Mark Dignan1, Carol White2, Nancy Schoenberg3, Brent Shelton4, Frances Feltner5, Stacey Slone6, Emily Van Meter6, Christopher DeSimone6, Gretchen Ely7. 1. Department of Internal Medicine, College of Medicine, University of Kentucky, Lexington, KY. 2. Center for Clinical and Translation Science/Community Engagement, University of Kentucky, Lexington, KY. 3. Behavioral Science, University of Kentucky, Lexington KY. 4. College of Public Health, University of Kentucky, Lexington, KY. 5. University of Kentucky Center of Excellence in Rural Health, Hazard, KY. 6. Markey Cancer Center, University of Kentucky, Lexington, KY. 7. College of Social Work, University of Kentucky, Lexington, KY.
Abstract
OBJECTIVE: In collaboration with rural county health departments (CHDs), we developed a patient navigation intervention to increase adherence to follow-up recommendations for women with abnormal Pap tests. METHODS:Local women were recruited, trained and placed in CHDs. Navigation was tailored to the follow-up care recommended. Effectiveness was evaluated in a quasi-experimental trial that included 13 intervention CHDs and 13 comparison group CHDs. Participants were enrolled from September 2008 through July 2010. RESULTS: A total of 478 participants were enrolled. The proportion that received recommended follow-up care was greater in the intervention CHDs (91.6%) than in the comparison group CHDs (80.8%) (p = .01). CONCLUSIONS: These results suggest that development of policy to promote navigation with rural health care delivery systems has great potential to improve patient outcomes.
RCT Entities:
OBJECTIVE: In collaboration with rural county health departments (CHDs), we developed a patient navigation intervention to increase adherence to follow-up recommendations for women with abnormal Pap tests. METHODS: Local women were recruited, trained and placed in CHDs. Navigation was tailored to the follow-up care recommended. Effectiveness was evaluated in a quasi-experimental trial that included 13 intervention CHDs and 13 comparison group CHDs. Participants were enrolled from September 2008 through July 2010. RESULTS: A total of 478 participants were enrolled. The proportion that received recommended follow-up care was greater in the intervention CHDs (91.6%) than in the comparison group CHDs (80.8%) (p = .01). CONCLUSIONS: These results suggest that development of policy to promote navigation with rural health care delivery systems has great potential to improve patient outcomes.
Entities:
Keywords:
Appalachia; Pap test; patient navigation; rural health
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