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ERIC Number: EJ1132980
Record Type: Journal
Publication Date: 2011-Aug
Pages: 20
Abstractor: As Provided
ISSN: ISSN-1744-2648
When Good Evidence Is Not Enough: The Role of Context in Bowel Cancer Screening Policy in New Zealand
Flitcroft, Kathy L.; Gillespie, James A.; Carter, Stacy M.; Trevena, Lyndal J.; Salkeld, Glenn P.
Evidence & Policy: A Journal of Research, Debate and Practice, v7 n3 p307-326 Aug 2011
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.
Policy Press. University of Bristol, 1-9 Old Park Hill, Bristol BS2 8BB, UK. Tel: +44-117-954-5940; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United Kingdom; New Zealand; Australia
Grant or Contract Numbers: N/A