Racial and ethnic differences in patient navigation: Results from the Patient Navigation Research Program
Racial and ethnic differences in patient navigation: Results from the Patient Navigation Research Program
复制标题
DOI：
10.1002/cncr.30109
复制
发表时间：
2016-09-01
期刊：
影响因子：
6.2
通讯作者：
Freund, Karen M.
中科院分区：
文献类型：
--
作者：
Ko, Naomi Y.;Snyder, Frederick R.;Freund, Karen M.
开发患者导航是为了解决及时护理的障碍并减少癌症差异。目前的研究探讨了导航和种族和民族的差异，在时间上的诊断分辨率的癌症筛查abnormality.METHODSThe作者进行了分析的多站点患者导航研究计划。癌症筛查试验异常的参与者被分配到导航组或对照组。按导航和对照组计算每个人种和种族组的未校正中位缓解时间。多变量考克斯比例风险模型进行拟合，调整性别，年龄，癌症异常类型，健康保险和分层的护理centersofcare. ESTSAmong样本的7514名参与者，29%是非西班牙裔白色，43%是西班牙裔，28%是黑人。在对照组中，发现黑人个体的诊断解决的中位时间（108天）比非西班牙裔白色个体（65天）或西班牙裔个体（68天）更长（P
BACKGROUNDPatient navigation was developed to address barriers to timely care and reduce cancer disparities. The current study explored navigation and racial and ethnic differences in time to the diagnostic resolution of a cancer screening abnormality.METHODSThe authors conducted an analysis of the multisite Patient Navigation Research Program. Participants with an abnormal cancer screening test were allocated to either navigation or control. The unadjusted median time to resolution was calculated for each racial and ethnic group by navigation and control. Multivariable Cox proportional hazards models were fit, adjusting for sex, age, cancer abnormality type, and health insurance and stratifying by center of care.RESULTSAmong a sample of 7514 participants, 29% were non-Hispanic white, 43% were Hispanic, and 28% were black. In the control group, black individuals were found to have a longer median time to diagnostic resolution (108 days) compared with non-Hispanic white individuals (65 days) or Hispanic individuals (68 days) (P