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Becoming the expert constructing health knowledge in epistemic communities online

机译：成为在线构建认知社区的专家

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From a discourse analytic framework, the article analyses health blogs and patient's forum discussions in which parents to children with congenital heart defects recontextualize medical professional knowledge and share their own experiences. The study show how the two types of online media may serve as a means for parents to attain expert status in their own case by sharing lay knowledge expressed as an amalgamation of the two key perspectives - professional and experienced - as an indivisible unit. Monological discourses, such as narrating, in blogs and more direct and immediate responses in forum discussions are noted as examples of differences in how medical facts are explained and negotiated, how advice is provided and how patient expertise is created. The study also show how blogs and especially forum discussions are used to problematize the validity of actions and opinions of medical staff. The role of developing patient expertise in epistemic communities online may therefore come with a risk of spreading misrepresentation of medical cases.
机译：从话语分析框架中，文章分析了健康博客和患者的论坛讨论，其中父母对具有先天性心脏缺陷的儿童重新涂上医疗专业知识并分享自己的经历。该研究展示了两种类型的在线媒体如何通过分享为两个关键视角的分摊表示为父母在自己的案例中获得专家身份的手段 - 专业和经验丰富的界限 - 作为一个不可分割的单位。在论坛讨论中叙述，博客和更直接的反应中的单语言话语是指出的例子是如何解释和协商医学事实的差异，如何提供建议以及如何创建耐心专业知识。该研究还展示了博客，特别是论坛讨论如何解决医务人员的行为和意见的有效性。因此，发展患者专业知识的作用可能会导致医疗案件的歪曲陈述的风险。

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