Intended for healthcare professionals


Implementing honesty about screening using community informed consent

BMJ 2000; 321 doi: (Published 12 August 2000) Cite this as: BMJ 2000;321:450
  1. Les Irwig, professor of epidemiology (,
  2. Paul Glasziou, professor of evidence-based medicine
  1. Department of Public Health and Community Medicine, University of Sydney, NSW 2006, Australia
  2. Department of Social and Preventive Medicine, University of Queensland, Australia

    EDITOR—We support Raffle's suggestion that honesty about screening is the best policy.1 But how can that be achieved? Practitioners and planners complain that individual informed consent to screening is too time consuming: the provision of information and the necessary discussion and reflection on it require considerable effort, time, and skill.

    We have recently suggested a community informed consent process: a survey to establish the distribution of preferences …

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