title: Patient-centered discussions about prostate cancer screening: a real-world approach.
abstract: National guidelines recommend that primary care providers discuss the risks and benefits of prostate cancer screening with their patients but give little guidance on how to fit such a complex discussion into a busy clinic encounter. The authors propose a process-oriented approach (Ask-Tell-Ask) that promotes tailored conversations and value-based recommendations. The Ask-Tell-Ask approach includes diagnosing a patient's informational needs, providing targeted education based on those needs, and making a shared decision about testing. This time-efficient model emphasizes the provider's role as an interactive guide rather than a one-way supplier of information. Although there is no way to make these discussions simple, this streamlined strategy can help patients and providers efficiently negotiate the complex and important decision of screening for prostate cancer.
authors.affiliation: University of Washington School of Medicine, Seattle, Washington 98105, USA. barakg@uw.edu
authors.forename: Barak
authors.initials: B
authors.lastname: Gaster
authors.forename: Kelly
authors.initials: K
authors.lastname: Edwards
authors.forename: Susan Brown
authors.initials: SB
authors.lastname: Trinidad
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Gallagher
authors.forename: Clarence H
authors.initials: CH
authors.lastname: Braddock
mesh_terms: D003657:Decision Making; D006801:Humans; D008297:Male; D008403:Mass Screening; D010358:Patient Participation; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care; D017430:Prostate-Specific Antigen / Q000097:blood; D011471:Prostatic Neoplasms / Q000175:diagnosis*
chemical_list: D017430:Prostate-Specific Antigen