ABSTRACT

This chapter focuses on population-based screening and its use as a means of detecting and preventing disease. The chapter provides an overview of social science research on screening to date, identifying key themes, and conceptual developments. Key areas covered include the uncertainties of screening, the change to the doctor/patient relationship, screening and normative expectations, informed choice, and the governance of screening programmes. While social science research is the main focus, the chapter also touches on other disciplines from time to time as relevant. It considers current discussions and debates about the potential for harm as well as benefit from screening, including those relating to overdiagnosis and overtreatment, as well as taking a critical look at the increased move to screening participation based on informed choice.