scholarly journals Navigating a Path to Equity in Cancer Care: The Role of Patient Navigation

2021 ◽  
pp. 1-8
Author(s):  
Niharika Dixit ◽  
Hope Rugo ◽  
Nancy J. Burke
Keyword(s):  
Social Determinants ◽  
Cancer Care ◽  
Patient Navigation ◽  
Standardize Patient ◽  
Care Patient ◽  
Patient Centered ◽  
Cancer Services ◽  
Local Contexts ◽  
Cancer Care Continuum

Notable barriers exist in the delivery of equitable care for all patients with cancers. Social determinants of health at distal, intermediate, and proximal levels impact cancer care. Patient navigation is a patient-centered intervention that functions across these overlapping determinants to increase access to cancer services throughout the cancer care continuum. There is a need to standardize patient navigation training while remaining responsive to local contexts of care and a need to implement patient navigation programs with a health equity lens to address cancer care inequities.

Patient-Centered Communication in Cancer Care: The Role of the NCI’s Cancer Information Service

2010 ◽  
Vol 26 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Rosemarie Slevin Perocchia ◽  
Julie Keany Hodorowski ◽  
Laurie A. Williams ◽  
Julie Kornfeld ◽  
Nydia Lassalle Davis ◽  
...  
Keyword(s):  
Cancer Care ◽  
Information Service ◽  
Cancer Information ◽  
Cancer Information Service ◽  
Patient Centered

scholarly journals Cancer Care Delivery and Women’s Health: The Role of Patient Navigation

2016 ◽  
Vol 6 ◽  
Author(s):  
Jessica L. Krok-Schoen ◽  
Jill M. Oliveri ◽  
Electra D. Paskett
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Delivery

scholarly journals Toward Patient-Centered Cancer Care: Patient Perceptions of Problematic Events, Impact, and Response

2012 ◽  
Vol 30 (15) ◽  
pp. 1784-1790 ◽  
Author(s):  
Kathleen M. Mazor ◽  
Douglas W. Roblin ◽  
Sarah M. Greene ◽  
Celeste A. Lemay ◽  
Cassandra L. Firneno ◽  
...  
Keyword(s):  
Medical Care ◽  
Cancer Patients ◽  
Cancer Care ◽  
Information Exchange ◽  
Health Care Systems ◽  
Care Patient ◽  
Physician Patient Relationship ◽  
Patient Centered ◽  
Delay In Diagnosis ◽  
The Impact

Purpose Cancer treatments are complex, involving multiple clinicians, toxic therapies, and uncertain outcomes. Consequently, patients are vulnerable when breakdowns in care occur. This study explored cancer patients' perceptions of preventable, harmful events; the impact of these events; and interactions with clinicians after such events. Patients and Methods In-depth telephone interviews were conducted with cancer patients from three clinical sites. Patients were eligible if they believed: something “went wrong” during their cancer care; the event could have been prevented; and the event caused, or could have caused, significant harm. Interviews focused on patients' perceptions of the event, its impact, and clinicians' responses to the event. Results Ninety-three of 416 patients queried believed something had gone wrong in their care that was preventable and caused or could have caused harm. Seventy-eight patients completed interviews. Of those interviewed, 28% described a problem with medical care, such as a delay in diagnosis or treatment; 47% described a communication problem, including problems with information exchange or manner; and 24% described problems with both medical care and communication. Perceived harms included physical and emotional harm, disruption of life, effect on family members, damaged physician-patient relationship, and financial expense. Few clinicians initiated discussion of the problematic events. Most patients did not formally report their concerns. Conclusion Cancer patients who believe they experienced a preventable, harmful event during their cancer diagnosis or care often do not formally report their concerns. Systems are needed to encourage patients to report such events and to help physicians and health care systems respond effectively.

A patient-centered approach to a cancer care delivery innovation for low income patients: Medical-legal partnership with patient navigation.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. e17603-e17603
Author(s):  
Naomi Ko ◽  
Sharon Bak ◽  
Kerrie Nelson ◽  
Ann Han ◽  
Emily Bergling ◽  
...  
Keyword(s):  
Low Income ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Delivery ◽  
Patient Centered

Integration of pathology within the multidisciplinary cancer care team.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 49-49
Author(s):  
Elana Plotkin ◽  
Timothy Craig Allen ◽  
Sandra Brown ◽  
Pablo Gutman ◽  
Dana Herndon ◽  
...  
Keyword(s):  
Cancer Care ◽  
Cancer Genetics ◽  
Turnaround Time ◽  
Tumor Board ◽  
Tumor Boards ◽  
Biomarker Testing ◽  
Cancer Care Continuum ◽  
Time Test ◽  
Testing Protocols

49 Background: In an era of precision medicine the role of pathology in the diagnosis/management of cancer is evolving. Pathologists are positioned at the intersection of multiple points along the cancer care continuum. Starting at diagnosis pathologists provide expert interpretation and may recommend biomarker testing to guide treatment decisions. Methods: ACCC joined with partners AMP, ASCP, and CAP administered a survey in June 2018. 659 responses were received from a multidisciplinary group and a variety of cancer program settings. Results: Respondents reported that breakdowns in communication are most likely to occur when selecting and ordering biomarker tests (78%) and when reporting the results of the tests (34%). The top 5 challenges reported were coverage/reimbursement, insufficient quantity of material, turnaround time, test selection/ordering, and communication across the multidisciplinary team. There were sizable gaps in regular ordering of NGS among those with 1 tumor board (28%), 2-3 tumor boards (42%) and 4+ tumor boards (64%). Current use of liquid biopsy remains low with the majority (52%) reporting that clinicians rarely order ctDNA testing (12% “routinely”). Time to receiving test results varied with 58% reporting 5-10 business days, 19% reporting <5 business days and 24% >10 business days. 43% indicated pathologists are authorized to order all types of cancer biomarker tests. 56% have molecular pathologists on staff, 24% have a cancer genetics team. 62% report pathology has access to all inpatient records (38% outpatient records). Conclusions: Programs viewed as having integrated pathology participation feature pathologists leading institutional biomarker testing protocols, active participation at tumor boards and standardized reflexive testing pathways that reduce waste & turnaround time. Full integration is a critical piece to ensure patients receive appropriate and timely care.

scholarly journals Role of Hospice Care at the End of Life for People With Cancer

2020 ◽  
Vol 38 (9) ◽  
pp. 937-943 ◽  
Author(s):  
David C. Currow ◽  
Meera R. Agar ◽  
Jane L. Phillips
Keyword(s):  
End Of Life ◽  
Family Caregivers ◽  
Hospice Care ◽  
Symptom Control ◽  
Health Care Use ◽  
Patient Centered ◽  
Seamless Care ◽  
Cancer Services

Patient-defined factors that are important at the end of life include being physically independent for as long as possible, good symptom control, and spending quality time with friends and family. Hospice care adds to the quality of care and these patient-centered priorities for people with cancer and their families in the last weeks and days of life. Evidence from large observational studies demonstrate that hospice care can improve outcomes directly and support better and more appropriate health care use for people in the last stages of cancer. Team-based community hospice care has measurable benefits for patients, their family caregivers, and health services. In addition to improved symptom control for patients and a greater likelihood of time spent at home, caregiver outcomes are better when hospice care is accessed: informational needs are better met, and caregivers have an improved ability to move on with life after the patient’s death compared with people who did not have access to these services. Hospice care continues to evolve as its reach expands and the needs of patients continue to broaden. This is reflected in the transition from hospice being based on excellence in nursing to teams with a broad range of health professionals to meet the complex and changing needs of patients and their families. Additional integration of cancer services with hospice care will help to provide more seamless care for patients and supporting family caregivers during their caregiving and after the death of the patient.

scholarly journals Patient Navigation Through the Cancer Care Continuum: An Overview

2009 ◽  
Vol 5 (4) ◽  
pp. 150-152 ◽  
Author(s):  
Janice Hopkins ◽  
Matthew P. Mumber
Keyword(s):  
Health Care ◽  
Knowledge Base ◽  
Health Care System ◽  
Scientific Knowledge ◽  
Cancer Care ◽  
Patient Navigation ◽  
Medical Specialization ◽  
Care Plans ◽  
Scientific Knowledge Base ◽  
Cancer Care Continuum

Technologic advances, medical specialization, novel payment structures, and an increased scientific knowledge base have resulted in a health care system requiring trained experts to deliver guidance as patients complete care plans: Enter the concept of patient navigation.

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