Population-based strategy for improving informed decision making about hormone replacement therapy in managed care settings

This report describes a series of studies undertaken at Group Health Cooper ative of Puget Sound designed to improve informed decision making about hor mone replacement therapy for large populations of women in midlife who are served by managed care organizations. Women aged 45-80 years and their heal th care providers were the focus of separate studies. Health care systems n eed to provide access to high-quality provider counseling, continuous suppo rt in updating providers on the evolving evidence base, and dearly written, unbiased, tailored information for women based on the accumulated scientif ic evidence.