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Platformization of healthcare communication: Insights from the early stage of the COVID-19 pandemic in Italy 医疗保健沟通的平台化:来自意大利COVID-19大流行早期的见解
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00052_1
E. Locatelli, A. Lovari
Over the past few years, public health organizations have adopted new communication practices, such as social media communication, framed by the concepts of Health 2.0 and Medicine 2.0. These concepts need to be reconsidered in the light of the transformation of social media as digital platforms. This article aims to define and critically discuss the concept of the platformization of healthcare communication, investigating the impact of social media incorporation on the local health authorities’ Facebook communication during the early phase of the COVID-19 emergency in Italy. Findings show the progressive incorporation of the mechanisms of platformization by local health authorities and the progressive shift of their Facebook pages from connectors to complementors of healthcare communication and services during the early phase of the pandemic. Conclusions critically discuss the incorporation of social media into the communication strategies of the public healthcare sector.
在过去的几年里,公共卫生组织采用了新的传播实践,例如在健康2.0和医学2.0概念框架下的社交媒体传播。这些概念需要根据社交媒体向数字平台的转变来重新考虑。本文旨在定义和批判性地讨论医疗保健沟通平台化的概念,调查社交媒体在意大利COVID-19紧急情况早期阶段对当地卫生当局Facebook沟通的影响。调查结果显示,在大流行的早期阶段,地方卫生当局逐步纳入了平台化机制,其Facebook页面也逐渐从医疗保健沟通和服务的连接器转变为补充。结论批判性地讨论了将社交媒体纳入公共医疗保健部门的沟通策略。
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引用次数: 3
Digitization of healthcare post COVID-19: Reimagining the role of health education and promotion COVID-19后医疗保健数字化:重新构想健康教育和促进的作用
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00055_7
Chinwe Christopher Obuaku-Igwe
The digitization of health promotion and communication has become a major discourse in healthcare. This paper synthesizes my understanding of the role of health literacy, promotion, education and communication in ensuring effective digitization of healthcare and presents four key findings from a mental health promotion project. First, the pandemic has shown us more than ever how fragile we all are – health-seeking behaviour will increasingly take centre stage over the next decade. Second, why do people refuse to wear masks even though it increases the risk of mortality? Why are individuals not motivated to exercise despite downloading free health apps? Why do people keep eating unhealthy food even when they can afford healthier options? Why? The numbers cannot tell the whole story. Similarly, the proliferation of digital health technology cannot convince people to modify their behaviours nor promote meaningful use of e/m-health apps. Third, deliberate digital health promotion and communication is needed to leverage opportunities in health technology. Fourth, the world needs researchers and experts who understand the broader determinants of health attitudes and are knowledgeable in synthesizing valid health information across various technological platforms, in support of health system needs. I address the implications of my findings and discuss future directions for policy and practitioners.
健康促进与传播的数字化已成为医疗卫生领域的一个重要话题。本文综合了我对健康素养、促进、教育和沟通在确保医疗保健有效数字化中的作用的理解,并介绍了一个心理健康促进项目的四个主要发现。首先,大流行比以往任何时候都更加向我们表明,我们所有人都是多么脆弱——寻求健康的行为将在未来十年日益占据中心地位。第二,为什么人们拒绝戴口罩,即使它增加了死亡的风险?为什么人们下载了免费的健康应用程序,却没有动力去锻炼?为什么即使人们买得起更健康的食物,他们仍然坚持吃不健康的食物?为什么?数字不能说明全部情况。同样,数字卫生技术的普及不能说服人们改变自己的行为,也不能促进电子/移动卫生应用程序的有意义使用。第三,需要有意识地进行数字健康促进和沟通,以利用卫生技术方面的机会。第四,世界需要研究人员和专家,他们了解卫生态度的更广泛决定因素,并精通跨各种技术平台综合有效的卫生信息,以支持卫生系统的需求。我阐述了我的研究结果的含义,并讨论了政策和从业者的未来方向。
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引用次数: 0
Older (65+) patients’ use of e-mail consultations: A Danish qualitative study using a Foucauldian framework 老年(65岁以上)患者使用电子邮件咨询的情况:丹麦一项使用福卡尔框架的定性研究
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00048_1
Martin Bavngaard, Anette Grønning
In Denmark, e-mail consultations (e-cons) are now supplementing conventional consultations with doctors and raising questions related to self-governing technology from the patient perspective. Interestingly, old patients are the most frequent users of this kind of consultation. This article examines how e-cons affect old people’s relationships with and perceptions of their general practitioners (GPs) regarding trust, self-governance and indirect/direct power. This qualitative study is based on interviews with twenty patients between 66 and 83 years old. Applying a thematic analysis in which four salient themes were identified, the study demonstrates that the patients perceive the GP as powerful, knowledgeable and busy; this corresponds with the power relationship between disciplinary institutions and individuals. At the same time, many patients use e-cons as a technology of self-governance, thereby taking responsibility for their own health while still being able to contact the clinic. In this way, patients achieve the potential for self-management, while clinics maintain their institutional power.
在丹麦,电子邮件咨询(e-cons)现在是对医生常规咨询的补充,并从患者的角度提出了与自治技术有关的问题。有趣的是,老年患者是这类咨询的最常见用户。本文研究了电子康如何影响老年人与全科医生的关系以及他们对信任、自我治理和间接/直接权力的看法。这项定性研究基于对20名年龄在66岁至83岁之间的患者的访谈。应用主题分析,其中确定了四个突出的主题,研究表明,患者认为全科医生强大、知识渊博、忙碌;这与学科机构与个人之间的权力关系是一致的。与此同时,许多患者将电子康作为一种自我管理技术,从而在能够联系诊所的同时对自己的健康负责。通过这种方式,患者实现了自我管理的潜力,而诊所保持了他们的制度权力。
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引用次数: 1
Oralizations in e-mail consultations: A study of general practitioners’ use of non-verbal cues in written doctor–patient communication 电子邮件咨询中的口头表达:全科医生在书面医患沟通中使用非语言提示的研究
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00049_1
Maja Nordtug, J. E. Møller, Signe Schlichting Matthiesen, Matilde Nisbeth Brøgger
It is well-known that non-verbal cues are essential in doctor–patient communication. As doctor–patient communication is turning increasingly digital and written, it becomes relevant to explore the role of non-verbal cues in such communication genres. One more recent genre is the doctor–patient e-mail consultation. Research has found that while patients like e-mail consultations, they also miss facial expressions, eye contact, etc. In this study, we explored the different ways in which Danish GPs use non-verbal cues in e-mail consultations. We analysed 633 e-mail consultations written by 22 GPs. We applied the concept of oralization, which includes the use of emoticons and non-standard use of grammar and spatial arrangement. We found that the dominant types of oralizations were non-corrected spelling errors and lack of attention to capitalization. Overall, GPs used a limited number of other non-verbal cues. We discuss how these findings relate to norms of formality and professional context.
众所周知,非语言提示在医患沟通中是必不可少的。随着医患沟通越来越数字化和书面化,探索非语言提示在这种沟通类型中的作用变得相关。最近的一种类型是医患电子邮件咨询。研究发现,虽然患者喜欢电子邮件咨询,但他们也会错过面部表情、眼神交流等。在这项研究中,我们探讨了丹麦全科医生在电子邮件咨询中使用非语言线索的不同方式。我们分析了22名全科医生写的633封电子邮件咨询。我们运用了口语化的概念,包括表情符号的使用以及语法和空间排列的非标准使用。我们发现口头化的主要类型是未纠正的拼写错误和缺乏对大写的注意。总的来说,全科医生使用的其他非语言线索数量有限。我们将讨论这些发现与正式规范和专业背景的关系。
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引用次数: 1
Health disparities and the digital divide within South African disadvantaged communities during the COVID-19 pandemic 新冠肺炎大流行期间南非弱势社区的健康差距和数字鸿沟
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00054_1
E. Lubinga, Karabo Sitto, Keke Molebatsi
The purpose of this article is to highlight how technologies, which have for centuries revolutionalized healthcare, have conversely increased health disparities among disadvantaged communities in South Africa during coronavirus disease (COVID-19). A hard lockdown imposed on the country in March 2020, as an initial measure of containment of the novel virus, became unfeasible due to detrimental, mostly economic effects on the economy. From 1 May, the government eased the lockdown restrictions and shifted the emphasis from containment to behaviour change measures using communication strategies that promoted adherence. Yet, even within disadvantaged communities, there have been differences in health-related access with differing levels of disadvantage. Secondary data were analysed from a cross-sectional quantitative survey conducted in ten disadvantaged communities in the Northern Cape and Gauteng Provinces involving 1742 participants. Results show that the lack of digital access to information created an obstacle to adherence to some recommended COVID-19-related behaviour change measures. Disparities existed between the two provinces’ disadvantaged communities based on an urban versus a rural province. The study emphasized the need to assess the extent of underlying obstacles to health equity and achievement of healthcare goals propagated by an interface between healthcare and socio-economic factors. Breakthroughs in healthcare, facilitated by virtual modes of communication may be undermined by a digital divide exacerbating disparities in disadvantaged communities.
这篇文章的目的是强调,在冠状病毒疾病(新冠肺炎)期间,数百年来革命性医疗保健的技术如何反过来增加了南非弱势社区的健康差距。2020年3月对该国实施的严格封锁,作为遏制新型病毒的初步措施,由于对经济的不利影响,主要是经济影响,变得不可行。从5月1日起,政府放松了封锁限制,并利用促进遵守的沟通策略,将重点从遏制转向行为改变措施。然而,即使在弱势社区内,在获得健康相关服务方面也存在差异,弱势程度不同。二级数据来自于一项横断面定量调查,该调查在北开普省和豪登省的10个弱势社区进行,涉及1742名参与者。结果显示,缺乏对信息的数字访问,阻碍了遵守一些建议的新冠肺炎相关行为改变措施。这两个省份的弱势社区之间存在差异,其基础是城市省份与农村省份。该研究强调,有必要评估医疗保健和社会经济因素之间的相互作用对健康公平和实现医疗保健目标造成的潜在障碍的程度。数字鸿沟加剧了弱势社区的差距,这可能会破坏虚拟沟通模式促进的医疗保健突破。
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引用次数: 2
Ageing, health misinformation and mobile messaging apps 老龄化、健康错误信息和移动通讯应用
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00051_1
Naziat Choudhury
The wide circulation of health misinformation has the potential to cause major health complications for the older generation worldwide who are less active on digital media and are thus less able to identify misinformation. This article draws on the social ties and relational correction perspective to reflect on the evaluating, verifying and correcting practices regarding health misinformation in messenger apps within the older generation in Bangladesh. Thirty Bangladeshi older adults, between the ages of 60 and 74, participated in in-depth interviews with the aim of mapping out the interpersonal relationships with cultural dimensions that contribute to the sharing and correcting of health misinformation. While resharing health information, the social tradition of maintaining a positive impression and trusting those within their close network was visible among these older adults. Although strong and weak ties contributed equally to this process, strong ties played a dominant role in correcting misinformation.
健康错误信息的广泛传播有可能给世界各地的老一代造成严重的健康并发症,他们在数字媒体上不太活跃,因此识别错误信息的能力较差。本文借鉴社会关系和关系纠正的观点,反思孟加拉国老一辈人对messenger应用中健康错误信息的评估、验证和纠正做法。30名年龄在60至74岁之间的孟加拉国老年人参加了深入访谈,目的是找出有助于分享和纠正健康错误信息的文化层面的人际关系。在重新分享健康信息的同时,在这些老年人中可以看到保持积极印象和信任亲密网络中的人的社会传统。虽然强关系和弱关系对这一过程的贡献相同,但强关系在纠正错误信息方面发挥了主导作用。
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引用次数: 0
Influence of African Indigenous language media in COVID-19 digital health messaging 非洲土著语言媒体对COVID-19数字卫生信息的影响
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-10-01 DOI: 10.1386/cjcs_00053_1
I. Fadipe, A. Salawu
COVID-19 pandemic era has further energized humans to consider their health more than before, especially in the digital age when they experience a deluge of health information. This study, therefore, examined COVID-19 digital sources, health message types and how the use of African Indigenous language media enhanced people’s utilization of coronavirus health messages. Using an online questionnaire and in-depth interview data collection methods, respondents received preventive COVID-19 health messages on social distancing and personal hygiene from mostly interactive digital sources, which hardly infused African Indigenous language media in the health message. However, African Indigenous languages motivated respondents to utilize COVID-19 messages, though people still spread COVID-19 fake news through Indigenous media. Nonetheless, integrating African Indigenous language media into digital health communication can confer credibility on information sources. Still, there is a need to fight the use of digital media to spread fake news.
COVID-19大流行时代进一步激励人类比以往更多地考虑自己的健康,特别是在数字时代,人们经历了大量的健康信息。因此,本研究考察了COVID-19的数字来源、健康信息类型以及使用非洲土著语言媒体如何提高人们对冠状病毒健康信息的利用。通过在线问卷调查和深度访谈数据收集方法,受访者主要从交互式数字来源获得有关社交距离和个人卫生的预防性COVID-19健康信息,这些信息几乎没有将非洲土著语言媒体融入健康信息中。然而,非洲土著语言促使受访者利用COVID-19信息,尽管人们仍然通过土著媒体传播COVID-19假新闻。尽管如此,将非洲土著语言媒体纳入数字卫生传播可以赋予信息来源可信度。尽管如此,仍有必要打击利用数字媒体传播假新闻的行为。
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引用次数: 1
Tackling online disinformation through media literacy in Spain: The project ‘Que no te la cuelen’ 西班牙透过媒体素养处理网路虚假资讯:Que no te la cuelen计划
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-04-01 DOI: 10.1386/CJCS_00044_7
Nereida Carrillo, Marta Montagut
Media literacy of schoolchildren is a key political goal worldwide: institutions and citizens consider media literacy training to be essential – among other aspects – to combat falsehoods and generate healthy public opinion in democratic contexts. In Spain, various media literacy projects address this phenomenon one of which is ‘Que no te la cuelen’ (‘Don’t be fooled’, QNTLC). The project, which has been developed by the authors of this viewpoint, is implemented through theoretical–practical workshops aimed at public and private secondary pupils (academic years 2018–19, 2019–20 and 2020–21), based around training in fake news detection strategies and online fact-checking tools for students and teachers. This viewpoint describes and reflects on this initiative, conducted in 36 training sessions with schoolchildren aged 14–16 years attending schools in Madrid, Valencia and Barcelona. The workshops are based on van Dijk’s media literacy model, with a special focus on the ‘informational skills’ dimension. The amount of information available through all kinds of online platforms implies an extra effort in selecting, evaluating and sharing information, and the workshop focuses on this process through seven steps: suspect, read/listen/watch carefully, check the source, look for other reliable sources, check the data/location, be self-conscious of your bias and decide whether to share the information or not. The QNTLC sessions teach and train these skills combining gamification strategies – online quiz, verification challenges, ‘infoxication’ dynamics in the class – as well as through a public deliberation among students. Participants’ engagement and stakeholders’ interest in the programme suggest that this kind of training is important or, at least, attract the attention of these collectives in the Spanish context.
学童的媒体素养是全世界的一项关键政治目标:各机构和公民认为,媒体素养培训除其他方面外,对于在民主环境中打击谎言和产生健康的公众舆论至关重要。在西班牙,针对这一现象,有各种媒体素养计划,其中之一是“Que no te la cuelen”(“不要被愚弄”,QNTLC)。该项目由这一观点的作者开发,通过针对公立和私立中学生(2018-19学年、2019-20学年和2020-21学年)的理论实践研讨会来实施,主要针对学生和教师进行假新闻检测策略和在线事实核查工具的培训。这一观点描述和反映了这一倡议,该倡议在马德里、瓦伦西亚和巴塞罗那的学校对14-16岁的学童进行了36次培训。工作坊以van Dijk的媒体素养模型为基础,特别关注“信息技能”维度。通过各种网络平台获取的大量信息意味着在选择、评估和分享信息方面需要额外的努力,研讨会通过七个步骤来关注这一过程:怀疑、仔细阅读/听/观察、检查来源、寻找其他可靠来源、检查数据/位置、自我意识到自己的偏见并决定是否分享信息。QNTLC课程结合游戏化策略——在线测验、验证挑战、课堂上的动态“信息交流”——以及学生之间的公开讨论来教授和训练这些技能。参与者的参与和利益相关者对该计划的兴趣表明,这种培训很重要,或者至少在西班牙的背景下吸引了这些集体的注意。
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引用次数: 0
The paradox of pluralism: A key to interpreting the online public sphere in the time of ‘encastellation’ 多元主义的悖论:解读“包围”时代网络公共领域的关键
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-04-01 DOI: 10.1386/cjcs_00043_7
G. Giacomini
This viewpoint makes a theoretical effort to label the organization of the virtual sphere under new concepts: ‘encastellation’ and the ‘paradox of pluralism’. The former is a metaphorical synthesis of already-known concepts (selective exposure, polarization,homophily, echo chambers and filter bubbles). In the second case, we emphasize the existence of a ‘paradox of online pluralism’: the internet has increased the possibility for everyone to make their voice heard (in quantitative terms), but at the same time it appears toalso be increasing the distance between voices, putting in jeopardy the achievement of the aims of the pluralist political system (in qualitative terms). In conclusion, we express doubts about the feasibility of the deliberative vision of democracy in the current virtual sphere.
这一观点从理论上努力给虚拟领域的组织贴上新的概念标签:“封套”和“多元主义悖论”。前者是对已知概念(选择性曝光、极化、同质性、回声室和过滤气泡)的隐喻性综合。在第二种情况下,我们强调了“网络多元主义悖论”的存在:互联网增加了每个人发出自己声音的可能性(从数量上讲),但同时它似乎也增加了声音之间的距离,危及多元政治体系目标的实现(从质量上讲)。最后,我们对目前虚拟领域中民主的协商愿景的可行性表示怀疑。
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引用次数: 0
Talking the nation over advertising: The case of Catalan commercial advertisements 谈论全国的广告:加泰罗尼亚商业广告的案例
IF 0.5 Q3 COMMUNICATION Pub Date : 2021-04-01 DOI: 10.1386/cjcs_00039_1
Mariona Lladonosa-Latorre, Mariona Visa-Barbosa
This article addresses how advertisements are narrative devices for the construction, imagination and diffusion of the nation’s depictions in the context of globalization. In this analytical sense, we suggest the current traits in advertising: the hyper-symbolization of the brand and the extrapolation of nation branding to product advertising. We study different representations of Catalonia through a sample of the audio-visual commercial advertising on food and drinks on public television in Catalonia between 2009 and 2017. These examples show the main symbolic frameworks of the nation and re-created identity through two types of depictions of Catalan tradition and experiential Catalanness, that which can exemplify the idea of banal nationalism in the sense of Billig and Edensor’s everyday nationalism. The main objective of our proposal is to understand commercial advertisements as forms of national discourse in everyday nationalism and how the private sector uses this.
本文探讨了在全球化背景下,广告如何成为构建、想象和传播国家形象的叙事手段。在这种分析意义上,我们提出了当前广告的特点:品牌的高度符号化和国家品牌对产品广告的外推。我们通过2009年至2017年加泰罗尼亚公共电视上的食品和饮料视听商业广告样本来研究加泰罗尼亚的不同表征。这些例子展示了国家的主要象征框架,并通过对加泰罗尼亚传统和经验加泰罗尼亚性的两种描述重新创造了身份,这可以例证比利格和伊登索尔日常民族主义意义上的平庸民族主义思想。我们建议的主要目标是理解商业广告作为日常民族主义的民族话语形式,以及私营部门如何使用它。
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引用次数: 0
期刊
Catalan Journal of Communication & Cultural Studies
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