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导航作为一种干预措施,以消除美洲印第安人社区的差异。

Navigation as an intervention to eliminate disparities in American Indian communities.

机构信息

University of Colorado, College of Nursing, Aurora, CO 80045, USA.

出版信息

Semin Oncol Nurs. 2013 May;29(2):118-27. doi: 10.1016/j.soncn.2013.02.007.

Abstract

OBJECTIVES

To identify the role of patient navigation in decreasing health care disparities through an exemplar of a successful patient navigation program for American Indian populations living in the Northern and Southern Plains of the United States.

DATA SOURCES

Published literature and data from the Native Navigators and the Cancer Continuum study.

CONCLUSION

Native Patient Navigators successfully collaborated with local American Indian organizations to provide cancer education through a series of 24-hour workshops. These workshops increased community knowledge about cancer, influenced cancer screening behaviors, and increased the visibility and availability of the navigators to provide navigation services.

IMPLICATIONS FOR NURSING PRACTICE

Reaching those with health care disparities requires multiple strategies. Collaborating with patient navigators who are embedded within and trusted by their communities helps to bridge the gap between patients and providers, increases adherence to care recommendations, and improves quality of life and survival.

摘要

目的

通过一个成功的美国印第安人北方和南方平原地区的患者导航计划的范例,确定患者导航在减少医疗保健差异方面的作用。

资料来源

已发表的文献和来自 Native Navigators 和癌症连续体研究的数据。

结论

本土患者导航员成功地与当地的美国印第安人组织合作,通过一系列 24 小时的研讨会提供癌症教育。这些研讨会提高了社区对癌症的认识,影响了癌症筛查行为,并提高了导航员提供导航服务的可见性和可用性。

对护理实践的意义

要接触到那些存在医疗保健差异的人需要多种策略。与那些被其社区所嵌入和信任的患者导航员合作,有助于弥合患者和提供者之间的差距,提高对护理建议的依从性,并改善生活质量和生存。

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