No abstract

This study considers hyperlinks as digital navigational cues that can guide users through the increasingly complex and vast online health information landscape in order to examine how hypertextuality at both search engines and health news websites mediates access to further health-related information. This is important because online news media are frequently used and convenient sources for health information. The methodology unfolds in two steps. First, an environmental scan of search engine result pages for the term 'health news' was conducted. Second, an automated quantitative content analysis (N = 5428) of external hyperlinks found on three types of health news websites, i.e., net-native, mixed and legacy news brands, was performed. Most importantly, this study challenges the dominant internal-external distinction by introducing a systematic distinction between genuine external hyperlinks and pseudo-external hyperlinks when comparing various types of online health news. Net-native news websites provide more hyperlinks to thematically related information than legacy news websites with print origins. The latter often include pseudo-external hyperlinks to thematically unrelated, but organizationally affiliated websites, thus favoring financial relationships over thematic coherence as an incentive to link.

No abstract

By means of a quantitative content analysis of two Belgian net-native health news websites, this article investigates the reliability and usability of the hyperlinks in various forms of online news. Hyperlinks in our sample overwhelmingly redirect readers to government websites and websites that contain scientific information such as websites of universities, scientific research groups and peer-reviewed academic journals. Hyperlinks to information generally perceived as less reliable and possibly biased such as user-generated content or pharmaceutical companies are used rarely. This suggests that online health journalists strongly share the preferences of their offline colleagues. However, in terms of the potential of hypertext to tailor health news to the needs of the audience, for instance by including multimedia content or even simply by hyperlinking to webpages in the same language as the original, there are clear indications that Belgian online net-native health news falls short. The practical hindrances and hurdles identified in this content analysis constitute an invitation for online health journalists to consider the possibilities of hypertext in the light of how users might appreciate this practice.

Previous research has illustrated that journalists play an active role in the production of health news. The current study explores the relationship between the fields of healthcare and journalism from a healthcare perspective. Drawing on Bourdieu's theory of fields and Gieryn's concept of boundary-work, this study employed elite interviewing to analyse how the relations between these two fields were reflected and negotiated in the discourses of Belgian health-policy stakeholders. Our analysis illustrated that health-policy stakeholders perceived medicine and the news media as two different cultures and, therefore, discursively positioned news media actors as outsiders. Additionally, we showed that the nature of the relationship between health-policy stakeholders and the news media was linked to health-policy stakeholders' position within the healthcare field. Through this analysis, we illustrate the value of using the concept of boundary-work as an analytical instrument to study the relationships between fields.