Deliberations with Ontario citizens about mammography screening

First submitted by Yun-Ju Song on Di, 10/10/2017 - 07:25

Most recent changes by Scott Fletcher on Di, 08/21/2018 - 14:49

Sprache Englisch

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Problems and Purpose

Recent epidemiological studies have shown that mammography screening may not reduce mortality, this finding prompted countries such as Australia, Switzerland, and the UK to conduct studies to gain insights into citizens’ perspectives, but little work in Canada has been done. In particular, Cancer Care Ontario continues to recommend and remind women to receive routine mammography screening.

In light of this, the purpose of this initiative was to (1) solicit and understand public opinions on acceptable policy responses on mammography screening - citizens who are offered free mammography screening programs in the Canadian Province of Ontario were asked to share their opinions on breast cancer screening. The panel outcomes also were designed to (2) provide guidance to provincial breast cancer screening policies through the exploration of policy options that supports citizens in making an informed choice regarding mammography; moreover, the dialogue also (3) allowed researchers to analyze policy implications of an ideal breast cancer screening design based on the deliberation.

Background History and Context

Organizing, Supporting, and Funding Entities

This project is initiated by the McMaster University research team lead by Julia Abelson, Melissa Brouwers, Jonathan Sussman, Greg Pond, and the McMaster Health Forum and research assistant Laura Tripp from March 2015- April 2016. The project had funding from the Government of Ontario's Ministry of Health and Long-Term Care Health System Research Fund through the "Harnessing Evidence and Values for Health System Excellence" grant.

Participant Recruitment and Selection

Methods and Tools Used

The study included four deliberations, a population survey of Ontario women, and an unspecified number of focus groups with primary care providers.

Deliberation, Decisions, and Public Interaction

Influence, Outcomes and Effects

Analysis and Lessons Learned

References

Julia Abelson and Laura Tripp, "Public and patient values about informed choice and mammography screening: Results from 4 Ontario deliberations," Canadian Association for Health Services and Policy Research, August 2, 2017, https://www.cahspr.ca/en/presentation/57503fe037dee8427d702e03

External Links

Journal Article "Uncertain times: A survey of Canadian women's perspectives toward mammography screening" https://www.sciencedirect.com/science/article/pii/S0091743518301324

A recording on the public talk "Breast Cancer Screening: Making sense of the Evidence" in April 2015, hosted by Dr. Julia Abelson and the McMaster Health Forum, presented by Dr. Jonathan Sussman and Dr. Cathy Risdon, is made available on YouTube, courtesy of McMaster Health Forum.

During the deliberation, all 4 panels were shown a video created by The Canadian Task Force on Preventative Health Care (CTFPHC) called "CTFPHC: Breast cancer screening guideline 2011". The video is made available by the Task Force on YouTube.