Enhancing citizen engagement in cancer screening through deliberative democracy

Lucie Rychetnik*, Stacy M. Carter, Julia Abelson, Hazel Thornton, Alexandra Barratt, Vikki A. Entwistle, Geraldine MacKenzie, Glenn Salkeld, Paul Glasziou

*Corresponding author for this work

Research output: Contribution to journalReview articleResearchpeer-review

40 Citations (Scopus)

Abstract

Cancer screening is widely practiced and participation is promoted by various social, technical, and commercial drivers, but there are growing concerns about the emerging harms, risks, and costs of cancer screening. Deliberative democracy methods engage citizens in dialogue on substantial and complex problems: especially when evidence and values are important and people need time to understand and consider the relevant issues. Information derived from such deliberations can provide important guidance to cancer screening policies: citizens' values are made explicit, revealing what really matters to people and why. Policy makers can see what informed, rather than uninformed, citizens would decide on the provision of services and information on cancer screening. Caveats can be elicited to guide changes to existing policies and practices. Policies that take account of citizens' opinions through a deliberative democracy process can be considered more legitimate, justifiable, and feasible than those that don't.

Original languageEnglish
Pages (from-to)380-386
Number of pages7
JournalJournal of the National Cancer Institute
Volume105
Issue number6
DOIs
Publication statusPublished - 20 Mar 2013

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    Rychetnik, L., Carter, S. M., Abelson, J., Thornton, H., Barratt, A., Entwistle, V. A., ... Glasziou, P. (2013). Enhancing citizen engagement in cancer screening through deliberative democracy. Journal of the National Cancer Institute, 105(6), 380-386. https://doi.org/10.1093/jnci/djs649