University of California San Francisco/Zuckerberg San Francisco General Hospital, San Francisco, CA.
The Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA.
Am Soc Clin Oncol Educ Book. 2021 Mar;41:1-8. doi: 10.1200/EDBK_100026.
Notable barriers exist in the delivery of equitable care for all patients with cancers. Social determinants of health at distal, intermediate, and proximal levels impact cancer care. Patient navigation is a patient-centered intervention that functions across these overlapping determinants to increase access to cancer services throughout the cancer care continuum. There is a need to standardize patient navigation training while remaining responsive to local contexts of care and a need to implement patient navigation programs with a health equity lens to address cancer care inequities.
在为所有癌症患者提供公平的护理方面存在显著障碍。健康的社会决定因素在远端、中间和近端层面影响癌症护理。患者导航是一种以患者为中心的干预措施,可在这些重叠的决定因素中发挥作用,以增加整个癌症护理连续体中癌症服务的可及性。需要在保持对当地护理环境的响应能力的同时,使患者导航培训标准化,并且需要实施以健康公平为视角的患者导航计划,以解决癌症护理中的不平等问题。