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Patient Reactions To A Program Designed To Facilitate Patient Participation In Treatment Decision For Benign Prostatic Hyperplasia, John E. Wennberg

Dartmouth Scholarship

Patients often want considerable information about their conditions, and enhanced patient participation might reduce unwanted practice variation aad improve medical decisions. The authors assessed how men with benign prostatic hyperplasia reacted to an educational program designed to facilitate participation in declsionmaking and how strongly ratings of their symptom state and the prospect of complications predicted their treatment choice. A prospective cohort study was conducted in three hospital-based urology practices: two in prepaid group practices, and one Veterans Administration clinic. Four hundred twenty-one men with symptomatic benign prostatic hyperplasia without prior prostatectomy or benign prostatic hyperplasia complication were enrolled, and 373 …

The Effect Of A Shared Decisionmaking Program On Rates Of Surgery For Benign Prostatic Hyperplasia. Pilot Results., John E. Wennberg

Dartmouth Scholarship

Mulley at al hypothesized that active efforts to involve patients in devisions made about their care should improve outcomes by better matching treatments with patient values and needs. How utilization of various treatments would be affected is a critical element of the evaluation of such efforts. The Shared Decisionmaking Program for benign prostatic hyperplasia (SDP-BPH) is an interactive videodisc-based patient education program designed to help patients make an informed choice about whether to elect a transurethral resection of the prostate (TURP) or to follow a program of expectant management called "watchful waiting."

The BPH-SDP was piloted by two urology groups …