News media’s framing of health policy and its implications for government communication: A text mining analysis of news coverage on a policy to expand health insurance coverage in South Korea

Jo, Wonkwang; You, Myoungsoon

doi:10.1016/j.healthpol.2019.07.011

Cited by 11 publications

(8 citation statements)

References 12 publications

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“…The ndings of the multivariate regression analysis revealed that media exposure, MPCE, and education all signi cantly affect HI enrolment. The ndings of this study are likewise in line with those of numerous other studies conducted in Ghana [25,36], Nepal [24], South Korea [37], Kenya [38,39], and India [40],…”

Section: Discussionsupporting

confidence: 92%

Mass Media Exposure and Health Insurance: The Moderating Role of Education and Wealth among Community-dwelling Older Adults from the Longitudinal Aging Study in India

Barman

Karmakar

Roy

et al. 2023

Preprint

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This study aimed to examine the association of mass media exposure (MME) with enrolment in health insurance (HI) and its moderating effect on the associations among older adults in India. The data of 29,935 older adults aged 60 + were used from the Longitudinal Ageing Study in India (LASI-2017-18). Descriptive statistics, bivariate analysis, moderated multivariable logistic regression models, and Fairlie decomposition were all used to achieve the objectives of the research. The results showed that enrolment in HI and MME among older individuals in India was at about 18.3% and 43.5%, respectively. Older adults who had MME, one or more years of schooling, and non-poor consumption expenditure (MPCE) were 1.39 times [adjusted odd ratio (aOR): 1.39, CI: 1.30–1.49], 1.23 times [aOR: 1.23, CI: 1.15–1.32] more likely, and 0.88 times [aOR: 1.39, CI: 1.30–1.49] more likely to be enrolled in health insurance than those with no MME, no schooling, and poor MPCE, respectively. Additionally, MME increases the likelihood of enrolment in HI and modifies associations between schooling, MPCE, and enrolment in HI. The study's conclusions imply that it would be wise to consider the use of these communication channels when developing strategic communication plans to promote HI enrolment in India.

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Section: Discussionsupporting

confidence: 92%

Mass Media Exposure and Health Insurance: The Moderating Role of Education and Wealth among Community-dwelling Older Adults from the Longitudinal Aging Study in India

Barman

Karmakar

Roy

et al. 2023

Preprint

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“…Evidence from South Korea showed a significant difference between those who were exposed to HI information in general newspapers and medical newspapers and their involvement in the local National Health Insurance (which is called “Mooncare”). The study further showed that medical‐related newspapers significantly influenced participation in HI (W. Jo & You, 2020). A similar result was observed in Kenya, showing that exposure to mass media was associated with enrollment in HI in that country (Kimani et al, 2014).…”

Section: Discussionmentioning

confidence: 81%

The association between media exposure and enrollment in health insurance in Nepal: Implications for health policy

Acharya

Maharjan

Kreps

2021

World Med & Health Policy

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Exposure to mass media plays a crucial role in behavior change or decision‐making. The study used a cross‐sectional survey design. A total of 810 households were randomly selected for data collection by using a validated interview schedule. The study examined exposure to radio, television (TV), hoarding boards (billboards), newspapers, and brochures, pamphlets, and posters as media platform “independent variables” and enrollment in health insurance (HI) as the “dependent variable.” Data showed that 60% of the respondents had exposure to HI information with electronic (radio and TV) media and 33% had exposure via printed or displayed media. All these media were significantly associated with enrollment in HI. But exposure to HI‐related information from radio (adjusted odds ratio [aOR] = 1.91, 95% confidence interval [CI] = 1.39–2.61, p < 0.001), TV (aOR = 1.72, 95% CI = 1.25–2.38, p < 0.01), and hoarding board (billboard) (aOR = 1.87, 95% CI = 1.25–2.81, p < 0.01) were the significant predictor for enrollment in HI. The study findings suggest that it would be best to consider the use of these predictor communication channels when making strategic communication plans to promote HI enrollment in Nepal.

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“…The global policy discourse overwhelmingly assumes that implementing UHC reforms is the ‘right’ thing to do. However, this was not the case in SA media, and other studies in local contexts have also shown political contestation within media relating to UHC reforms [ 18 , 19 , 104 ]. As shown in the results, political contestation within media rose significantly at the publication of the last two policy iterations.…”

Section: Discussionmentioning

confidence: 94%

“…The limited available literature on the topic is largely restricted to high-income countries (HICs) and quantitative content analyses, which often lack explanatory capacity [ 10 ]. Studies which have analysed the role of media in health policy processes have highlighted the importance of context-specificity, understanding the influence of media within the social, economic and political context within which it has emerged [ 18 , 19 ]. This study focuses on the influence of media representations on health policy processes in a low- and middle-income country (LMIC) setting.…”

Section: Introductionmentioning

confidence: 99%

A discourse and content analysis of representation in the mainstream media of the South African National Health Insurance policy from 2011 to 2019

2023

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Background Media is a crucial factor in shaping public opinion and setting policy agendas. There is limited research on the role of media in health policy processes in low- and middle-income countries. This study profiles South Africa as a case example, currently in the process of implementing a major health policy reform, National Health Insurance (NHI). Methods A descriptive, mixed methods study was conducted in five sequential phases. Evidence was gathered through a scoping review of secondary literature; discourse analysis of global policy documents on universal health coverage and South African NHI policy documents; and a content and discourse analysis of South African print and online media texts focused on NHI. Representations within media were analysed and dominant discourses that might influence the policy process were identified. Results Discourses of ‘health as a global public good’ and ‘neoliberalism’ were identified in global and national policy documents. Similar neoliberal discourse was identified within SA media. Unique discourses were identified within SA media relating to biopolitics and corruption. Media representations revealed political and ideological contestation which was not as present in the global and national policy documents. Media representations did not mirror the lived reality of most of the South African population. The discourses identified influence the policy process and hinder public participation in these processes. They reinforce social hierarchy and power structures in South Africa, and might reinforce current inequalities in the health system, with negative repercussions for access to health care. Conclusions There is a need to understand mainstream media as part of a people-centred health system, particularly in the context of universal health coverage reforms such as NHI. Harmful media representations should be counter-acted. This requires the formation of collaborative and sustainable networks of policy actors to develop strategies on how to leverage media within health policy to support policy processes, build public trust and social cohesion, and ultimately decrease inequalities and increase access to health care. Research should be undertaken to explore media in other diverse formats and languages, and in other contexts, particularly low- and middle-income countries, to further understand media’s role in health policy processes.

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News media’s framing of health policy and its implications for government communication: A text mining analysis of news coverage on a policy to expand health insurance coverage in South Korea

Cited by 11 publications

References 12 publications

Mass Media Exposure and Health Insurance: The Moderating Role of Education and Wealth among Community-dwelling Older Adults from the Longitudinal Aging Study in India

Mass Media Exposure and Health Insurance: The Moderating Role of Education and Wealth among Community-dwelling Older Adults from the Longitudinal Aging Study in India

The association between media exposure and enrollment in health insurance in Nepal: Implications for health policy

A discourse and content analysis of representation in the mainstream media of the South African National Health Insurance policy from 2011 to 2019

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