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dc.contributor.authorGram, Emma Grundtvig
dc.contributor.authorBrandt Ryborg Jønsson, Alexandra
dc.contributor.authorBrodersen, John Brandt
dc.contributor.authorDamhus, Christina Sadolin
dc.date.accessioned2023-08-16T13:07:24Z
dc.date.available2023-08-16T13:07:24Z
dc.date.issued2023-04-26
dc.description.abstractParticipation in medical screening programs is presented as a voluntary decision that should be based on an informed choice. An informed choice is often emphasized to rely on three assumptions: (1) the decision-maker has available information about the benefits and harms, (2) the decision-maker can understand and interpret this information, and (3) the decision-maker can relate this information to personal values and preferences. In this article, we empirically challenge the concept of informed choice in the context of medical screening. We use document analysis to analyze and build upon findings and interpretations from previously published articles on participation in screening. We find that citizens do not receive neutral or balanced information about benefits and harms, yet are exposed to manipulative framing effects. The citizens have high expectations about the benefits of screening, and therefore experience cognitive strains when informed about the harm. We demonstrate that decisions about screening participation are informed by neoliberal arguments of personal responsibility and cultural healthism, and thus cannot be regarded as decisions based on individual values and preferences independently of context. We argue that the concept of informed choice serves as a power technology for people to govern themselves and can be considered an implicit verification of biopower.en_US
dc.identifier.citationGram, Brandt Ryborg Jønsson, Brodersen, Damhus. Questioning ‘Informed Choice’ in Medical Screening: The Role of Neoliberal Rhetoric, Culture, and Social Context. Healthcare. 2023;11(9)en_US
dc.identifier.cristinIDFRIDAID 2152855
dc.identifier.doi10.3390/healthcare11091230
dc.identifier.issn2227-9032
dc.identifier.urihttps://hdl.handle.net/10037/29988
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.journalHealthcare
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleQuestioning ‘Informed Choice’ in Medical Screening: The Role of Neoliberal Rhetoric, Culture, and Social Contexten_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)