Cancer patient navigator tasks across the cancer care continuum.

Cancer patient navigator tasks across the cancer care continuum.
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DOI:
10.1353/hpu.2012.0029
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发表时间:
2012-02
影响因子:
1.4
通讯作者:
Ramirez AG
Ramirez AG
中科院分区:
医学4区
文献类型:
--
作者:
Braun KL;Kagawa-Singer M;Holden AE;Burhansstipanov L;Tran JH;Seals BF;Corbie-Smith G;Tsark JU;Harjo L;Foo MA;Ramirez AG

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癌症患者导航(PN)计划已被证明可以增加贫困和服务不足的个人获得和利用癌症护理的机会。尽管有越来越多的证据表明其价值,但癌症患者导航并没有得到普遍理解或提供。我们描述了五个PN计划及其导航员在癌症护理连续体中提供的任务范围(教育和外展,筛查,诊断和分期,治疗,生存和生命结束)。任务是根据其潜力组织的,使癌症服务可以理解,可用,可访问,负担得起,适当和负责。虽然导航员在五个项目中执行类似的任务,但他们的具体方法反映了社区文化,背景,项目设置和资金的差异。任务列表可以为项目的开发、工作描述、培训和评估提供信息。它们还可能有助于认证导航员和建立导航服务补偿机制。
Cancer patient navigation (PN) programs have been shown to increase access to and utilization of cancer care for poor and underserved individuals. Despite mounting evidence of its value, cancer patient navigation is not universally understood or provided. We describe five PN programs and the range of tasks their navigators provide across the cancer care continuum (education and outreach, screening, diagnosis and staging, treatment, survivorship, and end-of-life). Tasks are organized by their potential to make cancer services understandable, available, accessible, affordable, appropriate, and accountable. Although navigators perform similar tasks across the five programs, their specific approaches reflect differences in community culture, context, program setting, and funding. Task lists can inform the development of programs, job descriptions, training, and evaluation. They also may be useful in the move to certify navigators and establish mechanisms for reimbursement for navigation services.
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