informed choice related issue
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Evidence that a screening programme will reduce mortality is not sufficient alone to introduce a screening programme. A full analysis of benefits and harms should include not only the screening, but also the follow-up tests and indicated treatments.
Many screening programmes focus on maximising participation. However, a high participation rate is not needed to achieve screening population-level benefit and cost-effectiveness. Maximising participation per se may not achieve equitable access. It is known that there are groups in the population where participation is lower, including more deprived communities, ethnic minority communities, Gypsy and traveler groups.
Incentive payments to service providers (usually for the participation rate) may reduce the motivation to provide real informed choice.