ArticleReproducing Social Inequality and Unequal Treatment in the National Health Information Infrastructure A Discourse Analysis of Institute of Medicine Executive SummariesTrigg, Lisa J. PhD, ARNPAuthor Information School of Nursing, University of Washington, and Navos Mental Health Solutions, Seattle, Washington. Corresponding Author: Lisa J. Trigg, PhD, ARNP, Navos Mental Health Solutions, 2600 SW Holden St, Seattle, WA 98126 ([email protected]). This study was supported by the NLM training grant # 5-T15-LM07442. The author thanks the following organizations for the funding received for this work: National Institutes of Health (NIH). The author thanks Gail Stygall, Carole Schroeder, David Allen, and Sherrilynne Fuller for their support. Advances in Nursing Science: July 2009 - Volume 32 - Issue 3 - p 188-199 doi: 10.1097/ANS.0b013e3181b0d70a Buy Metrics Abstract This research analyzes how discourse constituting the currently proposed National Health Information Infrastructure (NHII) may reproduce existing social inequality in healthcare. Textually oriented critical discourse analysis and corpus linguistics methods compare 3 executive summaries from the Institute of Medicine reports: the Quality Chasm and Insuring Health series, and the stand-alone report Unequal Treatment. These methods proved effective in studying the social action of language used in those summaries and will be useful in studying a larger corpus of discourse constituting the NHII. Further research will provide information to prevent or mitigate the reproduction of social inequality in healthcare through the proposed NHII. © 2009 Lippincott Williams & Wilkins, Inc.