Patient navigation: A community centered approach to reducing cancer mortality
Patient navigation: A community centered approach to reducing cancer mortality
复制标题
DOI：
10.1207/s15430154jce2101s_4
复制
发表时间：
2006-03-01
影响因子：
1.6
通讯作者：
Freeman, Harold P.
中科院分区：
文献类型：
--
作者：
Freeman, Harold P.
背景生物医学科学的深刻进步为许多美国人的长寿和生活质量的提高做出了贡献。尽管取得了这一进展，但美国的一些人口群体，特别是穷人和得不到充分服务的人，承受着更沉重的疾病负担。自1973年以来发表的里程碑式报告强调了这些健康差距，探讨了其因果因素，并概述了减少这些差距的战略。最近的研究强调了这些早期报告的结果，这些报告确定了社会地位，经济地位，文化和环境是谁发展和生存癌症以及癌症幸存者生活质量的关键决定因素。方法.病人导航计划于1990年在纽约的哈莱姆建立，以解决社区中少数民族妇女乳腺癌死亡率的巨大差异。结果和结论。哈莱姆患者导航计划的成功为全国各地许多类似患者导航计划的发展提供了动力，并为联邦对患者导航研究的支持提供了动力，以解决有效干预措施消除癌症健康差异的迫切需要，特别是在少数民族和服务不足的人群中。
Background. Profound advances in biomedical science have contributed to increased longevity and improved quality of life for many Americans. Despite this progress, a heavier burden of disease is borne by some population groups in the United States, particularly the poor and underserved. Landmark reports published since 1973 have highlighted these health disparities, explored their causal factors, and outlined strategies to reduce them. More recent research studies underscore the results of these early reports that identify social position, economic status, culture, and environment as critical determinants of who develops and survives cancer and of the quality of life of cancer survivors. Methods. The Patient Navigation Program was established in Harlem, New York, in 1990 to address the dramatic disparities in breast cancer mortality among minority women in the community. Results and Conclusions. The success of the Harlem Patient Navigation Program has provided the impetus for the development of many similar patient navigation programs across the country and for federal support for Patient Navigation research to address the critical need for effective interventions to eliminate cancer health disparities, particularly among minorities and the underserved.