a College of Social Work , University of Kentucky , Lexington , Kentucky , USA.
Soc Work Health Care. 2014;53(2):83-95. doi: 10.1080/00981389.2013.827149.
This article describes a community-based Patient Navigation (PN) project conducted to identify potential barriers to seeking follow-up cervical cancer care in southeastern Kentucky. Patient navigators (PNs) were placed in cervical cancer programs within county public health departments where they interviewed patients about their perceived barriers to seeking follow-up care after receiving a positive Pap test result. Participants identified various potential barriers at three levels: the individual/personal level, the health care system level and the community/environmental level. One identified barrier that was unique to this study was a lack of consistency between follow-up recommendations and follow-up guidelines for patients under age 21. Implications are discussed.
本文描述了一个基于社区的患者导航（PN）项目，该项目旨在确定肯塔基州东南部患者在寻求宫颈癌后续治疗方面可能存在的障碍。患者导航员（PN）被安置在县公共卫生部门的宫颈癌项目中，他们对患者进行采访，了解他们在接受巴氏涂片检查结果阳性后寻求后续护理时所认为的障碍。参与者在个人/个人层面、医疗保健系统层面和社区/环境层面确定了各种潜在障碍。本研究中发现的一个独特障碍是，21 岁以下患者的随访建议和随访指南之间缺乏一致性。讨论了其影响。
