Establishing effective patient navigation programs in oncology

Springer Science and Business Media LLC - Tập 27 - Trang 1985-1996 - 2019
Diego Lopez1, Mandi L. Pratt-Chapman2, Elizabeth A. Rohan3, Lisa Kennedy Sheldon4, Karen Basen-Engquist5, Ron Kline6, Lawrence N. Shulman7, Efren J. Flores8
1Harvard Medical School, Boston, USA;
2The George Washington University Cancer Center, Washington, USA
3Centers for Disease Control and Prevention, Chamblee, USA
4Oncology Nursing Society, Pittsburgh, USA
5University of Texas M. D. Anderson Cancer Center, Houston, USA
6Centers for Medicare & Medicaid Innovation, Baltimore, USA
7University of Pennsylvania Abramson Cancer Center, Philadelphia, USA
8Massachusetts General Hospital, Boston, USA

Tóm tắt

Recent advances in cancer treatment have resulted in greatly improved survival, and yet many patients in the USA have not benefited due to poor access to healthcare and difficulty accessing timely care across the cancer care continuum. Recognizing these issues and the need to facilitate discussions on how to improve navigation services for patients with cancer, the National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine (NASEM) held a workshop entitled, “Establishing Effective Patient Navigation Programs in Oncology. The purpose of this manuscript is to disseminate the conclusions of this workshop while providing a clinically relevant review of patient navigation in oncology. Narrative literature review and summary of workshop discussions Patient navigation has been shown to be effective at improving outcomes throughout the spectrum of cancer care. Work remains to develop consensus on scope of practice and evaluation criteria and to align payment incentives and policy. Patient navigation plays an essential role in overcoming patient- and system-level barriers to improve access to cancer care and outcomes for those most in need.

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