title: Social construction of the patient through problems of safety, uninsurance, and unequal treatment.
abstract: The purpose of this research was to study how the Institute of Medicine discourse promoting health information technology may reproduce existing social inequalities in healthcare. Social constructionist and critical discourse analysis combined with corpus linguistics methods have been used to study the subject positions constructed for receivers of healthcare across the executive summaries of 3 different Institute of Medicine reports. Data analysis revealed differences in the way receivers of healthcare are constructed through variations of social action through language use in the 3 texts selected for this method's testing.
authors.affiliation: School of Nursing, University of Washington, Seattle, WA, USA. lisa@lisatrigg.com
authors.forename: Lisa J
authors.initials: LJ
authors.lastname: Trigg
mesh_terms: D001294:Attitude to Health; D054625:Healthcare Disparities / Q000458:organization & administration*; D006801:Humans; D019359:Knowledge; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D017057:Medically Uninsured; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division / Q000458:organization & administration*; D009310:National Health Insurance, United States; D015404:Nursing Methodology Research; D010361:Patients; D011287:Prejudice; D012929:Psychological Distance; D011787:Quality of Health Care; D012449:Safety; D012660:Semantics; D012935:Social Justice; D012938:Social Perception; D018511:Systems Integration; D014481:United States