Nudging o educazione a scelte civiche responsabili? L'esempio dello screening alla mammella

Translated title of the contribution: [Autom. eng. transl.] Nudging or education for responsible civic choices? The example of breast screening

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Nudge, or nudging, refers to a policy approach inspired by behavioral sciences: it promotes the conducts identified as desirable by regulators without applying prohibition and coercion. This approach has gained a lot of momentum in the domain of health policies. Policy strategies based on behavioral insights appear ideal as to implementing healthier life styles and public health programs while minimizing compliance costs: from organ donation to food choices, from fighting obesity and chronic diseases to screening policies. Nudging, however, is not exempt from problems, especially in the sector of health, where individual free and informed consent constitutes a founding principle. Cancer screening programs, and especially breast cancer population tests, represent an interesting example for nudging strategies which have been widely applied but have also raised serious criticisms. Despite having been widely adopted by health systems, from the United States to the European Union, breast cancer screening programs keep raising debates about their actual impact on reducing mortality, risks of overdiagnosing and unnecessary or harmful treatments. In challenging the validity of screening programs, these controversies also affect their efficacy. Nudging has therefore been seen as a potentially useful tool in increasing participation, even though the extent of its actual impact remains ambiguous and problematic. For nudging to represent a relevant, powerful policy instrument its legitimacy requirements need to be identified. These concern the “right place” of behavioral-based measures within the traditional regulatory framework. The “right place” of nudging in science-based policies is part of a broader rethinking of what is democracy in “knowledge-based societies”, namely through which procedures democratic institutions validate and legitimize their normative choices depending on uncertain and controversial knowledge.
Translated title of the contribution[Autom. eng. transl.] Nudging or education for responsible civic choices? The example of breast screening
Original languageItalian
Pages (from-to)14-21
Number of pages8
JournalEpidemiologia e prevenzione
Publication statusPublished - 2017


  • aware participation
  • collaborative right to health
  • diritto collaborativo alla salute
  • nudging
  • partecipazione consapevole


Dive into the research topics of '[Autom. eng. transl.] Nudging or education for responsible civic choices? The example of breast screening'. Together they form a unique fingerprint.

Cite this