Background: Patient Navigation Program (PNP) assists patients to reduce delays in diagnosis and treatment. A study was conducted on how PNP in Rio de Janeiro, Brazil, could promote adherence to the "Law of 60 Days", which states that all patients with cancer within the public system should start treatment within 60 days after diagnosis of cancer. Materials and Methods: From August 2017 to May 2018, 105 patients aged 33-80 years (mean 59 years) were recruited for Patient Navigator. Follow-up was by phone, email, or text message. PNP implemented at Rio Imagem was designed to: 1) collect important data on specific barriers, and 2) ensure that at least 70% of the patients recruited with breast cancer initiate treatment within the mandatory 60-days period. Results: Patients presented with stage 0 (4%), I-IIA (38%), IIB-IIIB (48%) and IV (5%). These included barriers to compliance with the law: fear and fatalistic thoughts (99%), financial burden (79%), uncoordinated health care (76%), attitudes towards providers (75%), duplicity of pre-treatment exams (52%), patient-provider communication (52%), transport (42%), scheduling (24%), and queues for surgical treatment (12%). PNP had 100% patient satisfaction and in 52% of the cases it helped the patients to start treatment within the period established by law. Conclusion: PNP in Rio did not reach the success rate a 70% to comply with the law, as intended (it reached 52%). However, the barriers that PN did not manage to overcome the lack of human resources and medical supplies, were informed to the health authorities and to the hospital managers.

Este estudo avalia a introdução do Programa de Navegação do Paciente (PNP) em uma comunidade do município do Rio de Janeiro. Os objetivos são: estabelecer a viabilidade do PNP nesse contexto; identificar as barreiras ao rastreamento mamográfico; e assegurar cobertura mamográfica de 70% das mulheres recrutadas entre 50 e 69 anos. De março a setembro de 2018, foram recrutadas 678 mulheres com idade média de 58 anos da comunidade do Andaraí. O acompanhamento foi realizado pelo navegador de pacientes (NP) por telefone, e-mail e mensagens de texto. Doze por cento das mulheres recusaram-se a participar do PNP por razões culturais. As principais barreiras relatadas pelas mulheres foram: problemas do sistema com programação de cuidados de saúde (100%), problemas financeiros (64%), preocupações relacionadas à comunicação com a equipe médica (58%), medo (44%) e apoio social (14%). Foram obtidos 100% de satisfação com o PNP, e a meta de taxa de cobertura mamográfica foi superada, atingindo o percentual de 88%. O NP promoveu aumento na taxa de cobertura mamográfica, auxiliou na transmissão de informações de qualidade, reduziu o medo da mamografia e facilitou o acesso aos cuidados de saúde da mama. ABSTRACTThis study evaluates the Patient Navigation Program (Programa de Navegação do Paciente -PNP), which was introduced to a community in the municipality of Rio de Janeiro. The objectives were: to establish the viability of the PNP in this context; identify barriers to mammogram screening; and ensure mammogram coverage for 70% of women recruited between 50 and 69 years old. From March to September 2018, 678 women with an average age of 58 years old were recruited from the Andaraí community. Follow-up was performed through the patient browser (PB), by telephone, email and text messages. Twelve percent of women refused to participate in the PNP for cultural reasons. The main barriers reported by women were: systematic problems with health care programming (100%), financial problems (64%), concerns about communicating with medical staff (58%), fear (44%), and social support (14%). The PNP obtained 100% satisfaction, and the mammogram coverage rate goal was exceeded, reaching 88%. The PN promoted an increase in the rate for mammogram coverage, aided in the transmission of quality information, reduced individuals' fear of mammography, and facilitated access to breast health care.

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e13104 Background: This research project aims to study the increase of mammographic coverage rate with Patient Navigation Program (PNP) in a community of Rio de Janeiro. The general objective is to measure adherence to Ministry of Health’s recommendations for breast cancer screening with mammography, with the help of a patient navigator. Other objectives include: (1) establish the viability of the PNP in this context; 2) identify the barriers to mammography screening and; 3) ensure that at least 70% of women recruited between 50 and 69 years of age and asymptomatic update the biennial mammographic examination and annual clinical examination, increasing the mammographic coverage from 14% to at least 70% considered acceptable by the World Health Organization. Methods: From March to September 2018, women from the Andaraí Community were recruited in the Municipality of Rio de Janeiro. The follow-up was carried out by telephone, e-mail, and text messages. Of the 678 women (average age = 58), 12% of women refused to participate in the PNP for cultural reasons. Results: All 599 women participants reported barriers to obtaining breast health care with the number of barriers reported ranging from 1 to 6 barriers, (average = 3). The main barriers were system problems with health care programming (100%), financial problems (64%), communication concerns with the medical staff (58%), fear (44%), and social support (14%). We obtained 100% satisfaction with the PNP and exceeded our goal with 88% mammographic coverage rate. Conclusions: The PNP for breast cancer in the Andaraí Community has proven to be feasible in the context of local public health. The PNP promoted an increase in the mammographic coverage rate to 88%, assisted in the transmission of quality information, reduced the fear of mammography, and facilitated access to breast health care. Clinical trial information: 70832117.8.0000.5279.