Keys to the Successful Implementation of Community-Based Outreach and Navigation: Lessons from a Breast Health Navigation Program
Keys to the Successful Implementation of Community-Based Outreach and Navigation: Lessons from a Breast Health Navigation Program
复制标题
DOI：
10.1007/s13187-015-0904-2
复制
发表时间：
2017-03-01
影响因子：
1.6
通讯作者：
Benjamins, Maureen R.
中科院分区：
文献类型：
--
作者：
Hunt, Bijou R.;Allgood, Kristi L.;Benjamins, Maureen R.
乳腺癌死亡率的种族差异得到了充分的证明，这促使公共卫生界做出了积极的反应，包括制定和实施乳腺健康教育和乳腺癌导航计划。许多项目成功地接触到了妇女，并提供了接受筛查的教育和动力，另外，许多项目成功地引导了那些从筛查乳房X光检查中获得异常结果并需要随访的妇女。然而，在服务方面仍然存在一个重大差距，社区妇女没有得到系统的导航，无法进行初次乳房X光检查。本文描述了一个以社区为基础，社区卫生工作者为主导的乳腺健康教育和筛查导航计划，详细介绍了用于测量导航结果的指标，并讨论了该项目的独特功能，这些功能可以在其他环境中进行调整，以启动类似的程序。
The well-documented racial disparities in breast cancer mortality have prompted an aggressive response from the public health community, including the development and implementation of breast health education and breast cancer navigation programs. Many programs are successfully reaching women and providing education and motivation to get screened, and separately, many programs are successfully navigating women who have received abnormal results from a screening mammogram and need follow-up. However, a crucial gap in services remains, where women in the community are not receiving systematic navigation to their initial screening mammogram. This paper describes a community-based, community health worker-led breast health education and screening navigation program, details the metrics used to measure navigation outcomes, and discusses unique features of this project which could be adapted within other settings to initiate similar programming.