Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic
In Canada, Chief Medical Officers of Health (CMOHs) are responsible for protecting and promoting the health of their respective populations, but few studies have examined this role and its connections with the practice of medicine. In Canada and elsewhere, CMOHs and other public health physicians ha...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | SSM: Qualitative Research in Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321522001706 |
| _version_ | 1797790820701569024 |
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| author | Sudit Ranade Judith Belle Brown Tom Freeman Amardeep Thind |
| author_facet | Sudit Ranade Judith Belle Brown Tom Freeman Amardeep Thind |
| author_sort | Sudit Ranade |
| collection | DOAJ |
| description | In Canada, Chief Medical Officers of Health (CMOHs) are responsible for protecting and promoting the health of their respective populations, but few studies have examined this role and its connections with the practice of medicine. In Canada and elsewhere, CMOHs and other public health physicians have articulated their actions as caring for their populations as patients. In order to understand the components of enacted care, this study is a functional discourse analysis of transcribed CMOH media briefings at three time points in five Canadian jurisdictions during the first full year of the COVID-19 pandemic (2020). Transcripts were coded and analysed in an iterative, comparative process to understand the content, actions and purpose of CMOH communication during media briefings. CMOHs used their public communications to enact their care of populations by “being experts” and “managing relationships”. “Being experts” involved describing disease characteristics, assessing risk and evidence, framing risk and evidence, and making judgments about intervention and exemption. “Managing relationships” involved self-regulating emotions, acknowledging the emotions of others, seeking adherence and collaboration, and setting expectations and boundaries. The findings suggest that traditional biomedical roles were performed by CMOHs in media briefings, implying the existence of a patient (or multiple patient-like relationships) and supporting further research into the processes by which public health physicians care for populations as patients. |
| first_indexed | 2024-03-13T02:09:58Z |
| format | Article |
| id | doaj.art-4e0c73f8b97c4dea906c45170a28fde4 |
| institution | Directory Open Access Journal |
| issn | 2667-3215 |
| language | English |
| last_indexed | 2024-03-13T02:09:58Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj.art-4e0c73f8b97c4dea906c45170a28fde42023-07-01T04:35:54ZengElsevierSSM: Qualitative Research in Health2667-32152023-06-013100208Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemicSudit Ranade0Judith Belle Brown1Tom Freeman2Amardeep Thind3Corresponding author. Centre for Studies in Family Medicine, Schulich Medicine & Dentistry, Western University, The Western Centre for Public Health and Family Medicine, 2nd Floor, 1465 Richmond St., Ontario, Canada N6G 2M1, London.; Western Centre for Public Health and Family Medicine, Western University, London, Ontario, N6A 5C1, CanadaWestern Centre for Public Health and Family Medicine, Western University, London, Ontario, N6A 5C1, CanadaWestern Centre for Public Health and Family Medicine, Western University, London, Ontario, N6A 5C1, CanadaWestern Centre for Public Health and Family Medicine, Western University, London, Ontario, N6A 5C1, CanadaIn Canada, Chief Medical Officers of Health (CMOHs) are responsible for protecting and promoting the health of their respective populations, but few studies have examined this role and its connections with the practice of medicine. In Canada and elsewhere, CMOHs and other public health physicians have articulated their actions as caring for their populations as patients. In order to understand the components of enacted care, this study is a functional discourse analysis of transcribed CMOH media briefings at three time points in five Canadian jurisdictions during the first full year of the COVID-19 pandemic (2020). Transcripts were coded and analysed in an iterative, comparative process to understand the content, actions and purpose of CMOH communication during media briefings. CMOHs used their public communications to enact their care of populations by “being experts” and “managing relationships”. “Being experts” involved describing disease characteristics, assessing risk and evidence, framing risk and evidence, and making judgments about intervention and exemption. “Managing relationships” involved self-regulating emotions, acknowledging the emotions of others, seeking adherence and collaboration, and setting expectations and boundaries. The findings suggest that traditional biomedical roles were performed by CMOHs in media briefings, implying the existence of a patient (or multiple patient-like relationships) and supporting further research into the processes by which public health physicians care for populations as patients.http://www.sciencedirect.com/science/article/pii/S2667321522001706Public healthPreventive medicineMedicineDiscourse analysisMedical communicationMedical officer |
| spellingShingle | Sudit Ranade Judith Belle Brown Tom Freeman Amardeep Thind Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic SSM: Qualitative Research in Health Public health Preventive medicine Medicine Discourse analysis Medical communication Medical officer |
| title | Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic |
| title_full | Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic |
| title_fullStr | Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic |
| title_full_unstemmed | Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic |
| title_short | Enacting care by being experts and managing relationships: A discourse analysis of chief medical officer of health media briefings during the COVID-19 pandemic |
| title_sort | enacting care by being experts and managing relationships a discourse analysis of chief medical officer of health media briefings during the covid 19 pandemic |
| topic | Public health Preventive medicine Medicine Discourse analysis Medical communication Medical officer |
| url | http://www.sciencedirect.com/science/article/pii/S2667321522001706 |
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