Cancer Patient Navigation: Where Do We Go from Here?

Varner, Ashley; Murph, Pam

doi:10.1080/10463356.2010.11883779

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…The patient navigation strategy improved the timing of care for diagnosed patients. Research advanced by the Colombian Institute of Oncology in 2011 shows that the average time between the first medical consultation and diagnosis is 91 days (CI 95%: 82–97 days), 5 while this study carried out the same process in 27 days due to reduced time spent at each interval within the care schedule (Table 3 ).…”

Section: Resultsmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

“…It also provides individualized assistance offered to patients, families, and caregivers to help overcome health care system barriers and facilitate timely access to quality medical and psychosocial care. 5 The Colombian Health System is an appropriate environment to develop navigation programs since its' universal insurance model covers 94% of the population, in two modalities: (1) contributive for employed people with monthly payments based on income, and…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, time to diagnosis, initiation of treatment, patient satisfaction with received care, and cost‐effectiveness of treatment are improved. It also provides individualized assistance offered to patients, families, and caregivers to help overcome health care system barriers and facilitate timely access to quality medical and psychosocial care 5 …”

Section: Introductionmentioning

confidence: 99%

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A patient navigation initiative to improve access to breast cancer care in Cali, Colombia

et al. 2021

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Background Patient navigation is the logistical and emotional support necessary to achieve diagnostic and treatment compliance. It can improve time to diagnosis, initiation of treatment, and patient satisfaction, as well as reduce the cost of treatment. Colombia has a well‐defined Cancer Control Plan, but its implementation is lacking. Aim To implement the first patient navigation initiative in Colombia, as part of a pilot program for the early detection of breast cancer. Methods The process involved assessing and addressing the barriers faced by women to access breast health care by providing training for health personnel, strengthening primary health care providers, and coordinating diverse level institutions for the provision of services. This led to the design and implementation of a navigation strategy focused on the needs of patients in Cali, Colombia and the involvement of the local health system to provide such services. Results Time to diagnosis was significantly reduced; research advanced by the Colombian National Institute of Cancerology shows that the average time between the first medical consultation and diagnosis was 91 days (CI 95%: 82–97 days), while this study carried out the same process in an average of 30 days, but patients still had issues with continuity of treatment due to financial strain between healthcare providers and insurers. Navigation, however, manages to overcome many of these problems by assisting women in the clinical and administrative care processes and seeking well‐being for the beneficiaries. In addition, patient navigation helped identify critical failures in care, such as fragmentation of care and excessive bureaucracy. The navigation process improved data collection and established agreements to simplify and make the delivery of care more efficient. In addition, it generated partnerships between service providers and insurers. Conclusion While several barriers and poor understanding of the navigation process still exist, a navigation program can help implement a Cancer Control Plan.

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Section: Resultsmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A patient navigation initiative to improve access to breast cancer care in Cali, Colombia

et al. 2021

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Consensus Support for the Role of Patient Navigation in the Nation’s Healthcare System

Liu

Mason

Roubal³

et al. 2017

Patient Navigation

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A Cost Analysis of a Community Health Worker Program in Rural Vermont

et al. 2013

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Studies have shown that community health workers (CHWs) can improve the effectiveness of health care systems; however, little has been reported about CHW program costs. We examined the costs of a program staffed by three CHWs associated with a small, rural hospital in Vermont. We used a standardized data collection tool to compile cost information from administrative data and personal interviews. We analyzed personnel and operational costs from October 2010 to September 2011. The estimated total program cost was $420,348, a figure comprised of $281,063 (67 %) for personnel and $139,285 (33 %) for operations. CHW salaries and office space were the major cost components. Our cost analysis approach may be adapted by others to conduct cost analyses of their CHW program. Our cost estimates can help inform future economic studies of CHW programs and resource allocation decisions.

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Cancer Patient Navigation: Where Do We Go from Here?

Cited by 4 publications

References 7 publications

A patient navigation initiative to improve access to breast cancer care in Cali, Colombia

A patient navigation initiative to improve access to breast cancer care in Cali, Colombia

Consensus Support for the Role of Patient Navigation in the Nation’s Healthcare System

A Cost Analysis of a Community Health Worker Program in Rural Vermont

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