Medical tourism (MT), sometimes referred to as health tourism or medical travel, involves both the treatment of illness and the facilitation of wellness, with travel. Medical tourism is a multifaceted and multiphase process involving many agents and actors that requires careful planning and execution. The coordinated process involves the biomedical, transportation, tourism, and leisure industries. From the communication perspective, the process can be viewed as a 5-stage model consisting of the: (a) orientation, (b) preparation, (c) experiential and treatment, (d) convalescence, and (e) reflection phases. Medical tourism is uniquely situated in a nexus of academic literature related to communication, business and management, travel and tourism, policy and law, healthcare and health administration. Communication permeates and perpetuates the medical tourism process and does so at the levels of interpersonal interactions (provider-patient communication), small group (healthcare teams), organizational (between healthcare providers), and mass and computer-mediated communication (marketing, advertising, and patient social support). This process may, in some cases, involve high rates of international and intercultural variation. Further study of the MT process can help to gain a better understanding of how healthcare consumers evaluate information about medical procedures and possible risks, as well as the specific message features and effects associated with various communication channels and information delivery systems. Continuing scholarly efforts also should focus on the relationship between medical tourism and communication.
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Medical Tourism and Communication
Alicia Mason
Article
The Invention of Race in Turkey
Matthew deTar
Racial thinking in the late Ottoman Empire and Turkey emerged out of a vast global network of hegemonic discourses. Modernity, colonialism, nationalism, and racism are mutually constitutive discourses with respect to their historical emergence in Europe, but they are also mutually constitutive as they emerge in other specific locations. Racisms that emerge subsequent and analogous to European racism help indicate the specific necessary connections among these kinds of broad overlapping discourses. The exploration of racism in Turkey holds significant potential for communication scholars as a means of refining theories of racism that do not typically focus on non-Western racism.
The historical emergence of racism and racial thinking in Turkey also shaped the structure and content of Turkish nationalist history, making certain chronologies and “history-of-ideas” approaches to Turkish historiography fraught scholarly pursuits. Even explorations of the origins of the term Turk reflect this racial thinking, because the Turk concept only began circulating in the late Ottoman empire and early Turkish Republic alongside race science as the name of an ancient race. Race science is, however, only one domain of knowledge production and human experience, and it is not solely responsible for the invention of Turk as a race. Rather, modernization narratives of the 19th-century Ottoman Empire, a catastrophic series of wars in the Balkans, and contact with European nationalisms all uniquely helped establish racial thinking as a hegemonic discourse prior to the foundation of the Turkish Republic. More significantly, the horrors of the Armenian Genocide, the massive Greek population exchange, and policies of forced migration and assimilation toward Kurds during and after World War I materially established the hegemony of Turkish racial discourse and the presumed reality of a Turkish race itself.
In the context of these events, Turkish nationalism must be understood not simply through its own idealistic lens as a project of civic republicanism, but instead as a discourse that emerged in connection with colonialist logics, racism, and modernity. Just as scholars have argued that European modernity is constitutively linked to colonialism and racism, Turkish nationalism embarked on a “modernizing” project beholden to colonialism and racism. Communication scholars interested in both the constitutive dimensions of discourse and the knowledge-producing effect of “universalization” as it appears in discourses like modernity, colonialism, racism, and nationalism will find that the Turkish historical encounter with these discourses offers important insight into the operation of universalization itself.
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Queer Migration and Digital Media
Andrew DJ Shield
Migration—whether international or internal, forced or voluntary—intertwines with digital media, especially for sexual minorities and trans people who seek out platforms catering to lesbian, gay, bisexual, trans, and queer (LGBTQ) people. Online networks foster transnational flows of ideas and information, which can enable international travel. The ways that queer people interact on digital media in the 21st century have emerged not only from decades of online subcultures—such as 1990s chatrooms and profile sites—but also from predigital media cultures, such as printed personal ads in gay and lesbian journals. The internet accelerated the growth of media platforms and queer international networks, both of which continued to develop with the advent of mobile phone apps and the proliferation of social media. Online media—from blogs to hashtags to “hook-up” apps—can relate to all aspects of the migration process. Before, during, and after a move, queer migrants access online media for information about LGBTQ laws and norms or for help with the logistics of migration. When in a new country, queer migrants use online media to try to connect with locals. During these interactions, migrants might encounter forms of xenophobia, racism, and exclusion. In spite or because of these experiences, queer migrants utilize digital media to build new networks, such as queer diasporic communities aimed at social or political activities.
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Public Perceptions of Public Service in European Media
Natascha Just
In Western Europe, the notion of public service in the media was originally associated with traditional public-service broadcasters. However, since the 1990s, the general idea of public-service broadcasting and the continuing need for it in a digitized, content-abundant environment have been questioned. In particular, public-service broadcasters’ online activities have triggered controversial discussions and policy responses, not least because of direct competition with online services of the private media. At the same time, discussions have emerged about the meaning of public service and attendant concepts such as public value, challenging the hitherto commonly accepted attachment of the concept to a specific technology (broadcasting) and a specific—publicly procured and financed—organizational setting. In response to this and backed by politics, public-service broadcasters have reinvented themselves as public-service media. They have expanded their remit beyond television and radio into multimedia realms such as the Internet and, in addition to this, have started devoting new attention to the general public as their prime target of accountability—thus opposed to the original exclusive accountability to politics. Such accountability has been pursued, among other things, through direct cooperation with the public or other ways of connecting with it, for example, through personalization efforts and participatory formats. Although the public has rhetorically become the prime target of accountability, there is little discussion or acknowledgement of the actual perceptions that the public has about the general idea of public service and how public-service broadcasters accomplish this task. With few exceptions, studies continue the dominant paradigm of audience research, which construes the public almost exclusively as consumers.
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Reading “Asian Values” into Journalism Practices in Asia
Eric Loo
Discourse of “Asian values” in journalism is commonly contrasted with non-Asian or Western/Occidental libertarian values. This dualistic treatment of Asian versus Western journalism implies a professional and cultural dichotomy when in actuality the forms and methods of journalism are two sides of the same coin. Regardless of cultural contexts, journalists essentially address the who, what, where, when, why, and how questions in their reporting. Journalists react to events and issues. They source for credible reactions, fact check, and construct their news narratives in the interests of the general public. Reporting fairly, accurately, and truthfully are universal journalism principles. The issues that journalists in Asia confront daily are not radically different from journalists in the West. There are, nonetheless, variations of emphases in the goals, motivations, methods, and content in journalism as practiced in the West and parts of Asia. These variations are manifested in the practice of development-oriented journalism, which media scholars in parts of Asia deem to be more in line with the nation-building priorities of developing economies. It is worth revisiting the debates for a New World Information and Communication Order in the 1970s when responses to the normative theories of the press by media institutions and agencies in developing countries led to the conceptualization of “development journalism,” which, as an alternative to the adversarial journalism practice of media agencies in the West, was theoretically more reflective of the “Asian values” for social harmony, collective well-being, and deference to authority. Even as the binary perception of journalism practices by media scholars in the West and parts of Asia remains contentious, it is less about Asian cultural values per se that influence the methods, form, and substance of journalism but the political system, stringent media laws, public expectations of the media, role perception of the journalists, and power relation structure that ultimately shape journalism practices in Asia.
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Cultural and Creative Industries
Vicki Mayer
The critical study of cultural and creative industries involves the interrogation of the ways in which different social forces impact the production of culture, its forms, and its producers as inherently creative creatures. In historical terms, the notion of “the culture industry” may be traced to a series of postwar period theorists whose concerns reflected the industrialization of mass cultural forms and their attendant marketing across public and private spheres. For them, the key terms alienation and reification spoke to the negative impacts of an industrial cycle of production, distribution, and consumption, which controlled workers’ daily lives and distanced them from their own creative expressions. Fears of the culture industry drove a mass culture critique that led social scientists to address the structures of various media industries, the division of labor in the production of culture, and the hegemonic consent between government and culture industries in the military-industrial complex. The crisis of capitalism in the 1970s further directed critical scholars to theorize new dialectics of cultural production, its flexibilization via new communications technologies and transnational capital flows, as well as its capture via new property regimes. Reflecting government discourses for capital accumulation in a post-industrial economy, these theories have generally subsumed cultural industries into a creative economy composed of a variety of extra-industrial workers, consumers, and communicative agents. Although some social theorists have extended cultural industry critiques to the new conjuncture, more critical studies of creative industries focus on middle-range theories of power relations and contradictions within particular industrial sites and organizational settings. Work on immaterial labor, digital enclosures, and production cultures have developed the ways creative industries are both affective and effective structures for the temporal and spatial formation of individuals’ identities.
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The Korean Wave and Korean Dramas
Hyejung Ju
For the past two decades, the Korean Wave has been recognized in many parts of the world, and has articulated dynamic junctures of globalization, regionalization, and localization in the realms of media and popular culture. Due to online media platforms such as streaming services, television content has been diversifying and increasing its transnational circulation. More recently, the outbound scope of K-drama and K-pop has further reached dispersed global audiences, most of whom are not Korean media consumers or fans, thanks to active use of social media, such as YouTube, in transnational media consumption. The Korean Wave can be a meaningful contra-flow in transnational pop culture. Moreover, the Korean Wave is an evolutionary cultural flow, as traced in the history of its growth. The Wave has been experiencing continuities and discontinuities in its stream for years, along with its popularity cycle, and interestingly disjuncture has shaped it differently. A set of studies of the Korean Wave should map out the presence of the Wave in the big picture of cultural globalization, beyond the pre-existing geocultural divisions. The very recent Korean Wave drives not only the flow of various kinds of content and formats but also reciprocal interchanges of diverse levels of human, financial, technological, and cultural elements; this reconstructs implied meanings of the Korean Wave and its globalizing phenomena.
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Copyright
Sara Bannerman
Copyright is a bundle of rights granted to the creators of literary, artistic, and scientific works such as books, music, films, or computer programs. Copyright, as one of the most controversial areas of communication law and policy, has always been the subject of political contention; however, debates surrounding the subject have reached new levels of controversy since the 1990s as a result of the new formats of creative works made possible by digital media, and as a result of the new practices of authorship, creativity, consumption, collaboration, and sharing that have arisen in light of networking and social media. Technological change has not been the only driving force of change; social and political change, including changing concepts of authorship, the recognition of the rights of women and indigenous peoples, and the changing structures of international relations and international civil society, have also been reflected in copyright law. Copyright policymaking has become an increasingly internationalized affair. Forum-shifting has contributed to the proliferation of regional and international copyright policymaking forums under the rubric of stand-alone intellectual property institutions such as the World Intellectual Property Organization (WIPO), as well as under institutions dedicated more broadly to international trade negotiations.
Communication scholars and others have contributed extensively to the field of copyright and intellectual property law. Communication scholars have made significant contributions in examining the cultural significance, political economy, history, and rhetoric of copyright, drawing on diverse fields that include cultural studies and critical political economy. Communications scholars’ influence in the field of copyright scholarship has been significant.
