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Popular press coverage of eight National Institutes of Health consensus development topics.

The quality of medical journalism has been widely criticized. As part of a larger evaluation study, we analyzed popular press coverage of eight topics selected by the National Institutes of Health for consensus development conferences in 1979 and 1980. Using periodical indexes to identify relevant articles, we analyzed the characteristics of 269 topical articles published in newspapers and magazines in the four years surrounding each conference and examined the role that the conference played in subsequent reporting. Most topics received widespread press interest that culminated around the time of each conference. Consensus findings were widely cited in articles that appeared after the conferences. Articles were mostly factual and balanced, relied on experts, and emphasized major themes covered by the conference. We conclude that the popular press can make an important contribution to the dissemination of new medical information.

National Institutes of Health (U.S.)↗

School nursing in the news.

This study investigated the image of school nursing in the American press during 1978 and 1980. Content analysis of newspaper articles yielded specific measurements of the extent to which school nursing is visible via the press, the content of messages disseminated to the public about school nursing issues and two year changes in newspaper treatment of this topic. The mean number of articles published per state was 1.43 in 1978 and 6.30 in 1980. The typical school nurse article appeared in a daily newspaper circulated to less than 10,000 readers. Articles published in 1978 were significantly larger than those published in 1980 and were more likely to focus primarily on the school nursing program rather than on teachers, school boards, funding concerns or other issues. The majority of the articles (77%) devoted some space to describing the services provided by school nurses. Nearly 30% of the articles reported problems with funding for school nursing programs and 21% reported threatened or actual loss of funding for services. Although reports of protests against budget cuts by school nurses, teachers, administrators and parents were found, parents were depicted as the only interest group to succeed in efforts to avert the loss of services. Criticism of school nursing services was found in only 2% of the articles. More than 80% of the articles praised school nursing as a vital force for improving the health of American school children. It was concluded that school nursing has not yet attained a position on the public agenda as an important community issue despite the fact that the quality and level of school health services are increasingly threatened in the current budget-cutting climate.

Child↗

The Cost-Time Index: a new method for measuring the efficiencies of recruitment-resources in clinical trials.

Paid media are important resources used to recruit subjects in clinical trials. An index for evaluating which advertising resource has minimal cost and time requirement for patient accrual, for a given study design, has not been previously introduced. In this communication the authors present a new index, the Cost-Time Index, which represents a measure of the average amount of money and time spent, simultaneously, on a given advertising resource to recruit one analyzable subject. This index can be calculated using retrospective data and may be a useful tool for comparing recruitment efficiencies among various resources. The authors demonstrate the utility of the Cost-Time Index and recommend its use as an additional variable in future studies regarding recruitment strategies in clinical trials.

Advertising↗

Importance of the lay press in the transmission of medical knowledge to the scientific community.

BACKGROUND: Efficient, undistorted communication of the results of medical research is important to physicians, the scientific community, and the public. Information that first appears in the scientific literature is frequently retransmitted in the popular press. Does popular coverage of medical research in turn amplify the effects of that research on the scientific community? METHODS: To test the hypothesis that researchers are more likely to cite papers that have been publicized in the popular press, we compared the number of references in the Science Citation Index to articles in the New England Journal of Medicine that were covered by The New York Times with the number of references to similar articles that were not covered by the Times. We also performed the comparison during a three-month period when the Times was on strike but continued to prepare an "edition of record" that was not distributed; doing so enabled us to address the possibility that coverage in the Times was simply a marker of the most important articles, which would therefore be cited more frequently, even without coverage in the popular press. RESULTS: Articles in the Journal that were covered by the Times received a disproportionate number of scientific citations in each of the 10 years after the Journal articles appeared. The effect was strongest in the first year after publication, when Journal articles publicized by the Times received 72.8 percent more scientific citations than control articles. This effect was not present for articles published during the strike; articles covered by the Times during this period were no more likely to be cited than those not covered. CONCLUSIONS: Coverage of medical research in the popular press amplifies the transmission of medical information from the scientific literature to the research community.

Bibliographies as Topic↗

Effects of publicity on a forensic hospital.

Oregon's forensic psychiatry hospital experienced a convulsing chain of events that began with the escape of an insanity acquittee who had been hospitalized following two murders. Although the patient was arrested without reoffending, there were major repercussions in the hospital. This event and related state hospital topics became the subject of intense publicity in the local newspaper. Articles ran almost daily for over a month, the majority of which were on page one. We give here an account of the episode and examine the meaning of the media coverage in the light of administration of public mental health systems, particularly where forensic psychiatry is involved.

Adult↗

Legal aspects of continence: disclosure of a medical condition.

This article explores the issue of patient confidentiality and the exceptions to that duty. Even if a health professional considers that there would be a public interest in a patient's condition being made known, the patient is entitled to have his confidential information kept secret. There are recognized exceptions in law to the duty of confidentiality, and the guidance issued by the health professional registration bodies should be followed.

Confidentiality↗

Free medical news and current event Internet sites for medical librarians.

The world of medical advancements is moving at a record pace. New drug approvals, important discoveries, and the explosion of consumer information on the Web have prompted health professionals with the need to keep current with the latest news stories in order to satisfy patient questions. The medical librarian who keeps up with the latest medical news is a valuable resource for all health professionals. The following is a compilation of sites for medical news available on the Web. The sites are limited to those that do not charge a fee and that direct the user immediately to top health stories, as opposed to requiring the use of a search feature. This list is not exhaustive; rather, it represents some of the more common news sources.

Directories as Topic↗