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. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
RCT Entities:
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:Cancerpatients 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. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
Authors: Lina Jandorf; Anne Fatone; Priti V Borker; Mark Levin; Warria A Esmond; Barbara Brenner; Gary Butts; William H Redd Journal: Cancer Date: 2006-10-15 Impact factor: 6.860
Authors: Claudia R Baquet; Kelly M Mack; Shiraz I Mishra; Joy Bramble; Mary Deshields; Delores Datcher; Mervin Savoy; Sandra E Brooks; Stephanie Boykin-Brown; Kery Hummel Journal: Cancer Date: 2006-10-15 Impact factor: 6.860
Authors: Kathleen Ell; Deborah Padgett; Betsy Vourlekis; Jan Nissly; Diana Pineda; Olga Sarabia; Virginia Walther; Susan Blumenfield; Pey-Jiuan Lee Journal: Cancer Pract Date: 2002 May-Jun
Authors: Karen M Freund; Tracy A Battaglia; Elizabeth Calhoun; Donald J Dudley; Kevin Fiscella; Electra Paskett; Peter C Raich; Richard G Roetzheim Journal: Cancer Date: 2008-12-15 Impact factor: 6.860
Authors: Cathy D Meade; Kristen J Wells; Mariana Arevalo; Ercilia R Calcano; Marlene Rivera; Yolanda Sarmiento; Harold P Freeman; Richard G Roetzheim Journal: J Cancer Educ Date: 2014-09 Impact factor: 2.037
Authors: Gabrielle B Rocque; Edward E Partridge; Maria Pisu; Michelle Y Martin; Wendy Demark-Wahnefried; Aras Acemgil; Kelly Kenzik; Elizabeth A Kvale; Karen Meneses; Xuelin Li; Yufeng Li; Karina I Halilova; Bradford E Jackson; Carol Chambless; Nedra Lisovicz; Mona Fouad; Richard A Taylor Journal: J Oncol Pract Date: 2016-05-10 Impact factor: 3.840
Authors: Pascal Jean-Pierre; Paul C Winters; Jack A Clark; Victoria Warren-Mears; Kristen J Wells; Douglas M Post; Nancy LaVerda; Mary Ann Van Duyn; Kevin Fiscella Journal: J Cancer Educ Date: 2013-09 Impact factor: 2.037
Authors: Gabrielle B Rocque; J Nicholas Dionne-Odom; Chao-Hui Sylvia Huang; Soumya J Niranjan; Courtney P Williams; Bradford E Jackson; Karina I Halilova; Kelly M Kenzik; Kerri S Bevis; Audrey S Wallace; Nedra Lisovicz; Richard A Taylor; Maria Pisu; Edward E Partridge; Thomas W Butler; Linda A Briggs; Elizabeth A Kvale Journal: J Pain Symptom Manage Date: 2017-01-03 Impact factor: 3.612
Authors: Kevin Fiscella; Elizabeth Whitley; Samantha Hendren; Peter Raich; Sharon Humiston; Paul Winters; Pascal Jean-Pierre; Patricia Valverde; William Thorland; Ronald Epstein Journal: Cancer Epidemiol Biomarkers Prev Date: 2012-10 Impact factor: 4.254