4.2 Article

Ensuring Informed Decision-Making for Cancer Screening

Journal

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
Volume 34, Issue 2, Pages 435-438

Publisher

AMER BOARD FAMILY MEDICINE
DOI: 10.3122/jabfm.2021.02.200353

Keywords

Cancer Screening; Clinical Decision-Making; Family Medicine; Family Physicians; Patient Participation; Shared Decision-Making

Funding

  1. Cancer Research UK [C8640/A23385]

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The history of cancer screening shows that involving patients in decision-making is important, and while encouraging patient participation in screening programs is crucial for improving cancer outcomes, doctors should also prioritize helping patients make informed decisions that align with their values and priorities. Open discussions about the limitations of cancer screening are essential to empower patients to make their own informed choices.
The history of cancer screening has demonstrated that the case for cancer screening is not straightforward. In contemporary practice, sharing decision-making with patients has become expected of family physicians. At the same time, increasing emphasis has been placed on encouraging patients to participate in screening programs to improve cancer outcomes. The success of cancer screening is often judged by the number of those who participate. Improving cancer outcomes should be a priority for family medicine, but the importance of this goal should not undermine doctors' commitment to helping patients make informed decisions that are consistent with their values and priorities. If we are serious about empowering patients, we need to be more open about the limitations of cancer screening, to help patients make up their minds.

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