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Patients' experiences with navigation for cancer care.

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Title: Patients' experiences with navigation for cancer care.
Authors: Carroll JK (AUTHOR), Humiston SG (AUTHOR), Meldrum SC (AUTHOR), Salamone CM (AUTHOR), Jean-Pierre P (AUTHOR), Epstein RM (AUTHOR), Fiscella K (AUTHOR), Carroll, Jennifer K1 (AUTHOR), Humiston, Sharon G (AUTHOR), Meldrum, Sean C (AUTHOR), Salamone, Charcy M (AUTHOR), Jean-Pierre, Pascal (AUTHOR), Epstein, Ronald M (AUTHOR), Fiscella, Kevin (AUTHOR)
Source: Patient Education & Counseling. Aug2010, Vol. 80 Issue 2, p241-247. 7p.
Abstract: Objective: We examined how navigation, defined as the assessment and alleviation of barriers to adequate health care, influences patients' perspectives on the quality of their cancer care.Methods: We conducted post-study patient interviews from a randomized controlled trial (usual care vs. patient navigation services) from cancer diagnosis through treatment completion. Patients were recruited from 11 primary care, hospital and community oncology practices in New York. We interviewed patients about their expectations and experience of patient navigation or, for non-navigated patients, other sources of assistance.Results: Thirty-five patients newly diagnosed with breast or colorectal cancer. Valued aspects of navigation included emotional support, assistance with information needs and problem-solving, and logistical coordination of cancer care. Unmet cancer care needs expressed by patients randomized to usual care consisted of lack of assistance or support with childcare, household responsibilities, coordination of care, and emotional support.Conclusion: Cancer patients value navigation. Instrumental benefits were the most important expectations for navigation from navigated and non-navigated patients. Navigated patients received emotional support and assistance with information needs, problem-solving, and logistical aspects of cancer care coordination.Practice Implications: Navigation services may help improve cancer care outcomes important to patients by addressing fragmented, confusing, uncoordinated, or inefficient care. [ABSTRACT FROM AUTHOR]
Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Data: Patients' experiences with navigation for cancer care.
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  Data: <searchLink fieldCode="AR" term="%22Carroll+JK%22">Carroll JK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Humiston+SG%22">Humiston SG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meldrum+SC%22">Meldrum SC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salamone+CM%22">Salamone CM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jean-Pierre+P%22">Jean-Pierre P</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein+RM%22">Epstein RM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fiscella+K%22">Fiscella K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carroll%2C+Jennifer+K%22">Carroll, Jennifer K</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Humiston%2C+Sharon+G%22">Humiston, Sharon G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meldrum%2C+Sean+C%22">Meldrum, Sean C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Salamone%2C+Charcy+M%22">Salamone, Charcy M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jean-Pierre%2C+Pascal%22">Jean-Pierre, Pascal</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein%2C+Ronald+M%22">Epstein, Ronald M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fiscella%2C+Kevin%22">Fiscella, Kevin</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Patient+Education+%26+Counseling%22">Patient Education & Counseling</searchLink>. Aug2010, Vol. 80 Issue 2, p241-247. 7p.
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  Data: <bold>Objective: </bold>We examined how navigation, defined as the assessment and alleviation of barriers to adequate health care, influences patients' perspectives on the quality of their cancer care.<bold>Methods: </bold>We conducted post-study patient interviews from a randomized controlled trial (usual care vs. patient navigation services) from cancer diagnosis through treatment completion. Patients were recruited from 11 primary care, hospital and community oncology practices in New York. We interviewed patients about their expectations and experience of patient navigation or, for non-navigated patients, other sources of assistance.<bold>Results: </bold>Thirty-five patients newly diagnosed with breast or colorectal cancer. Valued aspects of navigation included emotional support, assistance with information needs and problem-solving, and logistical coordination of cancer care. Unmet cancer care needs expressed by patients randomized to usual care consisted of lack of assistance or support with childcare, household responsibilities, coordination of care, and emotional support.<bold>Conclusion: </bold>Cancer patients value navigation. Instrumental benefits were the most important expectations for navigation from navigated and non-navigated patients. Navigated patients received emotional support and assistance with information needs, problem-solving, and logistical aspects of cancer care coordination.<bold>Practice Implications: </bold>Navigation services may help improve cancer care outcomes important to patients by addressing fragmented, confusing, uncoordinated, or inefficient care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Patient Education & Counseling is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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