-1221. doi: 10.1080/10410236.2020.1749352. Epub 2020 Apr 16.

DOI:10.1080/10410236.2020.1749352
PMID:32299252
Abstract

This article investigates the quality of cancer reporting from a time of prosperity to a time of austerity for the press. Australia is a useful case study because of its concentrated press media market that has experienced a decline in the number of newsroom reporters from the 20 to the 21 century. We undertake a content analysis of news stories published in 1997 and 2017 about cancer treatments and cancer medical research. Using keyword searching techniques of the news database , 633 news reports about cancer were detected. Of these, 120 stories met the research criteria. Each story was assessed across eight variables using a coding tool, the Media Quality Index (MQI). The study finds 2017 stories had lower scores (equating to less quality) across all eight variables compared to the 1997 cohort. Of statistical significance, 2017 stories were less likely to quantify the benefits of a proposed intervention, while stories discussing medical research were less comprehensive about research findings. The 2017 stories were less likely to discuss side effects or the potential for harm, and were more sensational, with incongruent headlines compared to content. The empirical evidence pointing to a deterioration in mainstream media reporting about cancer has implications for broader health literacy. It may foster unrealistic patient expectations about clinical practice and treatment options, with public policy implications such as overutilization of health services. The study serves as a reminder to medical practitioners that health communication directly with patients is vital as media reporting alone cannot reliably inform patients about their cancer diagnosis and treatment.

摘要

本文调查了媒体繁荣时期和紧缩时期的癌症报道质量。澳大利亚是一个有用的案例研究对象,因为其集中的媒体市场在 20 世纪到 21 世纪期间经历了新闻编辑室记者人数的下降。我们对 1997 年和 2017 年发表的关于癌症治疗和癌症医学研究的新闻报道进行了内容分析。使用新闻数据库的关键字搜索技术,检测到了 633 篇关于癌症的新闻报道。其中,有 120 个故事符合研究标准。每个故事都使用编码工具(媒体质量指数,MQI)评估了八个变量。研究发现,与 1997 年的报道相比,2017 年的报道在所有八个变量上的得分都较低(意味着质量较差)。具有统计学意义的是,2017 年的报道更不可能量化拟议干预措施的益处,而讨论医学研究的报道在研究结果方面不够全面。2017 年的报道更不可能讨论副作用或潜在危害,而且更具轰动性,标题与内容不一致。指向主流媒体癌症报道恶化的经验证据对更广泛的健康素养具有影响。它可能会助长患者对临床实践和治疗方案的不切实际的期望,并对公共政策产生影响,例如过度利用卫生服务。该研究提醒医疗从业者,与患者直接进行健康沟通至关重要,因为仅媒体报道无法可靠地告知患者有关其癌症诊断和治疗的信息。

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