Chicago Cancer Navigation Project

描述(由申请人提供)： 该应用程序的目的是为伊利诺伊州芝加哥的低收入患者开发患者导航干预，这些患者需要对前列腺癌、结直肠癌、乳腺癌和宫颈癌筛查阳性的患者进行后续护理。我们计划创建一个患者导航器计划，该计划与个人联系，这些人虽然贫穷，但在筛查检测呈阳性后，他们有经济保障获得后续护理。退伍军人将通过Jesse Brown Chicago VA及其附属的湖滨社区门诊(VA)健康系统接受后续护理(前列腺癌和结直肠癌)，而在Access社区健康网络(Access)接受护理的患者将通过Medicaid保险计划接受后续护理(作为伊利诺伊州乳癌和宫颈癌治疗法案的一部分，针对乳腺癌和宫颈癌)。拟议的患者导航器将与退伍军人健康管理局(湖滨和西区)和Access紧密结合，Access是公共卫生服务指定的330联邦合格健康中心组织。该计划在一定程度上建立在先前存在的导航计划(来自美国癌症协会/疾病控制中心资助的种族和民族社区卫生方法(REACH)2010项目)的基础上。2003年，退伍军人每年在退伍军人杰西·布朗医学中心被诊断出患有前列腺癌和结直肠癌，而在Access上发现了152名乳腺癌女性和259名宫颈癌女性。通过这一项目，预计将有9400名前列腺癌、结直肠、宫颈和乳房筛查异常的人得到导航。该应用的具体目的是：1)与以前的表现和通常的护理控制点相比，增加导航器干预站点中接受诊断评估的患者的比例；2)对于确实接受后续诊断评估的患者，与以前的表现和通常的护理控制点相比，改善干预站点的异常筛查和确定的随访之间达到诊断解决的平均时间

DESCRIPTION (provided by applicant): The purpose of this application is to develop a patient navigation intervention for lower income patients in Chicago, Illinois, who need follow-up care for positive cancer screening tests of the prostate, colorectum, breast and cervix. We plan to create a patient navigator program, which interfaces with individuals, who although poor, have guaranteed financial access to follow-up care after a positive screening test is reported. Veterans will receive follow-up care through the Jesse Brown Chicago VA and affiliated Lakeside Community Based Outpatient Clinic (VA) health system (for prostate and colorectal cancer) and patients who receive care at Access Community Health Network (ACCESS) will receive follow-up care through the Medicaid insurance program (for breast and cervical cancer, as part of the Illinois Breast and Cervical Cancer Treatment Act). The proposed patient navigator will be closely integrated with the Veterans' Health Administration (Lakeside and Westside locations) and ACCESS, a Public Health Service-designated 330 Federally Qualified Health Center organization. This program is built, in part, upon a pre-existing navigator program (from the American Cancer Society / Centers for Disease Control funded Racial and Ethnic Approaches to Community Health (REACH) 2010 project). In 2003, 150 Veterans were diagnosed with prostate cancer and 120 diagnosed with colorectal cancer each year at the Jesse Brown VA medical center, while 152 women with breast cancer and 259 women with cervical cancer were identified at ACCESS. Through this program it is estimated that 9400 persons with abnormal screening tests for prostate, colorectal, cervical and breast will be navigated. The specific aims of this application are to: 1) increase the proportion of patients with diagnostic evaluations amongst the navigator interventions sites as compared to both previous performance and the usual care control sites; 2) for patients who do get follow-up diagnostic evaluations to improve mean time to a diagnostic resolution between abnormal screening and definitive follow-up for the intervention sites as compared to both previous performance and to the usual care control sites