Print media coverage of primary healthcare and related research evidence in South Africa
Print media coverage of primary healthcare and related research evidence in South Africa
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DOI：
10.1186/s12961-015-0051-6
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发表时间：
2015-11-12
影响因子：
4
通讯作者：
Hoskins, Ryan
中科院分区：
文献类型：
--
作者：
Akintola, Olagoke;Lavis, John N.;Hoskins, Ryan
背景：新闻媒体处于公共议程和政策议程的中心，是了解公众问题的窗口。因此，它可以成为倡导公民健康的有力工具，并有助于促进以证据为基础的初级卫生系统，满足公民的需求。然而，在南非的印刷media.Methods的初级医疗保健和相关的研究证据的覆盖面的研究几乎是不存在的：我们研究了2,077新闻报道，涵盖初级医疗保健从25南非报纸检索从Lounge-Nexis在线档案超过16年的时间（1997-2012年）。我们分析了基本特征，并进行了新闻故事的内容分析。结果：在2,077个新闻故事，提到初级医疗保健，这是8.3%（n = 173）的主要焦点。其中，45.7%讨论了与诊所有关的问题，而与社区卫生工作者和护士有关的问题分别占新闻报道的42.8%和34.1%。讨论传染病的新闻报道数量（55.5%）是讨论非传染性疾病的新闻报道数量（21.4%）的两倍多。54.3%的新闻报道涉及艾滋病毒/艾滋病/结核病和与服务有关的问题，22%的新闻报道涉及健康的社会决定因素。有关如何组织医疗保健向人民提供服务的问题得到了印刷媒体的大量报道，72.8%的人讨论了提供安排，72.3%的人讨论了治理安排，55%的人讨论了财务安排。一小部分的新闻故事（7.5%）讨论的研究，但没有讨论一个systematic review.Conclusion：我们的研究强调了潜在的作用，媒体分析的照明模式，印刷媒体的健康问题的报道。它还表明，了解卫生研究证据的覆盖范围有助于促进努力支持循证卫生决策的气候。低收入和中等收入国家的研究人员需要更积极主动地利用媒体分析，帮助阐明需要卫生政策制定者、利益攸关方和记者关注的卫生相关问题，并确定潜在的研究领域。
Background: The news media is located at the nexus of the public and policy agendas and provides a window into issues concerning the public. Therefore, it could be a powerful tool for advocating for citizens' health and could help promote evidence-based primary health systems responsive to the needs of citizens. However, research on the coverage of primary healthcare and related research evidence in the South African print media is virtually non-existent.Methods: We examined 2,077 news stories that covered primary healthcare from 25 South African newspapers retrieved from the Lexis-Nexis online archive over a 16-year period (1997-2012). We analysed basic characteristics and conducted a content analysis of the news stories.Results: Of the 2,077 news stories that mentioned primary healthcare, this was the main focus in 8.3% (n = 173). Of these, 45.7% discussed issues relating to clinics, whereas issues relating to community health workers and nurses were covered by 42.8% and 34.1% of news stories, respectively. The number of news stories discussing infectious diseases (55.5%) was more than twice the number discussing non-communicable diseases (21.4%). HIV/ AIDS/TB illness- and service-related issues were covered by 54.3% of news stories and social determinants of health by 22%. Issues relating to how healthcare is organised to deliver services to the people received substantial coverage in the print media, with 72.8% discussing delivery arrangements, 72.3% governance arrangements, and 55% financial arrangements. A small fraction of news stories (7.5%) discussed research studies but none discussed a systematic review.Conclusion: Our study underscores the potential role of media analyses in illuminating patterns in print media coverage of health issues. It also shows that an understanding of coverage of health research evidence could help spur efforts to support the climate for evidence-informed health policymaking. Researchers in low- and middle-income countries need to be more proactive in making use of media analyses to help illuminate health related issues that require the attention of health policymakers, stakeholders and reporters, and to identify potential areas of research.