Diego Lopez1, Mandi L Pratt-Chapman2, Elizabeth A Rohan3, Lisa Kennedy Sheldon4, Karen Basen-Engquist5, Ron Kline6, Lawrence N Shulman7, Efren J Flores8. 1. Harvard Medical School, Boston, MA, USA. 2. The George Washington University Cancer Center, Washington, DC, USA. 3. Centers for Disease Control and Prevention, Chamblee, GA, USA. 4. Oncology Nursing Society, Pittsburgh, PA, USA. 5. University of Texas M. D. Anderson Cancer Center, Houston, TX, USA. 6. Centers for Medicare & Medicaid Innovation, Baltimore, MD, USA. 7. University of Pennsylvania Abramson Cancer Center, Philadelphia, PA, USA. 8. Massachusetts General Hospital, 55 Fruit St, Boston, MA, USA. ejflores@mgh.harvard.edu.
Abstract
PURPOSE: Recent advances in cancer treatment have resulted in greatly improved survival, and yet many patients in the USA have not benefited due to poor access to healthcare and difficulty accessing timely care across the cancer care continuum. Recognizing these issues and the need to facilitate discussions on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine (NASEM) held a workshop entitled, "Establishing Effective Patient Navigation Programs in Oncology. The purpose of this manuscript is to disseminate the conclusions of this workshop while providing a clinically relevant review of patient navigation in oncology. DESIGN: Narrative literature review and summary of workshop discussions RESULTS: Patient navigation has been shown to be effective at improving outcomes throughout the spectrum of cancer care. Work remains to develop consensus on scope of practice and evaluation criteria and to align payment incentives and policy. CONCLUSION: Patient navigation plays an essential role in overcoming patient- and system-level barriers to improve access to cancer care and outcomes for those most in need.
PURPOSE: Recent advances in cancer treatment have resulted in greatly improved survival, and yet many patients in the USA have not benefited due to poor access to healthcare and difficulty accessing timely care across the cancer care continuum. Recognizing these issues and the need to facilitate discussions on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine (NASEM) held a workshop entitled, "Establishing Effective Patient Navigation Programs in Oncology. The purpose of this manuscript is to disseminate the conclusions of this workshop while providing a clinically relevant review of patient navigation in oncology. DESIGN: Narrative literature review and summary of workshop discussions RESULTS: Patient navigation has been shown to be effective at improving outcomes throughout the spectrum of cancer care. Work remains to develop consensus on scope of practice and evaluation criteria and to align payment incentives and policy. CONCLUSION: Patient navigation plays an essential role in overcoming patient- and system-level barriers to improve access to cancer care and outcomes for those most in need.
Entities:
Keywords:
Cancer care barriers; Oncology; Patient navigation
Authors: Ronald M Kline; L Daniel Muldoon; Heidi K Schumacher; Larisa M Strawbridge; Andrew W York; Laura K Mortimer; Alison F Falb; Katherine J Cox; Carol Bazell; Ellen W Lukens; Mary C Kapp; Rahul Rajkumar; Amy Bassano; Patrick H Conway Journal: J Oncol Pract Date: 2017-05-23 Impact factor: 3.840
Authors: Ali H Mokdad; Laura Dwyer-Lindgren; Christina Fitzmaurice; Rebecca W Stubbs; Amelia Bertozzi-Villa; Chloe Morozoff; Raghid Charara; Christine Allen; Mohsen Naghavi; Christopher J L Murray Journal: JAMA Date: 2017-01-24 Impact factor: 56.272
Authors: Ji-Hyun Lee; William Fulp; Kristen J Wells; Cathy D Meade; Ercilia Calcano; Richard Roetzheim Journal: PLoS One Date: 2013-09-16 Impact factor: 3.240
Authors: Samuel U Takvorian; Erin Balogh; Sharyl Nass; Virginia L Valentin; Lori Hoffman-Hogg; Randall A Oyer; Robert W Carlson; Neal J Meropol; Lisa Kennedy Sheldon; Lawrence N Shulman Journal: J Natl Cancer Inst Date: 2020-07-01 Impact factor: 13.506
Authors: Sharon M Bigelow; Elizabeth Hart; Tina Shaban; Preeyanka Rao; Ali Ahmad Khan; Marianne Baskaron; Pamela Baker; Todd A Schwartz; Deborah K Mayer Journal: Support Care Cancer Date: 2021-03-31 Impact factor: 3.603
Authors: Maija Reblin; Heraldo D'Almeida; Veronica Barrios-Monroy; Rachael McCormick; Laura Rodriguez; Kerie Walters; Steven K Sutton; Bradley Zebrack; Peter Forsyth; Margaret M Byrne; Kristen J Wells Journal: Support Care Cancer Date: 2022-10-08 Impact factor: 3.359
Authors: Zeta Chow; Tong Gan; Quan Chen; Bin Huang; Nancy Schoenberg; Mark Dignan; B Mark Evers; Avinash S Bhakta Journal: J Am Coll Surg Date: 2020-02-13 Impact factor: 6.532