Mira L. Katz|Gregory S. Young|Paul L. Reiter|Tracy A. Battaglia|Kristen J. Wells|Mechelle Sanders|Melissa A. Simon|Donald J. Dudley|Steven R. Patierno|Electra D. Paskett
Barriers Reported Among Patients with Breast and Cervical Abnormalities in the Patient Navigation Research Program: Impact on Timely Care
The Ohio State University|The Ohio State University|The Ohio State University|Boston University|San Diego State University|University of Rochester|Northwestern University|The University of Texas Health Science Center at San Antonio|George Washington University|The Ohio State University
patient navigation pn systemlevel strategy decrease cancer mortality rates reducing barriers cancer care barriers resolution among participants pn intervention arm breast cervical abnormality patient navigation research program navigators actions address barriers examineddata seven institutions 20052010 included 1995 breast 1194 cervical patients stratified cox proportional hazards regression model used examine effects barriers time resolution abnormal screening test clinical findingthe range unique barriers 0 12 0 7 among participants breast cervical abnormalities respectively two thirds breast one half cervical participants least one barrier resulting longer time diagnostic resolution among breast adjusted hazard ratio hr 0744 p 001 cervical adjusted hr 0792 p 001 participants patient systemlevel barriers common frequent navigator actions making arrangements scheduling appointments referrals educationhaving barrier resulted delay diagnostic resolution abnormal screening test clinical finding health care systems use findings improve existing pn programs developing new programs