Document Type


Publication Date

Summer 8-1995

Publication Title

Medical Care


Geisel School of Medicine


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 serving two large prepaid group practices that maintain reliable computerized information on surgical utilization. In this article, the effect of the SDP on patient preferences for treatment is examined, and secular trends in population-based TURP rates in those regions piloting the SDP with trends in regions of the same prepaid group practices not using the SDP are compared.

Original Citation

Wagner EH, Barrett P, Barry MJ, Barlow W, Fowler FJ Jr. The effect of a shared decisionmaking program on rates of surgery for benign prostatic hyperplasia. Pilot results. Med Care. 1995;33(8):765-770. doi:10.1097/00005650-199508000-00002