Hysterectomy: improving the patient's decision-making process

Clinical Obstetrics and Gynecology
J C Gambone, R C Reiter

Abstract

Increasingly, patients are expecting to be more involved than they traditionally have been in medical and surgical decision making. The unilateral process of informed consent is evolving into one of informed collaborative choice. Hysterectomy is a procedure that is frequently performed when reasonable surgical and nonsurgical alternatives remain. When professional consensus as to the clear recommendation for hysterectomy is not present, patient choice is particularly important. Because more than 80% of health-care decisions, including those in which one of the choices is hysterectomy, are elective, gynecologists and other health care providers increasingly will need to develop more efficient and collaborative methods to integrate patient autonomy and choice into the decision-making process. There is mounting evidence that both clinical and nonclinical outcomes (satisfaction and cost) may be improved when properly informed consumers collaborate in making medical and surgical decisions. Legal liability for adverse outcomes may be decreased by increased patient participation in medical and surgical decision making. The era of managed care has created an agency problem stemming from the fact that consumers (patients) are concerned ...Continue Reading

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Citations

Mar 24, 2004·Maturitas·Marlies Y BongersHans A M Brölmann
Nov 7, 2000·American Journal of Preventive Medicine·L A McNuttI Fraiser
May 10, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·K A Bramstedt, N S Wenger
Apr 18, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Barry WrightTony Rutherford
Jan 10, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Helga GimbelAnn Tabor
Jul 7, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Matthias DavidFriederike Siedentopf
Jul 23, 2008·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Lucinda Coelho Esperança VieiraManoel Joao Batista Castello Girão
Jun 21, 2005·Journal of Psychosomatic Obstetrics and Gynaecology·Rianne De GelderLex Peters

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