Division of Cancer Survivorship, The George Washington University Cancer Institute, 2300 Eye Street NW, Washington, DC 20037, USA.
Cancer. 2011 Aug;117(15 Suppl):3575-84. doi: 10.1002/cncr.26261.
Survivorship navigation is a relatively new concept in the field of patient navigation but an important one. This article highlights the essential functions of the survivorship navigator and defines core outcomes and measures for navigation in the survivorship period. Barriers to access to care experienced by patients during active cancer treatment can continue into the post-treatment period, affecting quality follow-up care for survivors. These barriers to care can be particularly acute for non-English speakers, immigrants, the uninsured, the underinsured, and other vulnerable populations. The survivorship navigator can help reduce barriers and facilitate access to survivorship care and services through communication and information exchange for patients. Survivorship navigation may improve appropriate health care utilization through education and care coordination, potentially improving health outcomes and quality of life of survivors while reducing cost to the health care system. Survivorship navigators can also educate survivors on how to improve their overall wellness, thereby directly impacting the health of a growing population of cancer survivors.
生存导航是患者导航领域一个相对较新的概念，但却非常重要。本文重点介绍了生存导航员的基本职能，并确定了生存阶段导航的核心结果和指标。在癌症治疗的活跃期经历的获得治疗的障碍可能会持续到治疗后阶段，从而影响到幸存者的优质随访护理。对于非英语使用者、移民、没有保险的人、保险不足的人以及其他弱势群体来说，这些护理障碍可能尤为突出。生存导航员可以通过与患者进行沟通和信息交流，帮助减少障碍，促进生存护理和服务的获取。生存导航可能通过教育和护理协调来改善适当的医疗保健利用，从而潜在地改善幸存者的健康结果和生活质量，同时降低医疗保健系统的成本。生存导航员还可以教育幸存者如何提高整体健康水平，从而直接影响到越来越多的癌症幸存者的健康。
