An exploration of facilitators and barriers to patient navigator core functions with breast cancer patients: Implications for the development of a human-centered mHealth app.
An exploration of facilitators and barriers to patient navigator core functions with breast cancer patients: Implications for the development of a human-centered mHealth app.
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乳腺癌患者导航核心功能的促进者和障碍的探索：对以人为本的移动健康应用程序开发的影响。
DOI：
10.1016/j.pecinn.2023.100226
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发表时间：
2023-12-15
期刊：
影响因子：
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通讯作者：
Graves, Kristi D
中科院分区：
文献类型：
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作者：
Carr, Alaina L;Vinod, Naomi;Farha, Patrick;Lu, Tan;Farha, Maen J;Graves, Kristi D
了解患者导航员(PN)在为诊断为乳腺癌(BC)的患者导航时遇到的核心功能和工作流程障碍。确定移动健康(MHealth)应用程序如何帮助PNS向BC患者提供护理。本次定性研究于2021年1月至8月采用目的性抽样的方式招募利益相关者(N=333)。我们对PNS(n=11)、肿瘤护理提供者(n=12)和BC患者(n=10)进行了个人半结构化访谈。我们采用常规的内容分析方法对访谈数据进行分析。参与者确定了PN工作流程中对BC患者护理产生负面影响的下列社会技术系统障碍：1)资源，2)保险覆盖，3)沟通挑战，4)后勤任务的影响。与会者认为，用户体验、应用程序功能和互操作性定制以增强PNS提供的患者护理，是要包括在mHealth应用程序中的重要设计元素。利益相关者的反馈为开发用于BC护理交付的PN的mHealth应用程序的关键设计考虑因素、功能和内容领域提供了宝贵的见解。这是首批将以人为中心的设计和社会技术系统框架结合在一起的研究之一，以了解在整个癌症护理连续统一体中的PN工作流程和提供BC患者护理的障碍。患者导航员在乳腺癌的护理和分娩中至关重要。患者导航器工作流中的限制可能会对乳腺癌护理产生负面影响。由以人为中心的设计和社会技术系统框架提供信息。在设计mHealth应用程序时，要考虑多层次的因素。MHealth应用程序可以增强整个护理过程中的患者导航器工作流。
To understand the barriers to core functions and workflow among patient navigators (PN) who navigate people diagnosed with breast cancer (BC). To identify how a mobile health (mHealth) app could assist PNs in providing care to BC patients. This qualitative research study used purposive sampling to recruit stakeholders (N = 33) from January to August 2021. We conducted individual semi-structured interviews with PNs (n = 11), oncology care providers (n = 12), and BC patients (n = 10). We used conventional content analysis to analyze the interview data. Participants identified the following sociotechnical systems barriers in PN workflows that negatively impact BC patient care: 1) resources, 2) insurance coverage, 3) communication challenges, and 4) impact of logistical tasks. Participants identified the user experience, app features, and interoperability customizations to enhance PNs' provision of patient care as important design elements to include in a mHealth app. Feedback from stakeholders provided valuable insights into key design considerations, functions, and content areas for developing a mHealth app for PN use in BC care delivery. This is one of the first studies to incorporate the human-centered design and sociotechnical systems frameworks to understand barriers to PN workflow and provision of BC patient care across the cancer care continuum. Patient navigators are critical in breast cancer care and delivery. Limits in patient navigator workflows can negatively impact breast cancer care. Informed by a human-centered design and sociotechnical systems framework. Consider multilevel factors when designing a mHealth app. A mHealth app may enhance patient navigator workflows across the care continuum.