Decoding the Misinformation-Legislation Pipeline: an analysis of Florida Medicaid and the current state of transgender healthcare.

IF 2.9 4区 医学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Journal of the Medical Library Association Pub Date : 2023-10-02 DOI:10.5195/jmla.2023.1724
Catherine Lockmiller
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Abstract

Background: The state of evidence-based transgender healthcare in the United States has been put at risk by the spread of misinformation harmful to transgender people. Health science librarians can alleviate the spread of misinformation by identifying and analyzing its flow through systems that affect access to healthcare.

Discussion: The author developed the theory of the Misinformation - Legislation Pipeline by studying the flow of anti-transgender misinformation from online echo chambers through a peer-reviewed article and into policy enacted to ban medical treatments for transgender people in the state of Florida. The analysis is precluded with a literature review of currently accepted best practices in transgender healthcare, after which, the author analyzes the key report leveraged by Florida's Department of Health in its ban. A critical analysis of the report is followed by a secondary analysis of the key peer-reviewed article upon which the Florida Medicaid authors relied to make the decision. The paper culminates with a summation of the trajectory of anti-transgender misinformation.

Conclusion: Misinformation plays a key role in producing legislation harmful to transgender people. Health science librarians have a role to play in identifying misinformation as it flows through the Misinformation - Legislation Pipeline and enacting key practices to identify, analyze, and oppose the spread of harmful misinformation.

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解读虚假信息立法管道:对佛罗里达州医疗补助和跨性别医疗现状的分析。
背景:美国基于证据的跨性别医疗保健状况因对跨性别者有害的错误信息的传播而面临风险。健康科学图书馆员可以通过识别和分析影响获得医疗保健的系统中的错误信息来缓解错误信息的传播。讨论:作者通过一篇同行评审的文章研究了来自网络回音室的反跨性别错误信息的流动,并制定了佛罗里达州禁止跨性别者医疗的政策,从而发展了虚假信息-立法管道的理论。该分析被目前公认的跨性别医疗最佳实践的文献综述排除在外,之后,作者分析了佛罗里达州卫生部在其禁令中利用的关键报告。对该报告进行批判性分析后,对佛罗里达医疗补助计划作者做出决定所依据的关键同行评审文章进行二次分析。论文最后总结了反跨性别错误信息的发展轨迹。结论:虚假信息在制定对跨性别者有害的立法中起着关键作用。健康科学图书馆员在通过虚假信息立法管道识别虚假信息方面发挥着作用,并制定关键做法来识别、分析和反对有害虚假信息的传播。
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来源期刊
Journal of the Medical Library Association
Journal of the Medical Library Association INFORMATION SCIENCE & LIBRARY SCIENCE-
CiteScore
4.10
自引率
10.00%
发文量
39
审稿时长
26 weeks
期刊介绍: The Journal of the Medical Library Association (JMLA) is an international, peer-reviewed journal published quarterly that aims to advance the practice and research knowledgebase of health sciences librarianship. The most current impact factor for the JMLA (from the 2007 edition of Journal Citation Reports) is 1.392.
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