The role of patient navigators in eliminating health disparities.
The role of patient navigators in eliminating health disparities.
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作者：
Natale-Pereira A;Enard KR;Nevarez L;Jones LA
尽管为提高美国医疗体系的公平性做出了许多重要努力，但并不是所有美国人都能平等地获得医疗服务--或类似的健康结果。为了降低成本和增加医疗保健的可及性，国家新的医疗改革立法包括一些条款，将医疗保险覆盖范围扩大到未参保和保险不足的人群，促进医疗之家，并支持医疗协调。这些规定可能有助于缩小现有的医疗保健差距。然而，许多最脆弱的患者可能仍然难以进入和导航复杂的美国医疗保健提供系统。本文探讨了在不断变化的医疗环境背景下，患者导航在改善种族和少数民族以及其他服务不足的人群的健康结果方面可以发挥的独特作用。患者导航员不仅可以通过宣传和护理协调促进改善服务不足人群的保健机会和质量，而且还可以解决与对提供者和卫生系统的不信任有关的根深蒂固的问题，这些问题往往导致避免健康问题和不遵守治疗建议。通过解决与语言、文化差异和障碍相关的许多差异，耐心的导航员可以在他们所服务的社区内培养信任和赋权。讨论了特定的患者导航器活动，并提出了评估计划努力的指标。
Despite many important efforts to increase equity in the US health care system, not all Americans have equal access to health care—or similar health outcomes. With the goal of lowering costs and increasing accessibility to health care, the nation’s new health care reform legislation includes certain provisions that expand health insurance coverage to uninsured and underinsured populations, promote medical homes, and support coordination of care. These provisions may help narrow existing health care disparities. Many of the most vulnerable patients, however, may continue to have difficulty accessing and navigating the complex US health care delivery system. This article explores the unique role that patient navigation can play in improving health outcomes for racial and ethnic minorities, as well as other underserved populations, in the context of a changing healthcare environment. Patient navigators can not only facilitate improved health care access and quality for underserved populations through advocacy and care coordination, but they can also address deep-rooted issues related to distrust in providers and the health system that often lead to avoidance of health problems and non-compliance with treatment recommendations. By addressing many of the disparities associated with language and cultural differences and barriers, patient navigators can foster trust and empowerment within the communities they serve. Specific patient navigator activities are discussed, and metrics to evaluate program efforts are presented.
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影响因子：
3
作者：
Elkin EB;Ishill NM;Snow JG;Panageas KS;Bach PB;Liberman L;Wang F;Schrag D
通讯作者：
Schrag D
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12.7
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DeVoe, JE;Fryer, GE;Green, L
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Green, L
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O'Brien, MA
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影响因子：
6.2
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