Volume 185 - Issue 4
A comparison of colorectal neoplasia screening tests: a multicentre community-based study of the impact of consumer choice
Authors: Glenn P Salkeld, Jane M Young and Michael J Solomon
Med J Aust 2006; 185 (4): 237-239. || doi: 10.5694/j.1326-5377.2006.tb00545.x
Published online: 21 August 2006
Published online: 21 August 2006
In reply: Taupin and Corbett contend that the “choice paradox” reported by the MACS Group study argues against decision-support systems to allow informed choice of screening options. That would be true if the purpose of informed choice was simply to increase participation in screening.1 Our point is that the purpose of informed choice is to support an ethical basis for individuals’ decisions about screening.2,3 This can occur within the single-test modality (faecal occult blood tests) of the national screening program. It would be desirable to have decision-support systems embedded in a doctor–patient consultation. But this may not be feasible in terms of screenee access to a general practitioner, nor affordable for the Australian Government — hence our call for a self-directed decision-support system as an adjunct to a doctor-guided system. This is one way of applying the principle that patients should be given unbiased information on the benefits and harms of screening that enables them to make an informed choice about their own participation in screening.4
References
- Barratt A, Trevena L, Davey H, McCaffery K. Use of decision aids to support informed choices about screening. BMJ 2004; 329: 507-510.
- Salkeld GP, Young JM, Solomon MJ. Consumer choice and the National Bowel Cancer Screening Program [editorial]. Med J Aust 2006; 184: 541-542. 0_i1091782
- Raffle AE. Information about screening – is it to achieve high uptake or to ensure informed choice? Health Expect 2001; 4: 92-98. 0_i1091784
- Irwig L, McCaffery K, Salkeld G, Bossuyt P. Informed choice for screening: implications for evaluation. BMJ 2006; 332: 1148-1150. 0_CBBDBCFF
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Leon A Adams, William W Kemp, Kate R Muller, Elizabeth E Powell, Stuart K Roberts, Luis Calzadilla Bertot, Stephanie Best, Gary Deed, Jon D Emery, Samantha L Hocking, Graham R Jones, John S Lubel, Sinead Sheils, Stephen M Twigg, Gerald F Watts, Jacob George
Treatment outcomes for people with hepatitis C referred to tertiary care in Victoria, 2021–22: a retrospective observational study
Elly Layton, Nicole Matthews, Brendan Quinn, Nasra Higgins, Gabrielle Lindeman, Mielle Abbott, Jennifer MacLachlan, Elizabeth Birbilis, Margaret E Hellard, Joseph Doyle, Benjamin C Cowie, Mark Stoové