题名

醫病形象的媒體建構-醫療糾紛抬棺抗議新聞分析

并列篇名

The Media Depiction of Images of Doctors and Patients-An Analysis of News Coverage of Coffin-Lifting Resulting from Medical Dispute

DOI

10.30386/MCR.200710_(93).0002

作者

邱玉蟬(Yu-Chan Chiu)

关键词

媒體建構 ; 新聞消息來源 ; 論述分析 ; 醫病關係 ; 醫療糾紛 ; media construction ; news source ; discourse analysis ; doctorpatient relationship ; medical dispute

期刊名称

新聞學研究

卷期/出版年月

93期(2007 / 10 / 01)

页次

41 - 81

内容语文

繁體中文

中文摘要

本研究的目的是希望藉由批判論述分析取向,分析標題、內容、消息來源的結構、引述以及人物的再現,探討醫療糾紛新聞如何建構醫病不平等的權力關係。分析樣本來自台灣主要的5家報紙,共102則醫療糾紛抬棺抗議新聞。研究發現新聞凸顯衝突與強調悲情,模糊了醫療糾紛爭議的核心;同時再現病人獨力抗衡整個醫療機構,以及容許醫師以醫療術語虛答病人對疏失的質疑。媒體原本可能是病人尋公道的途徑,卻再製了醫病之間不平等的權力關係。

英文摘要

This study aims to explore how news coverage of coffin-lifting resulting from medical disputes depicts the image of doctors and patients. Using the critical discourse analysis, this study analyzed headlines, contents, the news sources, quotes, actor reenactments and various media content. 102 news articles published in five major newspapers in Taiwan were included in the analyzed sample. The results showed that the news coverage highlighted conflicts and emphasized tragic events which blurred the focus of medical disputes. Additionally, the news coverage highlighted images of powerless patients confronting large medical institutions, and allowed doctors to respond to patients' accusations using medical jargon. The media has the potential to be a channel in which patients can use to search for justice. Instead, they reproduced the unbalanced power relationships between doctors and patients.

主题分类 社會科學 > 傳播學
参考文献
  1. 成令方(2002)。醫「用」關係的知識與權力。台灣社會學,3,11-71。
    連結:
  2. (1999)。威而鋼座談會。新聞學研究,61,285-296。
  3. Adoni, H.,Mane, S.(1984).Media and the social construction of reality: Toward an integration of theory and research.Communication Research,11(3),323-340.
  4. American Medical Association.Special Task Force on Professional Liability and Insurance (1984-1985). Professional liability in the 1980s.
  5. Andsager, J. L.,Hus, S. J.,Powers, A.(2000).Patient-blaming and representation of risk factors in breast cancer images.Women and Health,31,57-79.
  6. Bell, A.(1991).The language of news media.Oxford:Blackwell.
  7. Blundell, W.(1988).The art and craft of feature writing.New York:Penguin.
  8. Brook, B. S.,Kennedy, G.,Moen, D. R.,Ranly, D.(1994).News reporting & writing.New York:Bedford /St. Martins.
  9. Brown, J.,Walsh-Childers, K.,J. Bryant,D. Zillmann (Eds.)(1994).Media effects: Advance in theory and research.Mahwah, NJ:Lawrence Erlbaum Associates.
  10. Cannell, C. F.,MacDonald, J. C.(1956).The impact of health news on attitudes and behavior.Journalism Quarterly,33(3),315-323.
  11. Chiu, Y. C.(2006).The neglected feeling and absolute, dependent trust: The latent factors of pursuing malpractice claim.Paper presented at the EACH (European Association for Communication in Healthcare) conference Basel,Switzerland:
  12. Chiu, Y. C.(2006).The news construction of doctor-patient relationship.Paper presented at the International Communication Association 56th Annual Conference Dresden,Germany:
  13. Chiu, Y. C.(2007).Gifts, bribes and solicitations: Print media and the social construction of informal payments to doctors in Taiwan.Social Science & Medicine,64,521-530.
  14. Connell, C. M.,Crawford, C. O.(1988).How people obtain their health information: A survey in two Pennsylvania counties.Public Health Report,103(2),189-195.
  15. Entwistle, V.,Sheldon, T.,B. Franklin (Ed.)(1999).Social policy, the media and misrepresentation.New York:Routedge.
  16. Fairclough, N.(1989).Language and power.London:Longman.
  17. Fairclough, N.(1995).Media discourse.London:Edward Arnold.
  18. Fairclough, N.(1992).Discourse and social change.Cambridge:Polity Press.
  19. Fisher, J.,Gandy, O. H.,Janus, N. Z.,E. G. McAnancy,J. Schnitman,N. Janus (Eds.)(1981).Communication and social structure: Critical studies in mass media research.New York:Praeger.
  20. Fowler, R.(1991).Language in the news: Discourse and ideology in the press.London:Routledge.
  21. Fowler, R.,Hodge, R.,Kress, G.,Trew, T.(1979).Language and control.London:Routledge and Kegan Paul.
  22. Gans, J. H.,J. H. Gans (Ed.)(1980).Deciding what`s news: A study of CBS evening news, NBC nightly news, Newsweek, and Time.New York:Vintage Books.
  23. Gerber, G.,Gross, L.,Morgan, M.,Signorielli, N.(1981).Special report: Health and medicine on television.The New England Journal of Medicine,305,901-904.
  24. Halliday, M. K.(1974).Language and social man.London:Longman.
  25. Hilgartner, S.,Bosk, C. L.(1988).The rise and fall of social problems: A public arena model.American Journal of Sociology,94,53-78.
  26. Hodge, R.,Kress, G.(1979).Language as ideology.London:Routledge.
  27. Hodgetts, D.,Chamberlain, K.(2003).Narrativity and the mediation of health reform agendas.Sociology of Health and Illness,25,553-570.
  28. Hodgetts, D.,Chamberlain, K.(2003).Television documentary in New Zealand and the construction of doctors by lower socio-economic groups.Social Science & Medicine,57,113-124.
  29. Kingdon, J. W.(1995).Agenda, alternatives, and public policies.New York:Harper Collins.
  30. Lunin, L. F.(1987).Where does the public get its health information.Bulletin New Jersey Academy of Medicine,63(10),923-938.
  31. Lupton, D.(1992).Discourse analysis: A new methodology for understanding the ideologies of health and illness.Australian Journal of Public Health,16(2),145-150.
  32. Lupton, D.(1999).Archetypes of infection: People with HIV/AIDS in the Australian press in the mid 1990s.Sociology of Health & Illness,21,37-53.
  33. Lupton, D.,McLean, J.(1998).Representing doctors: Discourse and images in the Australian press.Social Science and Medicine,46(8),947-958.
  34. Malmsheimer, R.(1988).Doctors only: The evolving image of the American physician.New York:Greenwood.
  35. McCombs, M.,Reynolds, A.,J. Bryant,D. Zillmann, (Eds.)(1994).Media effects: Advances in theory and research.Mahwah, NJ:Lawrence Erlbaum Associates.
  36. McLaughlin, J.(1975).The doctor shows.Journal of Communication,15,182-184.
  37. McQuail, D.(1994).Mass communication theory: An introduction.London, Thousand Oaks:Sage.
  38. Myrick, R.(1999).Making women visible through health communication: Representations of gender in AIDS/PSAs.Women`s Studies in Communication,22,45-62.
  39. Pfau, M.,Mullen, L. J.,Garrow, K.(1995).The influence of television viewing on public perceptions of physicians.Journal of Broadcasting & Electronic Media,39,441-458.
  40. Roter, D. L.,Hall, J. A.(1992).Doctors talking with patients.London:Auburn House.
  41. Scannell, P.,P. S. Scannell,C. Sparks (Eds.)(1992).Culture and Power.London, Thousand Oaks:Sage.
  42. Teo, P.(2000).Racism in the news: A critical discourse analysis of news reporting in two Australian newspapers.Discourse & Society,11(7),7-49.
  43. Tsai, D. J.(1996).Unpublished doctoral dissertation, University of Michigan.
  44. Tuchman, G.(1978).Making news: A study in the social construction.New York:Free.
  45. van Dijk, T.(1987).News analysis: Case studies of international and international news in the press.Mahwah, NJ:Lawrence Erlbaum Associates.
  46. van Dijk, T.(1991).Racism and the press: Critical studies in racism and migration.London:Routledge.
  47. van Dijk, T.,C. Coulthard (Ed.)(1996).Texts and practices: Readings in critical discourse analysis.London:Routledge.
  48. Van Zoonen, E. A.(1992).The women`s Movement and the Media: Constructing a Public Identity.European Journal of Communication,7(4),453.
  49. Vanderford, M. L.,Smith, D.,Olive, T.(1995).The image of plastic surgeons in news media coverage of the silicon breast implant controversy.Plastic and Reconstructive Surgery,96(3),521-538.
  50. Wade, S.,Schramm, W.(1969).The mass media as sources of public affair, science, and health knowledge.Public Opinion Quarterly,33(2),197-209.
  51. Wright, W. R.(1975).Mass media as source of medical information.Journal of Communication,25(3),171-178.
  52. 王洪鈞(1989)。新聞採訪學。台北:正中。
  53. 朱柔若、林東龍(2003)。醫療公道如何討?台灣醫療糾紛處理機制弊病之探索。醫事法學,11(3),31-61。
  54. 行政院衛生署(2006)。歷年醫事審議委員會醫療糾紛鑑定案件統計。未出版之統計數據。
  55. 李利國、黃淑敏譯(1995)。翻譯當代新聞採訪與寫作。台北:周知文化。
  56. 林怡欣(2000)。碩士論文(碩士論文)。高雄醫學大學行爲科學研究所。
  57. 林芳玫(1995)。師大強暴「疑」案報紙報導之分析:誰是加害者?誰是受害者?。新聞學研究,51,33-35。
  58. 林恆慶、陳楚杰、許銘恭(2003)。病人安全相關議題之探討。醫院,36(5),69-77。
  59. 健康世界
  60. 邱玉蟬(2006)。醫病關係與醫療糾紛關聯初探:病人觀點的研究。國科會專題研究計畫成果報告。
  61. 邱懷萱(2000)。碩士論文(碩士論文)。陽明大學衛生福利研究所。
  62. 侯宜伶(2000)。碩士論文(碩士論文)。長庚大學管理學研究所。
  63. 孫秀蕙(1994)。環保團體的公共關係策略之探討。廣告學研究,3,159-185。
  64. 徐美苓、丁志音(2004)。小病微恙的真實再現-以「感冒」的新聞論述爲例。新聞學研究,79,197-242。
  65. 翁秀琪(1994)。我國婦女運動的媒介真實和「社會真實」。新聞學研究,48,193-236。
  66. 翁秀琪(1998)。批判語言學、在地權力觀和新聞文本分析:宋楚瑜辭官事件中李宋會的新聞分析。新聞學研究,57,91-126。
  67. 翁秀琪(1996)。消息來源策略研究-探討中時、聯合對婦運團體推動「民法親屬編」修法的報導。新聞學研究,52,121-148。
  68. 張苙雲(1998)。醫療與社會:醫療社會學的探索。台北:巨流。
  69. 張修維(2000)。碩士論文(碩士論文)。高雄醫學大學行爲科學研究所。
  70. 張耀懋(2000)。媒體在藥害及醫療糾紛事件中的角色-日、美、英等與國內事件之比較。醫事法律,8,60-87。
  71. 梁繼權、吳英璋、李蘭(1991)。病人向醫師權威挑戰的態度與行爲之先驅研究。中華家醫誌,1,109-118。
  72. 郭惠旻(2002)。碩士論文(碩士論文)。高雄醫學大學行爲科學研究所。
  73. 陳世敏(1998)。社會新聞的趨向:新聞現實與社會現實之間。新聞學研究,40,141-165。
  74. 陳君愷(1991)。碩士論文(碩士論文)。師範大學歷史研究所。
  75. 陳榮基(1993)。台灣醫療糾紛現況與處理。台北:健康世界。
  76. 喻靖媛(1994)。碩士論文(碩士論文)。政治大學新聞研究所。
  77. 游宗憲(2003)。碩士論文(碩士論文)。長庚大學醫務管理研究所。
  78. 楊秀儀(2002)。論醫療糾紛之定義、成因及規責原則。台灣本土法學雜誌,39,121-131。
  79. 臧國仁(1999)。新聞媒體與消息來源-媒體框架與真實建構之論述。台北:三民。
  80. 劉斐文(1983)。碩士論文(碩士論文)。台灣大學公共衛生學研究所。
  81. 鄭志忠(2003)。碩士論文(碩士論文)。台北醫學大學醫務管理研究所。
  82. 鄭麗寶(1990)。碩士論文(碩士論文)。台灣大學社會研究所。
  83. 簡佳偉(2004)。碩士論文(碩士論文)。政治大學新聞研究所。
被引用次数
  1. 簡妙如、黃俊儒(2010)。在科學與媒體的接壤中所開展之科學傳播研究:從科技社會公民的角色及需求出發。新聞學研究,105,127-166。
  2. 江靜之(2013)。政治候選人電視專訪之報紙新聞引述分析:以台灣四大報為例。新聞學研究,114,79-125。
  3. 葉欣誠、楊樺、張春炎(2015)。自然災難與媒體建構:以TVBS 新聞為例,重探八八風災新聞論述。環境教育研究,11(1),1-30。
  4. 張春炎(2017)。最遙遠的鄰國?三十年來台灣對菲律賓的受難新聞建構(1986-2016)。臺灣國際研究季刊,13(3),145-171。
  5. 張春炎(2018)。他者化的受難?菲律賓海燕風災的新聞論述分析。思與言:人文與社會科學期刊,56(4),145-193。
  6. 張明偉(2010)。刑事過失責任之探討:以美國刑事醫療案例為例。臺大法學論叢,39(1),353-401。
  7. 鄭怡卉(2013)。新聞中的「偽科學」內容分析研究。新聞學研究,116,47-90。