The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications

Abstract Background Medicinal cannabis has been legalised for use for a range of specified medical conditions in Australia since 2016. However, the nature of the government regulations and the subsequent complexity of prescribing, as well as doctors’ safety uncertainties and the stigma of the plant,...

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Autores principales: Monique Lewis, John Flood
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Publicado: BMC 2021
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spelling oai:doaj.org-article:a5d17d3332f643f2a43b955c0842b8902021-11-21T12:30:58ZThe transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications10.1186/s42238-021-00105-w2522-5782https://doaj.org/article/a5d17d3332f643f2a43b955c0842b8902021-11-01T00:00:00Zhttps://doi.org/10.1186/s42238-021-00105-whttps://doaj.org/toc/2522-5782Abstract Background Medicinal cannabis has been legalised for use for a range of specified medical conditions in Australia since 2016. However, the nature of the government regulations and the subsequent complexity of prescribing, as well as doctors’ safety uncertainties and the stigma of the plant, remain contributing barriers to patient access. Media representations can offer insights into the nature of the discourse about new medical products and therapies and how ideas and understandings about social phenomena become constructed. Focusing on professional medical publications, this study sought to investigate how medicinal cannabis is being represented in professional medical publications. Methods Using a content analysis approach, we investigated articles about medicinal cannabis from 2000 to the end of 2019 in the Medical Journal of Australia, Australian Doctor, Medical Observer, Australian Journal of General Practice, Australian Family Physicia n, and Australian Medicine. Articles were coded according to article type, framings of cannabis, headline and article tone, and key sources used in the article. We also used manifest textual analysis to search for word frequencies, and specific conditions referred to in the articles retrieved. Results A total of 117 articles were retrieved for analysis, the majority of which were news stories for a physician audience. Across the longitudinal period, we found that most reports carried a positive tone towards medicinal cannabis. Cannabis is most frequently framed as a legitimate therapeutic option that is complex to prescribe and access, does not have a strong evidence base to support its use, and also carries safety concerns. At the same time, the outlook on cannabis research data is largely positive. Primary sources most frequently used in these reports are peer-reviewed journals or government reports, voices from medical associations or foundations, as well as government and university researchers. Chronic pain or pain were the conditions most frequently mentioned in articles about cannabis, followed by epilepsy, cancer or cancer pain, and nausea and chemotherapy. Conclusions This analysis offers evidence that medicinal cannabis is being framed as a valid medicine advocated by the community, with potential for addressing a range of conditions despite the lack of evidence, and a medicine that is not free of risk.Monique LewisJohn FloodBMCarticleMedicinal cannabisContent analysisHealthcareDoctorsMediaFramingPharmacy and materia medicaRS1-441Plant cultureSB1-1110ENJournal of Cannabis Research, Vol 3, Iss 1, Pp 1-16 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicinal cannabis
Content analysis
Healthcare
Doctors
Media
Framing
Pharmacy and materia medica
RS1-441
Plant culture
SB1-1110
spellingShingle Medicinal cannabis
Content analysis
Healthcare
Doctors
Media
Framing
Pharmacy and materia medica
RS1-441
Plant culture
SB1-1110
Monique Lewis
John Flood
The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
description Abstract Background Medicinal cannabis has been legalised for use for a range of specified medical conditions in Australia since 2016. However, the nature of the government regulations and the subsequent complexity of prescribing, as well as doctors’ safety uncertainties and the stigma of the plant, remain contributing barriers to patient access. Media representations can offer insights into the nature of the discourse about new medical products and therapies and how ideas and understandings about social phenomena become constructed. Focusing on professional medical publications, this study sought to investigate how medicinal cannabis is being represented in professional medical publications. Methods Using a content analysis approach, we investigated articles about medicinal cannabis from 2000 to the end of 2019 in the Medical Journal of Australia, Australian Doctor, Medical Observer, Australian Journal of General Practice, Australian Family Physicia n, and Australian Medicine. Articles were coded according to article type, framings of cannabis, headline and article tone, and key sources used in the article. We also used manifest textual analysis to search for word frequencies, and specific conditions referred to in the articles retrieved. Results A total of 117 articles were retrieved for analysis, the majority of which were news stories for a physician audience. Across the longitudinal period, we found that most reports carried a positive tone towards medicinal cannabis. Cannabis is most frequently framed as a legitimate therapeutic option that is complex to prescribe and access, does not have a strong evidence base to support its use, and also carries safety concerns. At the same time, the outlook on cannabis research data is largely positive. Primary sources most frequently used in these reports are peer-reviewed journals or government reports, voices from medical associations or foundations, as well as government and university researchers. Chronic pain or pain were the conditions most frequently mentioned in articles about cannabis, followed by epilepsy, cancer or cancer pain, and nausea and chemotherapy. Conclusions This analysis offers evidence that medicinal cannabis is being framed as a valid medicine advocated by the community, with potential for addressing a range of conditions despite the lack of evidence, and a medicine that is not free of risk.
format article
author Monique Lewis
John Flood
author_facet Monique Lewis
John Flood
author_sort Monique Lewis
title The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
title_short The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
title_full The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
title_fullStr The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
title_full_unstemmed The transition of cannabis into the mainstream of Australian healthcare: framings in professional medical publications
title_sort transition of cannabis into the mainstream of australian healthcare: framings in professional medical publications
publisher BMC
publishDate 2021
url https://doaj.org/article/a5d17d3332f643f2a43b955c0842b890
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