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Ethico-Political Aspects of Conceptualizing Screening: The Case of Dementia
Södertörn University, School of Culture and Education, Centre for Studies in Practical Knowledge.ORCID iD: 0000-0001-6989-3212
Department of Thematic Studies, Division of Technology and Social Change, Linköping University.ORCID iD: 0000-0002-1989-2016
Department of Thematic Studies, Division of Technology and Social Change, Linköping University.ORCID iD: 0000-0002-2862-3731
2021 (English)In: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394, Vol. 29, p. 343-359Article in journal (Refereed) Published
Abstract [en]

While the value of early detection of dementia is largely agreed upon, populationbased screening as a means of early detection is controversial. This controversial status means that such screening is not recommended in most national dementia plans. Some current practices, however, resemble screening but are labelled “casefinding” or “detection of cognitive impairment”. Labelled as such, they may avoid the ethical scrutiny that population-based screening may be subject to. This article examines conceptualizations of screening and case-finding. It shows how the definitions and delimitations of the concepts (the what of screening) are drawn into the ethical, political, and practical dimensions that screening assessment criteria or principles are intended to clarify and control (the how of screening, how it is and how it should be performed). As a result, different conceptualizations of screening provide the opportunity to rethink what ethical assessments should take place: the conceptualizations have different ethico-political implications. The article argues that population- based systematic screening, population-based opportunistic screening, and case-finding should be clearly distinguished.

Place, publisher, year, edition, pages
Springer, 2021. Vol. 29, p. 343-359
Keywords [en]
Screening, Dementia, Case-finding, Conceptualizations, Performativity
National Category
Philosophy
Identifiers
URN: urn:nbn:se:sh:diva-44563DOI: 10.1007/s10728-021-00431-3ISI: 000629469400001PubMedID: 33725216Scopus ID: 2-s2.0-85102849655OAI: oai:DiVA.org:sh-44563DiVA, id: diva2:1538045
Part of project
The Role of Existential Philosophy in Health Care: The Cases of Germany, Denmark, and Sweden, The Foundation for Baltic and East European Studies
Funder
Swedish Research Council, 2016-00781The Foundation for Baltic and East European Studies, 4/2017Available from: 2021-03-17 Created: 2021-03-17 Last updated: 2023-07-10Bibliographically approved

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Gunnarson, Martin

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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  • harvard-anglia-ruskin-university
  • apa-old-doi-prefix.csl
  • sodertorns-hogskola-harvard.csl
  • sodertorns-hogskola-oxford.csl
  • Other style
More styles
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  • de-DE
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