Ethical aspects of medical television: qualitative research methods in the context of China.

IF 1.3 3区 社会学 0 HUMANITIES, MULTIDISCIPLINARY
Xuan Wang, Zheng Zachory Wei
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Abstract

Medical television lies at the intersection between 'media ethics' and 'clinical representation', shaping the public perception of medical practice. Its epistemic authority is shaped by two main factors: realism (the accuracy of representations compared with real clinical practice) and affective engagement (the emotional impact of dramatised narratives). The research endeavours to unravel the ethical dimensions of Chinese medical television by examining its normative aspects and assessing the balance between pedagogical intentions and commercial imperatives. Using a qualitative-interpretative paradigm that integrates discourse analysis with perceptual evaluation, the researchers conducted an in-depth examination of 280 hours of programming across four television genres (2020-2024). Findings revealed that 32% of respondents expressed full trust in televised medical representations, while 41% indicated moderate trust. Notably, 62% reported encountering factual inaccuracies. Documentary formats received 79% trust ratings, compared with 41% for reality-based programming. Content analysis facilitated the quantification of representational distortions: 52% of programmes employed pathophysiological exaggeration, 74% compressed therapeutic timelines and 59% portrayed unrealistically high success rates (90% effectiveness). This study underscores the significant divergence between medically grounded narratives and dramatised portrayals in popular media, with implications for public health literacy and patient expectations. Future research should delve deeper into comparative regulatory paradigms, exploring how government oversight effectively mitigates misinformation compared with market self-regulation. It is necessary to determine whether epistemic stability is achieved through ethical standardisation or through the pluralistic moderation of the discourse.

医学电视节目的伦理方面:中国背景下的定性研究方法。
医学电视处于“媒体伦理”和“临床表现”的交叉点,塑造了公众对医疗实践的看法。它的认知权威是由两个主要因素塑造的:现实主义(与真实临床实践相比,表述的准确性)和情感参与(戏剧化叙事的情感影响)。本研究试图通过检验中国医疗电视的规范方面和评估教学意图和商业需求之间的平衡来揭示中国医疗电视的伦理维度。研究人员使用了一种将话语分析与感知评估相结合的定性解释范式,对四种电视类型(2020-2024)的280小时节目进行了深入研究。调查结果显示,32%的受访者表示完全信任电视上的医疗陈述,而41%表示中度信任。值得注意的是,62%的人表示遇到了事实不准确的情况。纪录片的信任度为79%,而真人秀节目的信任度为41%。内容分析促进了代表性扭曲的量化:52%的方案采用病理生理夸张,74%压缩治疗时间表,59%描绘不切实际的高成功率(90%的有效性)。这项研究强调了基于医学的叙述与大众媒体中戏剧化的描述之间的显著差异,这对公共卫生素养和患者期望具有影响。未来的研究应该更深入地研究比较监管范式,探索与市场自我监管相比,政府监管如何有效地减轻错误信息。有必要确定是通过伦理规范还是通过话语的多元节制来实现认知稳定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Medical Humanities
Medical Humanities HUMANITIES, MULTIDISCIPLINARY-
CiteScore
2.60
自引率
8.30%
发文量
59
期刊介绍: Occupational and Environmental Medicine (OEM) is an international peer reviewed journal concerned with areas of current importance in occupational medicine and environmental health issues throughout the world. Original contributions include epidemiological, physiological and psychological studies of occupational and environmental health hazards as well as toxicological studies of materials posing human health risks. A CPD/CME series aims to help visitors in continuing their professional development. A World at Work series describes workplace hazards and protetctive measures in different workplaces worldwide. A correspondence section provides a forum for debate and notification of preliminary findings.
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