在瑞典官方医疗保健平台上构建更年期:批判性话语分析
Amanda Calvin1, Kerstin Erlandsson1, Camilla Udo1
1School of Health and Welfare, Dalarna University, Falun, Sweden.
Scandinavian journal of caring sciences
|February 4, 2026
概括
瑞典关于更年期的数字健康传播过度简化了复杂性,限制了健康素养,与患者有权进行知情选择和公平护理的权利相矛盾. 对于精确的语言和包容性,需要改进.
科学领域:
- 卫生沟通健康沟通
- 话语分析是一种话语分析.
- 性别研究是关于性别的研究.
背景情况:
- 更年期影响到一半的人口,但知识差距和不平等的医疗保健机会在瑞典仍然存在.
- 对更年期的有限理解破坏了妇女的知情选择,并推迟了寻求护理.
- 瑞典官方的数字健康平台 (1177.se) 可能不完全符合可访问,基于证据的信息原则.
研究的目的:
- 在瑞典的1177.se数字健康平台上批判性地分析更年期的代表性.
- 探索这种沟通如何影响知情选择和健康公平.
主要方法:
- 批判性话语分析 (Fairclough的模型) 应用于1177.se更年期文本.
- 跨文本,演讲实践和社会实践层面的分析.
- 通过反射练习和理论三角化来确保严谨.
主要成果:
- 确定了六种话语:性别最小化,守门,风险框架,新自由主义个人主义,异性规范性和交叉排斥.
- 这些话语简化了更年期,有利于选择生物医学知识,并促进个人责任,减少自治和健康素养.
- 调查结果与瑞典患者法和欧盟性别平等战略原则相冲突.
结论:
- 在1177.se上的更年期沟通揭示了治理理念与实际话语之间的脱节.
- 为了提高公平性和实现政策目标,数字健康沟通需要精确的术语,多语言选项,平衡的风险沟通和包容性观点.
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