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From policy making to service use. Down's syndrome antenatal screening in England, France and the Netherlands

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  • Vassy, Carine
  • Rosman, Sophia
  • Rousseau, Bénédicte

Abstract

In industrialised countries, certain biomedical innovations have come into general use, but the ways they are used vary considerably. Prenatal screening techniques for Down's syndrome are a perfect example of this. In 2010, screening rates stood at 61% in England and 84% in France; the previous year the rate was 26% in the Netherlands. The objective of our research, which took place in these three countries between 2008 and 2011, was to explain these differences. In these countries, public authorities focus on women's free access to innovations and on receiving their informed consent. But other aspects of screening policy vary, as do the health systems in which they are implemented. Our study shows that the sociotechnical settings which vary from country to country affected the interactions during the consultations we observed and thus impacted the decision of whether or not to screen.

Suggested Citation

  • Vassy, Carine & Rosman, Sophia & Rousseau, Bénédicte, 2014. "From policy making to service use. Down's syndrome antenatal screening in England, France and the Netherlands," Social Science & Medicine, Elsevier, vol. 106(C), pages 67-74.
    • Handle: RePEc:eee:socmed:v:106:y:2014:i:c:p:67-74
    DOI: 10.1016/j.socscimed.2014.01.046
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    References listed on IDEAS

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    1. Stemerding, Dirk & van Berkel, Dymphie, 2001. "Maternal serum screening, political decision-making and social learning," Health Policy, Elsevier, vol. 56(2), pages 111-125, May.
    2. Khoshnood, B. & Blondel, B. & De Vigan, C. & Bréart, G., 2004. "Socioeconomic Barriers to Informed Decisionmaking Regarding Maternal Serum Screening for Down Syndrome: Results of the French National Perinatal Survey of 1998," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 484-491.
    3. Asch, A., 1999. "Prenatal diagnosis and selective abortion: A challenge to practice and policy," American Journal of Public Health, American Public Health Association, vol. 89(11), pages 1649-1657.
    4. Vassy, Carine, 2006. "From a genetic innovation to mass health programmes: The diffusion of Down's Syndrome prenatal screening and diagnostic techniques in France," Social Science & Medicine, Elsevier, vol. 63(8), pages 2041-2051, October.
    5. Williams, Clare & Alderson, Priscilla & Farsides, Bobbie, 2002. "Is nondirectiveness possible within the context of antenatal screening and testing?," Social Science & Medicine, Elsevier, vol. 54(3), pages 339-347, February.
    6. Reid, Bernie & Sinclair, Marlene & Barr, Owen & Dobbs, Frank & Crealey, Grainne, 2009. "A meta-synthesis of pregnant women's decision-making processes with regard to antenatal screening for Down syndrome," Social Science & Medicine, Elsevier, vol. 69(11), pages 1561-1573, December.
    7. Press, Nancy & Browner, C. H., 1997. "Why women say yes to prenatal diagnosis," Social Science & Medicine, Elsevier, vol. 45(7), pages 979-989, October.
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    Cited by:

    1. Di Giacomo, Marina & Piacenza, Massimiliano & Siciliani, Luigi & Turati, Gilberto, 2022. "The effect of co-payments on the take-up of prenatal tests," Journal of Health Economics, Elsevier, vol. 81(C).
    2. Ville, Isabelle & Mirlesse, Véronique, 2015. "Prenatal diagnosis: From policy to practice. Two distinct ways of managing prognostic uncertainty and anticipating disability in Brazil and in France," Social Science & Medicine, Elsevier, vol. 141(C), pages 19-26.
    3. Löwy, Ilana, 2022. "Non-invasive prenatal testing: A diagnostic innovation shaped by commercial interests and the regulation conundrum," Social Science & Medicine, Elsevier, vol. 304(C).

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