Assessing readiness to implement patient navigator programs in Toronto, Canada

2021 ◽  
Author(s):  
Kristina M. Kokorelias ◽  
Sarah Gould ◽  
Tracey DasGupta ◽  
Dan Cass ◽  
Sander L. Hitzig
Keyword(s):  
Patient Navigator

Patient Navigator Increases the Rate of Screening Colonoscopy

2008 ◽  
Vol 38 (7) ◽  
pp. 22
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  
Screening Colonoscopy ◽  
Patient Navigator

The effectiveness of a patient navigator on patient satisfaction in adult patients in ambulatory care settings: a systematic review protocol

2015 ◽  
Vol 13 (8) ◽  
pp. 54-69 ◽  
Author(s):  
Coleen P Ranaghan ◽  
Kathleen Boyle ◽  
Patrice Fraser ◽  
Maureen Meehan ◽  
Shadiatu Moustapha ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Ambulatory Care ◽  
Adult Patients ◽  
Patient Navigator ◽  
Systematic Review Protocol ◽  
Review Protocol

scholarly journals 962. Linkage to Care Outcomes among Known HIV-Positive Patients at a High Prevalence Urban Hospital Emergency Department

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S511-S511
Author(s):  
Alexander W Sudyn ◽  
Jeffrey M Paer ◽  
Swetha Kodali ◽  
Samuel Maldonado ◽  
Amesika Nyaku ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Hiv Transmission ◽  
Univariate Analysis ◽  
Linkage To Care ◽  
Retrospective Chart Review ◽  
Retention In Care ◽  
Patient Navigator ◽  
Urban Hospital ◽  
Opt Out ◽  
The Impact

Abstract Background Retention in care of persons with HIV (PWH) is essential for achieving viral suppression and decreasing community transmission. CDC estimates that the 23% of known PWH not retained in care account for 43% of all new transmissions. This study seeks to describe the impact of an opt-out ED screening with navigator-assisted linkage to care (LTC) protocol for out of care PWH. Methods An IRB-approved retrospective chart review was conducted among PWH (prior positive) inadvertently retested in the ED between 2015 and 2018. Univariate and multivariate logistic regression was used to identify factors associated with LTC with patient navigator (PN) support. Factors with p ≤ 0.1 were included in the multivariate analysis as were age and sex at birth. Patients who died were excluded from statistical analyses. Results Among 464 patients who tested positive, 338 (73%) were known positive with 120 (35%) of those out of care at the time of screening. Mean age for this group was 47 (SD 11.9); 57% male, 81% non-Hispanic black, 10% Hispanic, and 6% non-Hispanic white. Fifty-five (46%) patients were successfully LTC, 54 (45%) referred to the state for linkage, and 11 (9%) died. A total of 109 patients were included in the analysis. Univariate analysis was performed for age (F(1, 107) = 0.98, p = 0.324) and female sex at birth (OR = 1.42 [95% CI 0.66, 3.05], p = 0.373) as well as Hispanic race (OR = 3.33 [95% CI 0.84, 13.04], p = 0.085), heterosexual HIV risk (OR = 2.76 [95% CI 1.27, 5.99], p = 0.011), IDU (OR = 0.49 [95% CI 0.21, 1.11], p = 0.088), and other SUD (OR = 0.42 [95% CI 0.19, 0.94], p = 0.035). Only heterosexual HIV risk (OR = 3.01 [95% CI 1.23, 7.32], p = 0.015) maintained significance in the final multivariate model. Conclusion Opt-out ED screening revealed >30% of known positive PWH were out of care at the time of testing; of whom nearly 50% were LTC with PN support. It is possible that persons reporting heterosexual HIV risk may feel less stigmatized and therefore are more likely to LTC. Similarly, the association with SUD, albeit non-significant, may reflect underrepresentation of individuals with SUD in remission among patient navigators. Future opt-out ED screening protocols should build upon diverse care teams to further engage patients with SUD and those at risk for non-heterosexual HIV transmission. Disclosures All Authors: No reported disclosures

scholarly journals COVD-07. THE IMPACT OF COVID-19 ON PATIENTS AND CAREGIVERS AFFECTED BY BRAIN TUMORS: THE PATIENT NAVIGATOR PERSPECTIVE

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii22-ii22
Author(s):  
Kyle Walsh
Keyword(s):  
Clinical Trials ◽  
Brain Tumor ◽  
Clinical Care ◽  
Structured Interview ◽  
Patient Navigator ◽  
Structured Interviews ◽  
Social Distancing ◽  
Tumor Patient ◽  
Patient Navigators ◽  
The Impact

Abstract BACKGROUND Preliminary evidence indicates that glioma patients are at higher risk for COVID-19 complications due to systemic immunosuppression. Interruptions in cancer care may exacerbate patient and caregiver anxiety, but surveying patients/caregivers about their COVID-19 experiences is often limited by attainable sample sizes and over-reliance upon single-institution experiences. METHODS To explore how COVID-19 is impacting brain tumor patients/caregivers across the U.S., we performed semi-structured interviews with brain tumor patient navigators employed by two different 501(c)3 nonprofit organizations. A semi-structured interview guide was used, utilizing prompts and open-ended questions to facilitate dialogue. A core set of COVID-19 topics were covered, including: financial issues, coping strategies, geographic variability, variability by tumor grade/histology, disruptions in care continuity, accessing clinical trials, psychosocial issues, and end-of-life care. Interviews were audio-recorded, transcribed, and organized by discussion topic to identify emerging themes. Inductive sub-coding was completed using the constant comparison method, within and between transcripts. RESULTS/CONCLUSIONS Ten patient navigators were interviewed between April 15th and May 8th, with interviews lasting approximately one hour (range 38-77minutes). Navigators reported having contact with 183 unique brain tumor families during the pandemic (range 7–38 families per navigator). High concordance emerged across narratives, revealing important considerations for the neuro-oncology workforce. The most prominent theme was increased caregiver burden, attributed to maintaining social distancing by reducing visits from home-health aides and friends/family. A related theme that applied to both patients and caregivers was increased social isolation due to social distancing, suspension of in-person support groups, and church/temple closures. Accessing clinical trials was a recurrent issue, exacerbated by patients’ increasing unwillingness to travel. Glioblastoma patients, especially those with recurrent tumors, expressed greater reluctance to travel. Access to standard-of-care treatment was rarely interrupted, but reduced access to supportive services – especially physical and occupational therapy – was identified as an emerging COVID-related deficiency in clinical care.

scholarly journals Factors Associated with Meeting the Psychosocial Needs of Cancer Survivors in Nova Scotia, Canada

2020 ◽  
Vol 28 (1) ◽  
pp. 13-25
Author(s):  
Soleil Chahine ◽  
Gordon Walsh ◽  
Robin Urquhart
Keyword(s):  
Primary Care ◽  
Nova Scotia ◽  
Cancer Survivors ◽  
Sociodemographic Factors ◽  
Patient Navigator ◽  
Care Providers ◽  
Psychosocial Needs ◽  
Factors Associated ◽  
Follow Up Care

Purpose: The purpose of this study is to describe the psychosocial needs of cancer survivors and examine whether sociodemographic factors and health care providers accessed are associated with needs being met. Methods: All Nova Scotia survivors meeting specific inclusion and exclusion criteria are identified from the Nova Scotia Cancer Registry and sent an 83-item survey to assess psychosocial concerns and whether and how their needs were met. Descriptive statistics (frequencies, percentages) and Chi-square analyses are used to examine associations between sociodemographic and provider factors and outcomes. Results: Anxiety and fear of recurrence, depression, and changes in sexual intimacy are major areas of concern for survivors. Various sociodemographic factors, such as immigration status, education, employment, and internet use, are associated with reported psychosocial health and having one’s needs met. Having both a specialist and primary care provider in charge of follow-up care is associated with a significantly (p < 0.05) higher degree of psychosocial and informational needs met compared to only one physician or no follow-up physician in charge. Accessing a patient navigator also is significantly associated with a higher degree of needs met. Conclusions: Our study identifies the most prevalent psychosocial needs of cancer survivors and the factors associated with having a higher degree of needs met, including certain sociodemographic factors, follow-up care by both a primary care practitioner and specialist, and accessing a patient navigator.

scholarly journals Evaluation of Patient Needs and Patient Navigator Communication About Cervical Cancer Prevention in Appalachian Kentucky

2013 ◽  
Vol 63 (1) ◽  
pp. 72-94 ◽  
Author(s):  
Elisia L. Cohen ◽  
Allison M. Scott ◽  
Carol R. White ◽  
Mark B. Dignan
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Patient Navigator ◽  
Patient Needs ◽  
Appalachian Kentucky

scholarly journals 155 Qualitative evaluation of a patient navigator program for children with developmental and mental health diagnoses

2019 ◽  
Vol 24 (Supplement_2) ◽  
pp. e62-e62
Author(s):  
Wid Yaseen ◽  
Valerie Steckle ◽  
Dorjana Vojvoda ◽  
Michael Sgro ◽  
Tony Barozzino ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Evaluation ◽  
Patient Navigator ◽  
Mental Health Diagnoses

scholarly journals American Indian and Alaska Native Cancer Patients’ Perceptions of a Culturally Specific Patient Navigator Program

2016 ◽  
Vol 38 (1-2) ◽  
pp. 121-135 ◽  
Author(s):  
Carol Grimes ◽  
Jenine Dankovchik ◽  
Megan Cahn ◽  
Victoria Warren-Mears
Keyword(s):  
American Indian ◽  
Cancer Patients ◽  
Alaska Native ◽  
Patient Navigator ◽  
Culturally Specific ◽  
Specific Patient

scholarly journals The Role of a Patient Navigator in Fertility Preservation

2010 ◽  
pp. 469-470 ◽  
Author(s):  
Jill Scott-Trainer
Keyword(s):  
Fertility Preservation ◽  
Patient Navigator

scholarly journals El enfermero navegador: un rol innovador en oncología. Revisión de alcance

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Gloria Mabel Carrillo González ◽  
Alejandra Moreno Castro
Keyword(s):  
Google Scholar ◽  
Patient Navigator ◽  
Nurse Navigator

Objetivo: describir la fundamentación, tendencias y perspectivas del rol del enfermero navegador en el cuidado de las personas con cáncer. Materiales y métodos: revisión de alcance con acceso a Pubmed, OVID Nursing, Elsevier y Google Scholar de publicaciones generadas entre 2006 y 2020 en inglés y español utilizando los descriptores nurse navigator, oncology y patient navigator. Resultados: se identificaron 27 publicaciones. Se incluyeron estudios cuantitativos (48,1%), estudios de revisión (22,2%), cualitativos (11,1%), de métodos mixtos (7,4%), experimentales (14,8%) y otros tipos (11,1%). Los hallazgos se agruparon en 4 categorías: 1, Antecedentes y origen del rol de enfermero navegador; 2. Principios de la navegación. 3. Competencias esperadas y actividades del enfermero navegador 4. Resultados de la implementación del rol. Conclusión: el rol del enfermero navegador se presenta como una modalidad innovadora de atención, que permite mejorar la calidad del cuidado y los resultados clínicos. Se necesita adelantar su implementación, delimitando las tareas específicas y los requisitos necesarios para su ejercicio en el contexto local.

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