1 / 17

Navigation Intervention Impact on Cancer Screening in Navajo Communities

This study evaluates the effectiveness of patient navigation services in increasing cancer screening and early treatment among ethnic/minority populations in Navajo communities. The intervention utilized patient navigators to bridge gaps between patients, providers, and community resources, focusing on underserved populations. Data collected from 2007 to 2010 showed improvements in screening rates and belief in early cancer detection survival. The study highlights the importance of navigation services for improving cancer care in underserved populations.

nat
Download Presentation

Navigation Intervention Impact on Cancer Screening in Navajo Communities

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Navigation Intervention and Cancer Screening Behavior in Navajo CommunitiesRandall W. RupperYuan-Chin Amy LeeRandall Burt Sandra MarshStephen C. Alder

  2. Overview

  3. Context • Medicare became concerned with obvious disparities in cancer prevention and treatment • Study suggested “Patient Navigators” as the most likely mechanism for success • CMS demonstration project • Legally defined hybrid grant/contract • Required to fund specific populations including AI/AN • Required to have at least one rural location

  4. Overview • Purpose: To determine whether navigation services increase cancer screening and early treatment among targeted ethnic/minority populations. • Huntsman Cancer Institute - one of 6 sites funded • Utah: 10 communities from the Navajo Nation • Montana: 8 participating communities

  5. Demonstration Strategy • Patient navigation • barrier-focused intervention focusing on underserved populations • related to cancer care1. • PNs act as a bridge between patients, providers, and community resources • Navigation vs. education • Randomization by community • Wells KJ et al. Patient Navigation: State of the art, or is it a science?. Cancer. 2008; 113(8): 1999-2010.

  6. Data collection • Data collection involved a self-reported baseline survey, an annual follow-up survey, and exit survey for the navigation group • Participants were enrolled and active between 2007 and 2010.

  7. Selected Results

  8. Total Triage 587 Ineligible 2 Screening 580 Treatment 5 Intervention 213 (35 with Annual) Control 367 (96 with Annual) Exit 157 Exit 228

  9. Demographic characteristics

  10. Summary • Compared to the education group, navigation group was observed to improve the proportion of screening by blood stool test and PSA test. • The navigation intervention was implied to improve the belief in chance of survival if cancer is detected early.

More Related