Lay Navigator Model for Impacting Cancer Health Disparities
| Autor: | Mariana Arevalo, Kristen J. Wells, Marlene Rivera, Ercilia R. Calcano, Harold P. Freeman, Cathy D. Meade, Yolanda Sarmiento, Richard G. Roetzheim |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Models Educational Adolescent Patient Advocacy Patient advocacy Article Health Services Accessibility Young Adult Nursing Multidisciplinary approach Neoplasms Humans Patient Navigation Medicine Stepped care Healthcare Disparities Aged Aged 80 and over Social work business.industry Public Health Environmental and Occupational Health Middle Aged Health equity Primary care clinic Deconstruction (building) Oncology Community health Female business |
| Zdroj: | Journal of Cancer Education. 29:449-457 |
| ISSN: | 1543-0154 0885-8195 |
| DOI: | 10.1007/s13187-014-0640-z |
| Popis: | This paper recounts experiences, challenges, and lessons learned when implementing a lay patient navigator program to improve cancer care among medically underserved patients who presented in a primary care clinic with a breast or colorectal cancer abnormality. The program employed five lay navigators to navigate 588 patients. Central programmatic elements were the following: (1) use of bilingual lay navigators with familiarity of communities they served; (2) provision of training, education, and supportive activities; (3) multidisciplinary clinical oversight that factored in caseload intensity; and (4) well-developed partnerships with community clinics and social service entities. Deconstruction of healthcare system information was fundamental to navigation processes. We conclude that a lay model of navigation is well suited to assist patients through complex healthcare systems; however, a stepped care model that includes both lay and professional navigation may be optimal to help patients across the entire continuum. |
| Databáze: | OpenAIRE |
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