6533b86efe1ef96bd12cb3b5

RESEARCH PRODUCT

En quête de pertinence et d’égalité ? Quand les prescriptions des dépistages des cancers gynécologiques s’emmêlent

subject

description

The Search for Relevance and Equality. When Prescriptions for Gynaecologic Cancer Screening Create ConfusionThis article cross-references epidemiology and sociology to examine the social inequalities involved in screening for gynaecologic, cervical and breast cancers. It describes the “ordinary” prescription approaches used for these screenings by referring them to a system of prescribers, the aim being to see how they shed light on the fabric of social inequalities in gynaecologic screening. The analysis reviews the main professional players, including gynaecologists and general practitioners, and investigates how their approaches coexist rather than existing in synergy, to identify issues of relevance and social gradients involved in smears and mammograms.The (dys)functioning of the organisation of the healthcare offering for these screenings is the result of a specific story, appraised at a moment of particular tension. The analysis is based on two original surveys on the preventive practices of GPs – from which we draw on the information relating to screening for gynaecologiccancers – and is backed by the literature.