Are We Expecting Too Much From Print Media ? An Analysis of Newspaper Coverage of the 2002 Canadian Healthcare Reform Debate  

Oleh:

Collins, Patricia A. ; Abelson, Julia ; Pyman, Heather ; Lavis, John N.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 1 (Jul. 2006), page 89-102.
Topik: health care; canada; healthcare reform; health policy; health services research media content analysis; newspapers

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.5 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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News media effects on their audiences are complex. Four commonly cited effects are : informing audiences, agenda setting, framing and persuading. The release in autumn 2002 of two reports on options for reforming canada's healtcare system attracted widespread media attention. We explored the potentioal for each of the four media effects by examining canadian newspapwe representation of this healthcare policy deabte. Clippings were gathered from regional and national newspapers. Two data collection methodologies were employed, the first involved two staggered constructed weeks designed to capture thematic news framing styles, the second collected intensive or episodic ocverage immediately following the report releases. Health reform articles with a financing and / or delivery focus were included. Using a codebook, articles were coded to track article characteristics, tone, healthcare sector and reform themes, and key actors. A gerater quantity of episodic (n = 341 clippings) versus thematic coverage (n = 77) was documented. Coverage type did not vary significantly by newspaper, reporting source (e.g. staff reporter versus staff editorialist) or article type (e.g. news versus letter). Thematic articles were significantly shorter in length compared to episodic clippings. Episodic coverage tended to have a positive tone, while thematic coverage ranged in tone. Most coverage was general in scope. Sector specific coverage favoured physician and hospital care the two providers accorded privileged financing arrangements under canada's universal, provincially administered health insurance plans. Coverage of healthcare financing arrangements favoured broad discussions of publicly financed healthcare, federal provincial governmental relations, and the canada health act that governs provincial plans. Governmental actors and the political institutions that they represent were the dominant actors. Professional associations were also visible, but played a less dominant role. Given its non specific scope it is unclear how informative this coverage was. The large quantity and short duration of the episofic coverage, and the preponderance of governmental actors, suggests these newspapers acted as conduits for the policy agenda. Difefrences in framing styles were observed by coverage type, newspaper, reporting source, article length and type of article. Finally the dominance of governmental actors provided these actors with numerous opportunities to persuade the public.

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