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电视医疗剧:评估黄金时段对公共卫生的呈现

TV medical dramas: assessing the portrayal of public health in primetime.

作者信息

Zago Daniela, Cautero Peter, Scarpis Enrico, Pompili Erika, Voglino Gianluca, Siliquini Roberta, Brusaferro Silvio, Brunelli Laura

机构信息

Dipartimento di Medicina, Università di Udine, Udine, Italy.

Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università di Torino, Torino, Italy.

出版信息

Front Public Health. 2024 Jul 24;12:1432528. doi: 10.3389/fpubh.2024.1432528. eCollection 2024.

Abstract

INTRODUCTION

The influence of medical dramas could extend beyond the realm of entertainment and potentially strengthen/orient the knowledge, attitudes and hopefully practice of health professionals and the public, despite often depicting unrealistic medical outcomes and scenarios.

METHODS

This study examined the portrayal of public health issues in two popular international medical series, "Grey's Anatomy" and "House, MD," selected for their awards and viewership ratings. Individual episodes were double-rated by clinicians for patient characteristics, public health issues, and infection risk management.

RESULTS

94 episodes with 286 clinical cases were analyzed. A wide range of conditions and pathologies were depicted, with a focus on acute clinical events, trauma and mental disorders, which contrasts with real-life causes of hospitalization and highlight the dramatization in these series. Public health issues such as organ donation and substance abuse were frequently addressed, but prevention and health promotion received little attention. Proper use of personal protective equipment was mostly observed, although hand hygiene was underrepresented.

CONCLUSION

The study highlights the dual role of medical dramas as an entertainment medium and a potential educational tool. While they can raise awareness and encourage healthier behavior, their portrayal of medical practices and patient care often deviates from reality and can create unrealistic expectations. The influence of these dramas also extends to viewers' perceptions of healthcare and medical professionals, underscoring the need for accurate and responsible portrayal of health issues in the media.

摘要

引言

尽管医学剧常常描绘不切实际的医疗结果和场景,但其影响可能会超出娱乐领域,有潜力强化/引导卫生专业人员和公众的知识、态度,并有望影响其行为。

方法

本研究考察了两部国际热门医学剧《实习医生格蕾》和《豪斯医生》中对公共卫生问题的呈现,这两部剧因其获奖情况和收视率而被选中。临床医生对各集进行了双重评级,内容涉及患者特征、公共卫生问题和感染风险管理。

结果

分析了94集共286个临床病例。剧中描绘了广泛的病症和病理情况,重点是急性临床事件、创伤和精神障碍,这与现实生活中的住院原因形成对比,凸显了这些剧的戏剧性。诸如器官捐赠和药物滥用等公共卫生问题经常被提及,但预防和健康促进方面很少受到关注。个人防护设备的正确使用大多得到体现,不过手部卫生的呈现较少。

结论

该研究凸显了医学剧作为一种娱乐媒介和潜在教育工具的双重作用。虽然它们可以提高认识并鼓励更健康的行为,但其对医疗实践和患者护理的描绘往往偏离现实,可能会产生不切实际的期望。这些剧的影响还延伸到观众对医疗保健和医疗专业人员的认知,强调了媒体对健康问题进行准确和负责任呈现的必要性。

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