Changing media depictions of remote consulting in COVID-19: analysis of UK newspapers
Changing media depictions of remote consulting in COVID-19: analysis of UK newspapers
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DOI：
10.3399/bjgp.2020.0967
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发表时间：
2021-01-01
影响因子：
5.9
通讯作者：
Greenhalgh, Trisha
中科院分区：
文献类型：
--
作者：
Mroz, Gilly;Papoutsi, Chrysanthi;Greenhalgh, Trisha
背景远程咨询于二零二零年三月迅速引入英国全科医疗，作为对COVID-19的紧急应对。2020年7月，“远程优先”成为政府的长期政策。目的探讨全国性报纸如何描述这种变化，以及随着时间的推移，预防措施如何变化。设计和设置对两个时期的报纸文章进行主题分析，涉及远程GP咨询：2020年3月2日至5月31日（第1阶段）和2020年7月30日至8月12日（第2阶段）。方法文章通过LNXP Nexis Academic UK进行识别和提取。一个编码系统的主题和叙事装置的开发和应用的数据。迭代开发的分析，修改编码结构，新的data.ResultsRemote咨询被广泛报道在报纸上。第一阶段的文章对它进行了积极的描述，将数字变革等同于进步，并将新的技术解决方案与提高效率和安全性（例如，感染控制）联系起来，这是一项早就应该进行现代化的服务。文章在第2期质疑的持久性远程优先服务，现在的流行病正在减弱，强调，例如，漏诊，治疗关系的挑战，和digital inequality.ConclusionAs的第一波流行病来了又去，远程咨询的媒体宣传从一个“效率和安全”的叙事演变为一个“风险，不平等，缺乏选择”的叙事。为了恢复公众对全科医疗的信任，公众沟通应该强调病人现在可以选择的广泛的咨询选项，以及为确保安全和避免不公平而采取的措施。
BackgroundRemote consulting was introduced quickly into UK general practice in March 2020 as an emergency response to COVID-19. In July 2020, 'remote-first' became long-term government policy.AimTo explore how this change was portrayed in national newspapers and how depictions changed over time.Design and settingThematic analysis of newspaper articles referring to remote GP consultations from two time periods: 2 March-31 May 2020 (period 1) and 30 July-12 August 2020 (period 2).MethodArticles were identified through, and extracted from, LexisNexis Academic UK. A coding system of themes and narrative devices was developed and applied to the data. The analysis was developed iteratively, amending the coding structure as new data were added.ResultsRemote consulting was widely covered in newspapers. Articles in period 1 depicted it positively, equating digital change with progress and linking novel technological solutions with improved efficiency and safety (for example, infection control) in a service that was overdue for modernisation. Articles in period 2 questioned the persistence of a remote-first service now that the pandemic was waning, emphasising, for example, missed diagnoses, challenges to the therapeutic relationship, and digital inequalities.ConclusionAs the first wave of the pandemic came and went, media depictions of remote consulting evolved from an 'efficiency and safety' narrative to a 'risks, inequalities, and lack of choice' narrative. To restore public trust in general practice, public communication should emphasise the wide menu of consulting options now available to patients and measures being taken to assure safety and avoid inequity.