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To nudge or not to nudge: cancer screening programmes and the limits of libertarian paternalism

‘Nudging—and the underlying idea ‘libertarian paternalism’—to an increasing degree influences policy thinking in the healthcare sector. This article discusses the influence exerted upon a woman's choice of participation in the Danish breast screening programme in light of ‘libertarian paternalism’.... Full description

Journal Title: Journal of Epidemiology and Community Health 2012-12, Vol.66 (12), p.1193-1196
Main Author: Ploug, Thomas
Other Authors: Holm, Søren , Brodersen, John
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd
ID: ISSN: 0143-005X
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recordid: cdi_proquest_miscellaneous_1143867812
title: To nudge or not to nudge: cancer screening programmes and the limits of libertarian paternalism
format: Article
creator:
  • Ploug, Thomas
  • Holm, Søren
  • Brodersen, John
subjects:
  • Aged
  • Biological and medical sciences
  • Breast cancer
  • breast neoplasms
  • Breast Neoplasms - prevention & control
  • Cancer
  • Cancer screening
  • Choice Behavior
  • Coercion
  • Decision Making - ethics
  • Denmark
  • Diagnosis
  • Early Detection of Cancer
  • Essay
  • ethics
  • Female
  • Freedom
  • General aspects
  • general practice
  • Health behavior
  • Health Promotion - methods
  • Humans
  • Informed consent
  • Informed Consent - ethics
  • libertarian paternalism
  • Libertarianism
  • Mammography
  • mass screening
  • Mass Screening - ethics
  • Mass Screening - organization & administration
  • Medical sciences
  • Methods
  • Middle Aged
  • Miscellaneous
  • Nudging
  • Paternalism
  • Paternalism - ethics
  • Personal Autonomy
  • Prevention and actions
  • preventive medicine
  • psychometrics
  • Public assistance programs
  • Public health
  • public health policy
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • screening
  • Social aspects
  • Women's Health
  • Womens health
ispartof: Journal of Epidemiology and Community Health, 2012-12, Vol.66 (12), p.1193-1196
description: ‘Nudging—and the underlying idea ‘libertarian paternalism’—to an increasing degree influences policy thinking in the healthcare sector. This article discusses the influence exerted upon a woman's choice of participation in the Danish breast screening programme in light of ‘libertarian paternalism’. The basic tenet of ‘libertarian paternalism’ is outlined and the relationship between ‘libertarian paternalism’ and informed consent investigated. Key elements in the process of enrolling women into the Danish mammography screening programme are introduced. It is shown that for several reasons the influence exerted upon women's choices of participation cannot be justified within a welfare-enhancing libertarian paternalistic framework. The article suggests that screening programmes alternatively adopt a liberty-enhancing approach and considers the practical implications of this alternative.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0143-005X
fulltext: fulltext
issn:
  • 0143-005X
  • 1470-2738
url: Link


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description‘Nudging—and the underlying idea ‘libertarian paternalism’—to an increasing degree influences policy thinking in the healthcare sector. This article discusses the influence exerted upon a woman's choice of participation in the Danish breast screening programme in light of ‘libertarian paternalism’. The basic tenet of ‘libertarian paternalism’ is outlined and the relationship between ‘libertarian paternalism’ and informed consent investigated. Key elements in the process of enrolling women into the Danish mammography screening programme are introduced. It is shown that for several reasons the influence exerted upon women's choices of participation cannot be justified within a welfare-enhancing libertarian paternalistic framework. The article suggests that screening programmes alternatively adopt a liberty-enhancing approach and considers the practical implications of this alternative.
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subjectAged ; Biological and medical sciences ; Breast cancer ; breast neoplasms ; Breast Neoplasms - prevention & control ; Cancer ; Cancer screening ; Choice Behavior ; Coercion ; Decision Making - ethics ; Denmark ; Diagnosis ; Early Detection of Cancer ; Essay ; ethics ; Female ; Freedom ; General aspects ; general practice ; Health behavior ; Health Promotion - methods ; Humans ; Informed consent ; Informed Consent - ethics ; libertarian paternalism ; Libertarianism ; Mammography ; mass screening ; Mass Screening - ethics ; Mass Screening - organization & administration ; Medical sciences ; Methods ; Middle Aged ; Miscellaneous ; Nudging ; Paternalism ; Paternalism - ethics ; Personal Autonomy ; Prevention and actions ; preventive medicine ; psychometrics ; Public assistance programs ; Public health ; public health policy ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; screening ; Social aspects ; Women's Health ; Womens health
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abstract‘Nudging—and the underlying idea ‘libertarian paternalism’—to an increasing degree influences policy thinking in the healthcare sector. This article discusses the influence exerted upon a woman's choice of participation in the Danish breast screening programme in light of ‘libertarian paternalism’. The basic tenet of ‘libertarian paternalism’ is outlined and the relationship between ‘libertarian paternalism’ and informed consent investigated. Key elements in the process of enrolling women into the Danish mammography screening programme are introduced. It is shown that for several reasons the influence exerted upon women's choices of participation cannot be justified within a welfare-enhancing libertarian paternalistic framework. The article suggests that screening programmes alternatively adopt a liberty-enhancing approach and considers the practical implications of this alternative.
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