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患者导航员:创建社区嵌套式以患者为中心的癌症护理医疗之家的推动者。

Patient Navigators: Agents of Creating Community-Nested Patient-Centered Medical Homes for Cancer Care.

作者信息

Simon Melissa A, Samaras Athena T, Nonzee Narissa J, Hajjar Nadia, Frankovich Carmi, Bularzik Charito, Murphy Kara, Endress Richard, Tom Laura S, Dong XinQi

机构信息

Associate Professor, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.; Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.

Research Assistant, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

Clin Med Insights Womens Health. 2016 Aug 25;9:27-33. doi: 10.4137/CMWH.S39136. eCollection 2016.

Abstract

Patient navigation is an internationally utilized, culturally grounded, and multifaceted strategy to optimize patients' interface with the health-care team and system. The DuPage County Patient Navigation Collaborative (DPNC) is a campus-community partnership designed to improve access to care among uninsured breast and cervical cancer patients in DuPage County, IL. Importantly, the DPNC connects community-based social service delivery with the patient-centered medical home to achieve a community-nested patient-centered medical home model for cancer care. While the patient navigator experience has been qualitatively documented, the literature pertaining to patient navigation has largely focused on efficacy outcomes and program cost effectiveness. Here, we uniquely highlight stories of women enrolled in the DPNC, told from the perspective of patient navigators, to shed light on the myriad barriers that DPNC patients faced and document the strategies DPNC patient navigators implemented.

摘要

患者导航是一种在国际上得到应用、基于文化且多方面的策略,旨在优化患者与医疗团队及系统的互动。杜佩奇县患者导航协作组织(DPNC)是一个校园与社区的合作项目,旨在改善伊利诺伊州杜佩奇县未参保乳腺癌和宫颈癌患者获得医疗服务的机会。重要的是,DPNC将基于社区的社会服务提供与以患者为中心的医疗之家相连接,以实现一种嵌套于社区的癌症护理以患者为中心的医疗之家模式。虽然患者导航员的经历已有定性记录,但有关患者导航的文献主要集中在疗效结果和项目成本效益上。在这里,我们独特地突出了DPNC中女性参与者的故事,这些故事是从患者导航员的视角讲述的,以揭示DPNC患者面临的众多障碍,并记录DPNC患者导航员实施的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0546/5001622/49298d9ed427/cmwh-9-2016-027f1.jpg

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Providers' Views on a Community-Wide Patient Navigation Program: Implications for Dissemination and Future Implementation.
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