[Participation to organized screening programs: Individual and collective stakes].

Abstract:

:The evaluation of the risk-benefit balance in public health is an ethical commitment, based on the imperative of not harming people. Screening is a probabilistic approach, which, in order to serve the needs of a few, involves the largest number to share the potential harmful effects. Improvement of scientific knowledge and opening of the societal debate modified the relation between collective and individual stakes over time. This article traces the evolution of the discourse surrounding cancer screening, particularly following the controversy surrounding breast cancer screening. Within the framework of a health policy, screening leads in the first place to a collective benefit and second, to an individual benefit. It describes how, within the French context, the debate has induced a complete re-examination of the modalities of information and consent leading to a shift from the promotion of screening to more balanced information on benefits and risks, so that people can decide whether to participate in a more informed way.

journal_name

Bull Cancer

journal_title

Bulletin du cancer

authors

Launoy G,Duchange N,Darquy S,Moutel G

doi

10.1016/j.bulcan.2018.04.008

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

678-683

issue

7-8

eissn

0007-4551

issn

1769-6917

pii

S0007-4551(18)30137-1

journal_volume

106

pub_type

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