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PORTRAYAL OF DISEASES IN
MEDICAL TV FICTION: THE
CASE OF HOSPITAL CENTRAL
(TELECINCO, 2000-2012)
Beatriz González de Garay, Francisco Javier Frutos,
Marta Cerezo, Irene del Arco
Technological Ecosystems for
Enhancing Multiculturality
Salamanca, 3rd November 2016
Track 15: Communication, Education and Health
Promotion
introduction
Hospital Central aired for twelve years in the prime time of Telecinco and it has become
the Spanish longest series in its time slot in television history in Spain.
Spanish Collegial Medical Organization (2007)
"should be more realistic -more elderly and fewer children and young people in
hospitals, less sophisticated techniques, less miraculous recoveries, less experimental
treatments...- ".
Theorical
framework
 Cultivation theory
 Framing theory
 Entertainment education
 Narrative persuasion
 Health communication
Objectives
To know what image offers Hospital Central of diseases
and if these representations correspond to the
statistical incidence data for the period and place
studied
Hypothesis 1
Diseases depicted in Spanish
TV-series Hospital Central do
not correspond to the
statistical data for the
period and place studied:
Spain, 2000-2012.
Hypothesis
Hypothesis 2
The profile of the characters who suffer diseases in
Hospital Central does not correspond to the statistical
data regarding age, gender, geographical origin, etc.
Sub-hypothesis 2.1
The characters present hegemonic (most valued
socially) characteristics in the broadcasting context
in terms of ethnicity, complexion, nationality, sexual
orientation, etc.
Methodology
Content analysis (Krippendorff, 1990; Igartua y Humanes, 2004)
Sample:
●3 of the 20 seasons randomly selected (43 episodes)
●Episodic characters (256 characters)  The margin of error obtained for the sample was: 5,7%
Inter-rater reliability  14% of the contents was selected (6 episodes)
●Age (0.853)
●Complexion (0,702)
●Ethnicity (1)
●Sex (1)
● Socioeconomic status (0,241)
● Cultural level (0,109)
● Disease (0,707)
● Prognosis (0,703)
Cohen’s Kappa coefficient:
● Sexual orientation
(0,566)
● Nationality (1)
● Occupation (0,621)
Results
INE
(Hospital Morbidity Survey, 2013)
Age
Characters by age (%)
60 + 20.680.211
40-59 5.528.938
20-39 2.821.174
1
2
3
2
Complexion
Characters by complexion (%)
Above 40 years
Children, adolescents
and young adults
(up to 39 years)
Ethnicity
Characters by ethnicity (%)
Caucasian and non-Caucasians characters
usually represent injuries, wounds, poisoning,
external factors, falls and accidents.
However, other diseases portrayed differ
between Caucasians and Non-Caucasians
Sex
INE
Diseases of the circulatory system
Neoplasms
Diseases of the respiratory system
Diseases of the digestive system
Mental and behavioural disorders
Falls, hits and other accidents
Injury, poisoning and certain other
consequences of external causes
Sex
Male characters
Falls, hits and other accidents
Injury, poisoning and certain other consequences of
external causes
Diseases of the circulatory system
External causes of mortality and morbidity
Diseases of the respiratory system
Neoplasms
Mental and behavioural disorders
Diseases of the skin and subcutaneous tissue
Congenital malformations, deformatios
Symphtoms, digns and abdominal clinical findings
Side effects
HOSPITAL CENTRAL
Resources to capture
the attention and
mantain the dramatic
tension
INE
Diseases of the circulatory system
Neoplasms
Injury, poisoning and certain other
consequences of external causes
Pregnancy, childbirth and the puerperium
Diseases of the respiratory system
Diseases of the digestive system
Falls, hits and other accidents
Injury, poisoning and certain other consequences of
external causes
External causes of mortality and morbidity
Pregnancy, childbirth and the puerperium
Sex
Female characters
HOSPITAL CENTRAL
INE
11,7 % of
foreign
population in
Spain
Nationality
H C
8,2 % of non-
spanish
episodic
characters
In all cases Romanian characters appear
representing either “Diseases of pregnancy,
childbirth and the puerperium” or “Certain
conditions originating in the perinatal period”
The proportion of foreigners who suffer “Certain
infectious and parasitic diseases” is slightly higher
than the proportion of Spaniards
Disease
Hospital Central INE
Prognosis
Characters by prognosis (%)
Main
causes
of death
INE
● Tumors (24,8%)
● Diseases of the circulatory system (21,6%)
● Diseases of the respiratory system (18%)
● Fall, hits and other accidents (32,6%)
● Injury, poisoning and certain other consequences of external causes (22,2%)
● Neoplasms (13%)
● External causes of morbidity and mortality (11,1%)
● Diseases of the circulatory system (8,3%)
Hospital Central
Conclusions
H1
Diseases depicted in Spanish TV-series Hospital Central do not
correspond to the statistical data for the period and place
studied: Spain, 2000-2012.
Partially corroborated
since the diseases represented in Hospital Central don’t fully correspond to the statistical
incidence data; while it is true that some of them show similarities between reality and
representation
Injury, poisoning
Fall, hits
Deaths
Mental and
behavioural
disorders
H2
The profile of the characters who suffer diseases
in Hospital Central does not correspond to the
statistical data regarding age, gender,
geographical origin, etc.
Corroborated
because although some data correspond to the statistical
data, in most cases they do not
Corroborated
Hospital Central shows characters that have mostly social hegemonic characteristics within the
broadcasting context: Caucasian ethnicity, ectomorph complexion, male sex and Spanish
nationality.
H2.1
The characters present hegemonic
(most valued socially) characteristics in the broadcasting
context in terms of ethnicity, complexion, nationality, sexual
orientation, etc.
Profile of patient that
responds to hegemonic
groups
Senior ages
(suffer more
diseases)
Thank you very much!
Technological Ecosystems for
Enhancing Multiculturality
Salamanca, 3rd November 2016
Track 15: Communication, Education and Health
Promotion

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Portrayal of diseases in medical tv fiction: the case of ‘hospital central’ (telecinco, 2000-2012).

  • 1. PORTRAYAL OF DISEASES IN MEDICAL TV FICTION: THE CASE OF HOSPITAL CENTRAL (TELECINCO, 2000-2012) Beatriz González de Garay, Francisco Javier Frutos, Marta Cerezo, Irene del Arco Technological Ecosystems for Enhancing Multiculturality Salamanca, 3rd November 2016 Track 15: Communication, Education and Health Promotion
  • 2. introduction Hospital Central aired for twelve years in the prime time of Telecinco and it has become the Spanish longest series in its time slot in television history in Spain. Spanish Collegial Medical Organization (2007) "should be more realistic -more elderly and fewer children and young people in hospitals, less sophisticated techniques, less miraculous recoveries, less experimental treatments...- ".
  • 3. Theorical framework  Cultivation theory  Framing theory  Entertainment education  Narrative persuasion  Health communication
  • 4. Objectives To know what image offers Hospital Central of diseases and if these representations correspond to the statistical incidence data for the period and place studied
  • 5. Hypothesis 1 Diseases depicted in Spanish TV-series Hospital Central do not correspond to the statistical data for the period and place studied: Spain, 2000-2012. Hypothesis Hypothesis 2 The profile of the characters who suffer diseases in Hospital Central does not correspond to the statistical data regarding age, gender, geographical origin, etc. Sub-hypothesis 2.1 The characters present hegemonic (most valued socially) characteristics in the broadcasting context in terms of ethnicity, complexion, nationality, sexual orientation, etc.
  • 6. Methodology Content analysis (Krippendorff, 1990; Igartua y Humanes, 2004) Sample: ●3 of the 20 seasons randomly selected (43 episodes) ●Episodic characters (256 characters)  The margin of error obtained for the sample was: 5,7% Inter-rater reliability  14% of the contents was selected (6 episodes) ●Age (0.853) ●Complexion (0,702) ●Ethnicity (1) ●Sex (1) ● Socioeconomic status (0,241) ● Cultural level (0,109) ● Disease (0,707) ● Prognosis (0,703) Cohen’s Kappa coefficient: ● Sexual orientation (0,566) ● Nationality (1) ● Occupation (0,621)
  • 8. INE (Hospital Morbidity Survey, 2013) Age Characters by age (%) 60 + 20.680.211 40-59 5.528.938 20-39 2.821.174 1 2 3 2
  • 9. Complexion Characters by complexion (%) Above 40 years Children, adolescents and young adults (up to 39 years)
  • 10. Ethnicity Characters by ethnicity (%) Caucasian and non-Caucasians characters usually represent injuries, wounds, poisoning, external factors, falls and accidents. However, other diseases portrayed differ between Caucasians and Non-Caucasians
  • 11. Sex
  • 12. INE Diseases of the circulatory system Neoplasms Diseases of the respiratory system Diseases of the digestive system Mental and behavioural disorders Falls, hits and other accidents Injury, poisoning and certain other consequences of external causes Sex Male characters Falls, hits and other accidents Injury, poisoning and certain other consequences of external causes Diseases of the circulatory system External causes of mortality and morbidity Diseases of the respiratory system Neoplasms Mental and behavioural disorders Diseases of the skin and subcutaneous tissue Congenital malformations, deformatios Symphtoms, digns and abdominal clinical findings Side effects HOSPITAL CENTRAL Resources to capture the attention and mantain the dramatic tension
  • 13. INE Diseases of the circulatory system Neoplasms Injury, poisoning and certain other consequences of external causes Pregnancy, childbirth and the puerperium Diseases of the respiratory system Diseases of the digestive system Falls, hits and other accidents Injury, poisoning and certain other consequences of external causes External causes of mortality and morbidity Pregnancy, childbirth and the puerperium Sex Female characters HOSPITAL CENTRAL
  • 14. INE 11,7 % of foreign population in Spain Nationality H C 8,2 % of non- spanish episodic characters In all cases Romanian characters appear representing either “Diseases of pregnancy, childbirth and the puerperium” or “Certain conditions originating in the perinatal period” The proportion of foreigners who suffer “Certain infectious and parasitic diseases” is slightly higher than the proportion of Spaniards
  • 17. Main causes of death INE ● Tumors (24,8%) ● Diseases of the circulatory system (21,6%) ● Diseases of the respiratory system (18%) ● Fall, hits and other accidents (32,6%) ● Injury, poisoning and certain other consequences of external causes (22,2%) ● Neoplasms (13%) ● External causes of morbidity and mortality (11,1%) ● Diseases of the circulatory system (8,3%) Hospital Central
  • 19. H1 Diseases depicted in Spanish TV-series Hospital Central do not correspond to the statistical data for the period and place studied: Spain, 2000-2012. Partially corroborated since the diseases represented in Hospital Central don’t fully correspond to the statistical incidence data; while it is true that some of them show similarities between reality and representation Injury, poisoning Fall, hits Deaths Mental and behavioural disorders
  • 20. H2 The profile of the characters who suffer diseases in Hospital Central does not correspond to the statistical data regarding age, gender, geographical origin, etc. Corroborated because although some data correspond to the statistical data, in most cases they do not
  • 21. Corroborated Hospital Central shows characters that have mostly social hegemonic characteristics within the broadcasting context: Caucasian ethnicity, ectomorph complexion, male sex and Spanish nationality. H2.1 The characters present hegemonic (most valued socially) characteristics in the broadcasting context in terms of ethnicity, complexion, nationality, sexual orientation, etc. Profile of patient that responds to hegemonic groups Senior ages (suffer more diseases)
  • 22. Thank you very much! Technological Ecosystems for Enhancing Multiculturality Salamanca, 3rd November 2016 Track 15: Communication, Education and Health Promotion