Breast Cancer Navigation and Patient Satisfaction: Exploring a Community-Based Patient Navigation Model in a Rural Setting

Hook, Ann; Ware, Laurie Jowers; Siler, Bobbie; Packard, A B

doi:10.1188/12.onf.379-385

Cited by 24 publications

(35 citation statements)

References 25 publications

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“…Consistent with a previous study of breast cancer patient navigation in a rural setting, 14 the organizational structure of our BCP has led to increased satisfaction for the patient and provider especially due to the characteristic real time accessibility. Within the BCP, the navigator role has been instrumental in improving outcomes-related timeliness of patient care.…”

Section: Highlights Of the Marshfield Clinic Breast Care Program Patisupporting

confidence: 82%

Navigating the Needs of Rural Women with Breast Cancer: A Breast Care Program

Depke

Boreen

Onitilo

2015

Clinical Medicine & Research

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We describe the development and establishment of a breast care program (BCP) with service for rural breast cancer patients. Our program is a comprehensive program serving rural communities in Wisconsin. Our BCP is committed to breast health throughout the continuum from breast cancer risk assessment and prevention, advanced diagnostics, and screening tools to genetic testing and state-ofthe-art surgical techniques. To provide the highest level of care, we coordinate a breast care team involving collaboration of multidisciplinary healthcare professionals. Experts from various departments, including radiologists, pathologists, breast surgeons, medical and radiation oncologists, genetic counselors, clinical trial specialists, and our breast care navigator, all work together to provide cutting edge cancer treatment and management. Our distinctive BCP allows patients to see multiple providers without having to make multiple appointments and promotes discussion of treatment recommendations and creation of a personalized treatment plan for each patient by a team of specialists.

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Section: Highlights Of the Marshfield Clinic Breast Care Program Patisupporting

confidence: 82%

Navigating the Needs of Rural Women with Breast Cancer: A Breast Care Program

Depke

Boreen

Onitilo

2015

Clinical Medicine & Research

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“…There are relatively few well-designed studies measuring satisfaction. Studies have measured satisfaction with PN [7–13], satisfaction with a statewide program that includes patient navigation [14], and satisfaction with health care [15–17] among patients who received PN. Most studies have found patients are highly satisfied with PN services or health care [7–16].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies did not have a control group, had a small sample size, or did not use psychometrically validated measures of patient satisfaction [7–16, 19–21]. Additionally, several PN studies that evaluated patient satisfaction were conducted with patients who had breast and/or cervical abnormalities, and thus, had limited male participation [7–10, 13, 15, 18, 20]. …”

Section: Introductionmentioning

confidence: 99%

Effect of patient navigation on satisfaction with cancer-related care

Wells

Winters

Jean‐Pierre

et al. 2015

Support Care Cancer

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Purpose Despite growing popularity of patient navigation (PN) as a means to improve cancer care quality and reduce cancer-related disparities, there are few well-designed controlled trials assessing the impact of PN on patient outcomes like satisfaction with care. The present controlled study examined effect of PN on satisfaction with cancer-related care. Methods Patients who presented with a symptom or abnormal screening test (n=1788) or definitive diagnosis (n=445) of breast, cervical, colorectal, or prostate cancer from eight Patient Navigator Research Program sites were included in one of two groups: intervention (PN) or comparison (usual care or usual care plus cancer educational materials). Trained patient navigators met with intervention group participants to help them assess and identify resources to address barriers to cancer diagnostic or treatment care. Using a validated instrument, we assessed participants' satisfaction with their cancer diagnostic or treatment care up to 3 months after diagnostic resolution of a cancer-related abnormality or within 3 months of initiation of cancer treatment. Results Overall, patients reported high satisfaction with diagnostic care and cancer treatment. There were no statistically significant differences between PN and control groups in satisfaction with cancer-related care (p>0.05). Hispanic and African American participants were less likely to report high satisfaction with cancer care when compared to White patients. Middle-aged participants with higher education, higher household income, private insurance, owning their own home, working full-time, and those whose primary language is English had higher satisfaction with cancer-related diagnostic care. Conclusions PN had no statistically significant effect on patients' satisfaction with cancer-related care. Further research is needed to define the patient populations who might benefit from PN, content of PN that is most useful, and services that might enhance PN.

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“…Navigators can promote collaborative relationships and facilitate communication among providers (Hook et al, 2012). They can facilitate access to care and help women maneuver the healthcare system by addressing specific barriers to care through assisting women with overcoming insurance barriers and selecting healthcare agencies and providers for procedures (NAPBC, 2012).…”

Section: Discussionmentioning

confidence: 98%

“…The potential negative effect on survival because of diagnostic delays was a motivating factor in the development of navigator programs (Raich et al, 2012). The literature shows that navigation improves timely diagnosis; however, the effect of navigation on patient satisfaction and distress during the breast biopsy period remains unclear (Hook, Ware, Siler, & Packard, 2012;Paskett et al, 2012;Raich et al, 2012).…”

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confidence: 98%

Effect of Nurse Navigation on Patient Care Satisfaction and Distress Associated With Breast Biopsy

Harding

2015

CJON

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Navigated women had lower scores on every distress measure and were less likely to seek information from an outside source. Women who were more satisfied with their care reported decreased distress; the factors influencing distress varied depending on whether they were the recipient of navigation services. In the non-navigated population, general satisfaction with care and accessibility were more likely to influence distress.

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Breast Cancer Navigation and Patient Satisfaction: Exploring a Community-Based Patient Navigation Model in a Rural Setting

Cited by 24 publications

References 25 publications

Navigating the Needs of Rural Women with Breast Cancer: A Breast Care Program

Navigating the Needs of Rural Women with Breast Cancer: A Breast Care Program

Effect of patient navigation on satisfaction with cancer-related care

Effect of Nurse Navigation on Patient Care Satisfaction and Distress Associated With Breast Biopsy

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