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The media's coverage and framing of hospital reforms: The case of Denmark

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  • Eriksen, Astrid
  • Berger, Elke
  • Reichebner, Christoph
  • Wiedicke, Annemarie
  • Busse, Reinhard

Abstract

The Danish hospital landscape has been continuously restructured since the early 2000s. A structural reform reorganized the public sector, and a hospital reform restructured the hospital landscape, closing hospitals and concentrating specialized treatment in so-called super-hospitals. Reforms can generate considerable debate, including in the media, especially regarding sensitive topics like healthcare. The present study explores the media's coverage of the hospital reform, the antecedent structural reform, and three events related to differences in treatment outcomes, whose importance was pointed out in expert interviews. The coverage is analyzed regarding quantity and main theme (agenda-setting): tone and whether the focus was on single events (episodic framing) or broader context (thematic framing). We used a systematic keyword search to identify relevant news stories and analyzed the headlines and lead paragraphs of 1192 news stories. The three events generated a large amount of coverage, but some events varied in terms of context and tone of coverage. Further, the media covered hospital closures in connection with the two reforms differently in context and tone, although the first difference is not statistically different. Overall, the coverage of the events might have helped raise the public's awareness of challenges in the healthcare system, which could have contributed to opening a window of opportunity for a hospital reform.

Suggested Citation

  • Eriksen, Astrid & Berger, Elke & Reichebner, Christoph & Wiedicke, Annemarie & Busse, Reinhard, 2023. "The media's coverage and framing of hospital reforms: The case of Denmark," Health Policy, Elsevier, vol. 133(C).
    • Handle: RePEc:eee:hepoli:v:133:y:2023:i:c:s0168851023001252
    DOI: 10.1016/j.healthpol.2023.104840
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    References listed on IDEAS

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    1. Christiansen, Terkel & Vrangbæk, Karsten, 2018. "Hospital centralization and performance in Denmark—Ten years on," Health Policy, Elsevier, vol. 122(4), pages 321-328.
    2. Polin, Katherine & Hjortland, Maximilien & Maresso, Anna & van Ginneken, Ewout & Busse, Reinhard & Quentin, Wilm, 2021. "“Top-Three” health reforms in 31 high-income countries in 2018 and 2019: an expert informed overview," Health Policy, Elsevier, vol. 125(7), pages 815-832.
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    4. Caitlin Henry, 2015. "Hospital Closures: The Sociospatial Restructuring of Labor and Health Care," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 105(5), pages 1094-1110, September.
    5. James, Amanda M., 1999. "Closing rural hospitals in Saskatchewan: on the road to wellness?," Social Science & Medicine, Elsevier, vol. 49(8), pages 1021-1034, October.
    6. Christiansen, Terkel, 2012. "Ten years of structural reforms in Danish healthcare," Health Policy, Elsevier, vol. 106(2), pages 114-119.
    7. Henry, Caitlin, 2021. "Palliative space-time: Expanding and contracting geographies of US health care," Social Science & Medicine, Elsevier, vol. 268(C).
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    1. Ridlo, Ilham Akhsanu, 2024. "The Intersection of Journalism and Health Policy in Indonesia’s Political Campaign," SocArXiv tkfcx, Center for Open Science.

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