To Consent or Not to Consent to Screening, That Is the Question

The objective of this article is to address the controversial question of whether consent is relevant for persons invited to participate in screening programs. To do so, it starts by presenting a case where the provided information historically has not been sufficient for obtaining valid informed co...

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Main Author: Bjørn Hofmann
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/7/982
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author Bjørn Hofmann
author_facet Bjørn Hofmann
author_sort Bjørn Hofmann
collection DOAJ
description The objective of this article is to address the controversial question of whether consent is relevant for persons invited to participate in screening programs. To do so, it starts by presenting a case where the provided information historically has not been sufficient for obtaining valid informed consent for screening. Then, the article investigates some of the most relevant biases that cast doubt on the potential for satisfying standard criteria for informed consent. This may indicate that both in theory and in practice, it can be difficult to obtain valid consent for screening programs. Such an inference is profoundly worrisome, as invitees to screening programs are healthy individuals most suited to make autonomous decisions. Thus, if consent is not relevant for screening, it may not be relevant for a wide range of other health services. As such, the lack of valid consent in screening raises the question of the relevance of one of the basic ethical principles in healthcare (respect for autonomy), one of the most prominent legal norms in health legislation (informed consent), and one of the most basic tenets of liberal democracies (individual autonomy). Thus, there are good reasons to provide open, transparent, and balanced information and minimize biases in order to ascertain informed consent in screening.
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spelling doaj.art-00efe632b20a4abf9e25da047e237ee42023-11-17T16:43:45ZengMDPI AGHealthcare2227-90322023-03-0111798210.3390/healthcare11070982To Consent or Not to Consent to Screening, That Is the QuestionBjørn Hofmann0Centre for Medical Ethics, Faculty of Medicine, University of Oslo, P.O. Box 1130, N-0318 Oslo, NorwayThe objective of this article is to address the controversial question of whether consent is relevant for persons invited to participate in screening programs. To do so, it starts by presenting a case where the provided information historically has not been sufficient for obtaining valid informed consent for screening. Then, the article investigates some of the most relevant biases that cast doubt on the potential for satisfying standard criteria for informed consent. This may indicate that both in theory and in practice, it can be difficult to obtain valid consent for screening programs. Such an inference is profoundly worrisome, as invitees to screening programs are healthy individuals most suited to make autonomous decisions. Thus, if consent is not relevant for screening, it may not be relevant for a wide range of other health services. As such, the lack of valid consent in screening raises the question of the relevance of one of the basic ethical principles in healthcare (respect for autonomy), one of the most prominent legal norms in health legislation (informed consent), and one of the most basic tenets of liberal democracies (individual autonomy). Thus, there are good reasons to provide open, transparent, and balanced information and minimize biases in order to ascertain informed consent in screening.https://www.mdpi.com/2227-9032/11/7/982consentautonomyethical rationalitiesbiasinformationdisclosure
spellingShingle Bjørn Hofmann
To Consent or Not to Consent to Screening, That Is the Question
Healthcare
consent
autonomy
ethical rationalities
bias
information
disclosure
title To Consent or Not to Consent to Screening, That Is the Question
title_full To Consent or Not to Consent to Screening, That Is the Question
title_fullStr To Consent or Not to Consent to Screening, That Is the Question
title_full_unstemmed To Consent or Not to Consent to Screening, That Is the Question
title_short To Consent or Not to Consent to Screening, That Is the Question
title_sort to consent or not to consent to screening that is the question
topic consent
autonomy
ethical rationalities
bias
information
disclosure
url https://www.mdpi.com/2227-9032/11/7/982
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