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- Title
When good evidence is not enough: the role of context in bowel cancer screening policy in New Zealand.
- Authors
Flitcroft, Kathy L.; Gillespie, James A.; Carter, Stacy M.; Trevena, Lyndal J.; Salkeld, Glenn P.
- Abstract
Bowel cancer is a serious health problem in developed countries. Australia, the United Kingdom (UK) and New Zealand (NZ) reviewed the same randomised controlled trial evidence on the benefits and harms of population-based bowel cancer screening. Yet only NZ, with the highest age standardised rate of bowel cancer mortality, decided against introducing a bowel cancer screening programme. This case study of policy making explores the unique resource, ethical, institutional and political environments in which the evidence was considered. It highlights the centrality of context in assessing the relative worth of evidence in policy making and raises questions about the suitability of knowledge utilisation strategies.
- Subjects
AUSTRALIA; UNITED Kingdom; NEW Zealand; COLON cancer diagnosis; CANCER diagnosis; MEDICAL screening; CANCER-related mortality
- Publication
Evidence & Policy: A Journal of Research, Debate & Practice, 2011, Vol 7, Issue 3, p307
- ISSN
1744-2648
- Publication type
Article
- DOI
10.1332/174426411X591735