A Community-Based Partnership to Successfully Implement and Maintain a Breast Health Navigation Program

Autor: Shivon Tannan, Graham A. Colditz, Bettina F. Drake, Jennifer Tappenden, Melody S. Goodman, Victoria V. Anwuri, Mark Sanford, Sherrill Jackson
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Adult
medicine.medical_specialty
Health (social science)
Population
Disparities
Breast Neoplasms
Health Promotion
Health(social science)
Continuous variable
03 medical and health sciences
Breast cancer screening
0302 clinical medicine
Breast cancer
Patient navigation
medicine
Chi-square test
Mammography
Humans
030212 general & internal medicine
skin and connective tissue diseases
education
Early Detection of Cancer
Minority Groups
Aged
Community based
Gynecology
education.field_of_study
Original Paper
medicine.diagnostic_test
business.industry
Public Health
Environmental and Occupational Health
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Community-Institutional Relations
3. Good health
Socioeconomic Factors
030220 oncology & carcinogenesis
Family medicine
General partnership
Screening
Female
business
Zdroj: Journal of Community Health
ISSN: 1573-3610
0094-5145
Popis: Breast cancer screening combined with follow-up and treatment reduces breast cancer mortality. However, in the study clinic, only 12 % of eligible women ≥40 years received a mammogram in the previous year. The objective of this project was to implement patient navigation, in our partner health clinic to (1) identify women overdue for a mammogram; and (2) increase mammography utilization in this population over a 2-year period. Women overdue for a mammogram were identified. One patient navigator made navigation attempts over a 2-year period (2009–2011). Navigation included working around systems- and individual-level barriers to receive a mammogram as well as the appropriate follow-up post screening. Women were contacted up to three times to initiate navigation. The proportion of women navigated and who received a mammogram during the study period were compared to women who did not receive a mammogram using Chi square tests for categorical variables and t tests for continuous variables with an α = 0.05. Barriers to previous mammography were also assessed. With 94.8 % of eligible women navigated and 94 % of these women completing mammography, the implementation project reached 89 % of the target population. This project was a successful implementation of an evidence-based patient navigation program that continues to provide significant impact in a high-need area. Cost was the most commonly cite barrier to mammography. Increasing awareness of resources in the community for mammography and follow-up care remains a necessary adjunct to removing structural and financial barriers to accessing preventive services.
Databáze: OpenAIRE
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