Components and effectiveness of patient navigation programmes to increase participation to breast, cervical and colorectal cancer screening: A systematic review

Mosquera, Isabel; Todd, Adam; Balaj, Mirza; Zhang, Li; Majano, Sara Benítez; Mensah, Keitly; Eikemo, Terje Andreas; Basu, Partha; Carvalho, André Lopes

doi:10.1002/cam4.6050

Cited by 14 publications

(9 citation statements)

References 69 publications

(1,217 reference statements)

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“…Numerous studies have demonstrated the effectiveness of patient navigation programmes in improving breast cancer screening rates, reducing disparities and enhancing patient satisfaction 22–26. These programmes have been particularly successful in reaching under-resourced populations and improving access to screening services.…”

Section: Discussionmentioning

confidence: 99%

Advancing health equity in improving breast cancer screening with the use of a mobile mammography bus in marginalised population: quality improvement project

Bakhai,

Ansari,

Sadeghi

et al. 2024

BMJ Open Qual

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BackgroundBreast cancer, the second leading cause of cancer-related deaths in women in the USA, is effectively treated through early detection and screening. This quality improvement (QI) project aimed to improve mammography screening rates from the baseline of 50% to 60% within 12 months for patients aged 50–74 years at an Internal Medicine Clinic.MethodsWe used the Plan, Do, Study, Act (PDSA) model. A multidisciplinary team used a fishbone diagram to identify barriers to suboptimal screening. The QI team created a driver diagram and process flow map. The mammogram screening rate was the outcome measure. Mammogram order and completion rates were the process measures. We implemented six PDSA cycles. Major interventions included the use of a nurse navigator, enhancements in health information technology, and education to patients, providers, and nursing staff. Mammograms were offered in a mobile bus, located in the hospital campus and in under-resourced inner-city neighbourhoods to improve the access. Data analysis was performed using monthly statistical process control charts.ResultsThe project exceeded its initial goal, achieving a breast cancer screening rate of 66% (n=490 of 744) during the study period and was sustainable at 69%, 3 months post-project. The mammogram order rate was 58% (n=432 of 744) and completion rate was 53% (n=231 of 432) within 12 months.ConclusionsWe attributed the success of this QI project to the education of patients, nurses and physicians, the use of a nurse navigator and engagement of a multidisciplinary team. Access to mobile mammography bus addressed the social determinants of health barriers in a marginalised population.

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Section: Discussionmentioning

confidence: 99%

Advancing health equity in improving breast cancer screening with the use of a mobile mammography bus in marginalised population: quality improvement project

Bakhai,

Ansari,

Sadeghi

et al. 2024

BMJ Open Qual

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“…Regarding men: Their median age was 35 [30][31][32][33][34][35][36][37][38][39][40]; 35% had superior education, 14% were unemployed. Fifty-nine percent of those with whom contact had been established were immigrants (N= 1490): 25% came from Subsaharan Africa, 19% from North Africa or the Middle East.…”

Section: Acceptance Rate and Characteristics Of The Studied Populationmentioning

confidence: 99%

Most users of a prenatal consultation dedicated to future fathers are immigrants facing hardship

Penot,

Jacob,

Guerizec

et al. 2023

Preprint

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BackgroundPrenatal care provides pregnant women with repeated opportunities for prevention, screening and diagnosis that have no current extension to future fathers. Prenatal care explains why HIV-infected women are diagnosed earlier than heterosexual men wordwide and contributes to women’s general better access to health. The goal of PARTAGE study was to access the level and determinants of adherence to a prenatal prevention consultation dedicated to men.MethodsBetween January 2021 and April 2022, we conducted an interventional study assessing the acceptance of a prenatal prevention consultation newly offered to every woman over 18 attending prenatal care in Montreuil’s maternity ward, and extending it to the future father, when there was one.Results3,038 women provided contact information that was used to reach the father ; effective contact was established with 2,516 men, of whom 1,333 (53%) came for prenatal prevention consultation. Immigrant men were more likely to come than French-born men (56% versus 49%, p < 0.001), and the greater the precariousness of their situation, the more likely they were to accept the offer. In a multivariate analysis, men born in sub-Saharan Africa and Asia were twice as likely to attend the consultation as those born in Europe or North America.ConclusionAcceptance of this new offer was high. Moreover, this consultation was perceived by economically vulnerable immigrant men as an opportunity to integrate a healthcare system they would otherwise remain deprived of.

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“…Despite the potential benefits of patient navigation, its use in women’s health care has not been as widespread as in other patient populations. While there are some studies on patient navigation for women, these have primarily focused on breast and gynecologic cancers [ 15 , 16 ]. A literature review by McKenney et al [ 17 ] highlighted the potential role of patient navigation in women’s health by examining existing programs within various health care settings and identifying current gaps in access to women’s health care.…”

Section: Introductionmentioning

confidence: 99%

“…(Continued on the next page) https://doi.org/10.4069/whn.2024.03 15. Oh J • Patient navigation for women's health…”

mentioning

confidence: 99%

Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

2024

Womens Health Nurs

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Purpose: This study investigated the scope of patient navigation studies on women’s health care for maternal health and noncancerous gynecologic conditions and aimed to report the characteristics of the identified patient navigation programs.Methods: A scoping review was conducted following Arksey and O’Malley’s framework. Five electronic databases were searched for relevant studies published in English: PubMed, Embase, Cochrane Library, CINAHL, and PsycInfo. There were no restrictions on the publication date and the search was completed in July 2023.Results: This scoping review included 14 studies, which collectively examined seven patient navigation programs. All selected studies were related to maternal health issues (e.g., perinatal health problems and contraception for birth spacing). Close to two-thirds of the patient navigation services were provided by women (n=9, 64.3%) and half by lay navigators (n=7, 50.0%). The majority incorporated the use of mobile health technologies (n=11, 78.6%). All of the patient navigation programs included in the review coordinated the necessary clinical and social support services to improve women’s access to care.Conclusion: Patient navigation appears to be in its nascent phase in the field of maternal health. The results of this study suggest that the implementation of patient navigation services could potentially improve access to care for socially disadvantaged women and families. Furthermore, providing patient navigation services that are specifically tailored to meet women’s needs could improve the quality of maternity care.

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Components and effectiveness of patient navigation programmes to increase participation to breast, cervical and colorectal cancer screening: A systematic review

Cited by 14 publications

References 69 publications

Advancing health equity in improving breast cancer screening with the use of a mobile mammography bus in marginalised population: quality improvement project

Advancing health equity in improving breast cancer screening with the use of a mobile mammography bus in marginalised population: quality improvement project

Most users of a prenatal consultation dedicated to future fathers are immigrants facing hardship

Patient navigation in women’s health care for maternal health and noncancerous gynecologic conditions: a scoping review

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