Towards equity in organised cancer screening: the case of cervical cancer screening in France
Abstract Background The French national cancer institute (INCa) conducted a series of studies to assist decision-making in view of the implementation of organised cervical cancer screening that will be launched in 2018. The programme will concern all women aged 25–65 and targeted interventions will...
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12905-018-0683-0 |
| _version_ | 1818619471847227392 |
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| author | Sylviane Darquy Grégoire Moutel Odile Jullian Stéphanie Barré Nathalie Duchange |
| author_facet | Sylviane Darquy Grégoire Moutel Odile Jullian Stéphanie Barré Nathalie Duchange |
| author_sort | Sylviane Darquy |
| collection | DOAJ |
| description | Abstract Background The French national cancer institute (INCa) conducted a series of studies to assist decision-making in view of the implementation of organised cervical cancer screening that will be launched in 2018. The programme will concern all women aged 25–65 and targeted interventions will be developed for underscreened populations. This is an evolution from an equality-based approach to a step-by-step strategy of equity aiming to tackle health cancer inequalities that are avoidable and represents unfair differences. Here we present the work of the expert-group in ethics drafted by INCa to review the ethical issues prior to the programme implementation. Discussion We discuss the value of such a strategy and presents reflections with regard to issues of stigmatization, respect for individual freedom and autonomy. Indeed, the balance has to be found between the search for beneficence and the potential occurrence of perverse effects, which should be considered with particular attention. Conclusion Moving toward an equity-oriented policy under a strategy of proportionate universalism faces a number of challenges, thus an overview of ethics and social sciences must be an integral part of the process. |
| first_indexed | 2024-12-16T17:38:01Z |
| format | Article |
| id | doaj.art-6987d10785994d5c86fec7f3e1c51ada |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-16T17:38:01Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-6987d10785994d5c86fec7f3e1c51ada2022-12-21T22:22:40ZengBMCBMC Women's Health1472-68742018-11-011811610.1186/s12905-018-0683-0Towards equity in organised cancer screening: the case of cervical cancer screening in FranceSylviane Darquy0Grégoire Moutel1Odile Jullian2Stéphanie Barré3Nathalie Duchange4Univ. Bordeaux, Inserm U1219, EPICENE, Cancer et expositions environnementalesNormandie univ, UNICAEN, Inserm U1086, ANTICIPEInstitut National du CancerInstitut National du CancerNormandie univ, UNICAEN, Inserm U1086, ANTICIPEAbstract Background The French national cancer institute (INCa) conducted a series of studies to assist decision-making in view of the implementation of organised cervical cancer screening that will be launched in 2018. The programme will concern all women aged 25–65 and targeted interventions will be developed for underscreened populations. This is an evolution from an equality-based approach to a step-by-step strategy of equity aiming to tackle health cancer inequalities that are avoidable and represents unfair differences. Here we present the work of the expert-group in ethics drafted by INCa to review the ethical issues prior to the programme implementation. Discussion We discuss the value of such a strategy and presents reflections with regard to issues of stigmatization, respect for individual freedom and autonomy. Indeed, the balance has to be found between the search for beneficence and the potential occurrence of perverse effects, which should be considered with particular attention. Conclusion Moving toward an equity-oriented policy under a strategy of proportionate universalism faces a number of challenges, thus an overview of ethics and social sciences must be an integral part of the process.http://link.springer.com/article/10.1186/s12905-018-0683-0Cervical cancer screeningOrganised programmeEquityProportionate universalism |
| spellingShingle | Sylviane Darquy Grégoire Moutel Odile Jullian Stéphanie Barré Nathalie Duchange Towards equity in organised cancer screening: the case of cervical cancer screening in France BMC Women's Health Cervical cancer screening Organised programme Equity Proportionate universalism |
| title | Towards equity in organised cancer screening: the case of cervical cancer screening in France |
| title_full | Towards equity in organised cancer screening: the case of cervical cancer screening in France |
| title_fullStr | Towards equity in organised cancer screening: the case of cervical cancer screening in France |
| title_full_unstemmed | Towards equity in organised cancer screening: the case of cervical cancer screening in France |
| title_short | Towards equity in organised cancer screening: the case of cervical cancer screening in France |
| title_sort | towards equity in organised cancer screening the case of cervical cancer screening in france |
| topic | Cervical cancer screening Organised programme Equity Proportionate universalism |
| url | http://link.springer.com/article/10.1186/s12905-018-0683-0 |
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