What Makes Patient Navigation Most Effective: Defining Useful Tasks and Networks

Journal of Health Care for the Poor and Underserved
Christine GunnKaren M Freund

Abstract

Given the momentum in adopting patient navigation into cancer care, there is a need to understand the contribution of specific navigator activities to improved clinical outcomes. A mixed-methods study combined direct observations of patient navigators within the Patient Navigation Research Program and outcome data from the trial. We correlated the frequency of navigator tasks with the outcome of rate of diagnostic resolution within 365 days among patients who received the intervention relative to controls. A focused content analysis examined those tasks with the strongest correlations between navigator tasks and patient outcomes. Navigating directly with specific patients (r = 0.679), working with clinical providers to facilitate patient care (r = 0.643), and performing tasks not directly related to their diagnostic evaluation for patients were positively associated with more timely diagnosis (r = 0.714). Using medical records for non-navigation tasks had a negative association (r = -0.643). Content analysis revealed service provision directed at specific patients improved care while systems-focused activities did not.

Citations

Sep 12, 2019·Journal of Oncology Practice·Ronald M KlineLawrence N Shulman
May 26, 2018·Translational Behavioral Medicine·Patricia A ValverdeBetsy C Risendal
Mar 27, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nicole L StoutBianca deSouza
Nov 2, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Electra D PaskettHeather Hampel
Jan 30, 2021·Journal of Public Health Management and Practice : JPHMP·Avani KollaNadia Islam
Jul 17, 2021·Orphanet Journal of Rare Diseases·Tai L S PasquiniJennifer M Whitehill
Nov 13, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Amy M LeClairStephenie C Lemon
Jul 6, 2021·International Journal of Circumpolar Health·Sipporah EnuaraqDanielle Rolfe

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