Lay navigator model for impacting cancer health disparities.
Lay navigator model for impacting cancer health disparities.
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DOI：
10.1007/s13187-014-0640-z
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发表时间：
2014-09
期刊：
影响因子：
--
通讯作者：
Roetzheim RG
中科院分区：
文献类型：
--
作者：
Meade CD;Wells KJ;Arevalo M;Calcano ER;Rivera M;Sarmiento Y;Freeman HP;Roetzheim RG
本文叙述了实施非专业患者导航员计划时的经验、挑战和教训，该计划旨在改善在初级保健诊所出现乳腺癌或结直肠癌异常的医疗服务不足患者的癌症护理。该计划雇用了5名非专业导航员为588名患者导航。核心方案要素是：1)使用熟悉其所服务社区的双语业馀导航员；2)提供培训、教育和支助活动；3)多学科临床监督，考虑到病例工作量；4)与社区诊所和社会服务实体发展良好的伙伴关系。医疗保健系统信息的解构是导航过程的基础。我们的结论是，层级导航模式非常适合于在复杂的医疗保健系统中帮助患者；然而，同时包括非层级和专业导航的分级护理模式可能是帮助患者跨越整个连续统的最佳模式。
This paper recounts experiences, challenges, and lessons learned when implementing a lay patient navigator program to improve cancer care among medically underserved patients who presented in a primary care clinic with a breast or colorectal cancer abnormality. The program employed five lay navigators to navigate 588 patients. Central programmatic elements were: 1) use of bilingual lay navigators with familiarity of communities they served; 2) provision of training, education and supportive activities; 3) multidisciplinary clinical oversight that factored in caseload intensity; and 4) well-developed partnerships with community clinics and social service entities. Deconstruction of health care system information was fundamental to navigation processes. We conclude that a lay model of navigation is well suited to assist patients through complex health care systems; however, a stepped care model that includes both lay and professional navigation may be optimal to help patients across the entire continuum.
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DOI：
10.1177/104365969901000108
发表时间：
1999-01-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
Meleis, A I
通讯作者：
Meleis, A I
影响因子：
6.2
作者：
Ramirez, Amelie;Perez-Stable, Eliseo;Penedo, Frank;Talavera, Gregory;Carrillo, J. Emilio;Fernandez, Maria;Holden, Alan;Munoz, Edgar;San Miguel, Sandra;Gallion, Kipling
通讯作者：
Gallion, Kipling
影响因子：
6.2
作者：
Freeman HP;Rodriguez RL
通讯作者：
Rodriguez RL
影响因子：
6.2
作者：
Ell, Kathleen;Vourlekis, Betsy;Palinkas, Lawrence A.
通讯作者：
Palinkas, Lawrence A.
影响因子：
1.9
作者：
Calhoun, Elizabeth A.;Whitley, Elizabeth M.;Valverde, Patricia A.
通讯作者：
Valverde, Patricia A.