Citizens' juries can bring public voices on overdiagnosis into policy making
Publication Details
Degeling, C.,
Thomas, R.,
&
Rychetnik, L.
(2019).
Citizens' juries can bring public voices on overdiagnosis into policy making.
BMJ: British Medical Journal, 364.
Abstract
As practitioners and policy makers struggle to manage the risks and harms of overdiagnosis, Chris Degeling and colleagues contend that citizens’ juries offer a way forward.
Key messages
Overdiagnosis challenges the social contract that underpins healthcare, and community voices are often missing from the relevant policy discussions
Citizens’ juries elicit the voices, values, and preferences of informed citizens who are presented with evidence based expert views
Jurors deliberate the evidence among themselves before formulating their opinions and recommendations
Citizens’ juries can elucidate public values that can then be used to inform policies and practices to manage the risks of overdiagnosis
The findings can contribute to guideline development and proposed changes to disease thresholds
The process of citizens’ juries align with the basic tenets of evidence based medicine and can broaden and improve the dialogue around medical uncertainty
Keywords
overdiagnosis, policy, citizens’ juries
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