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This study examines media framing and agenda-setting around hospital efficiency in Ecuador and Pennsylvania, USA. It analyzes how media sources present and prioritize related topics using framing and agenda-setting theories. Hospital efficiency can be achieved through content analysis of 149 news items from both the country’s digital press and social networks. The research identifies key sources published on this topic, the dominant news used, and possible contrasts in describing the two health systems. Traditional Ecuadorian media prioritized infrastructure and public policy, while Pennsylvania media focused on resource management and efficiency. Social networks diverged: Facebook emphasized quality of care, and Twitter (“X”) focused on efficiency. Ecuadorian media took a more critical stance toward managing the health system than opinions found in Pennsylvania. By comparing media patterns in a developed and developing nation, the study reveals insights for framing health system challenges and priorities across contexts. These findings illuminate the role of the media in shaping public discourse and policy direction on vital healthcare issues.

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Communication and Health: A Comparative Analysis Between Ecuador and Pennsylvania to Understand Hospital Efficiency from the News Frames of the Media and Social Networks

  • 会议论文

  • 发表日期：

    2025年

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  • Kevin G. Molina,
  • Byron R. Inapanta,
  • Julián E. Ordoñez,
  • Darwin A. Quinteros,
  • Paulina Vizcaino-Imacaña,
  • Diego Almeida-Galárraga,
  • Andrés Tirado-Espín

摘要

This study examines media framing and agenda-setting around hospital efficiency in Ecuador and Pennsylvania, USA. It analyzes how media sources present and prioritize related topics using framing and agenda-setting theories. Hospital efficiency can be achieved through content analysis of 149 news items from both the country’s digital press and social networks. The research identifies key sources published on this topic, the dominant news used, and possible contrasts in describing the two health systems. Traditional Ecuadorian media prioritized infrastructure and public policy, while Pennsylvania media focused on resource management and efficiency. Social networks diverged: Facebook emphasized quality of care, and Twitter (“X”) focused on efficiency. Ecuadorian media took a more critical stance toward managing the health system than opinions found in Pennsylvania. By comparing media patterns in a developed and developing nation, the study reveals insights for framing health system challenges and priorities across contexts. These findings illuminate the role of the media in shaping public discourse and policy direction on vital healthcare issues.