Understanding Opportunities to Strengthen and Support Cancer Patient Navigation in Pennsylvania: An Environmental Scan.

Background: Patient navigation (PN) improves cancer-related care, especially care among vulnerable populations who have limited access to medical and preventive care. The Cancer Navigation and Survivorship Network (CaNSuN), established in 2018, aims to connect, educate, and share evidence-based prac...

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Publicado en:Journal of Oncology Navigation & Survivorship Vol. 15; no. 3; pp. 74 - 82
Autores principales: Curriero, Samantha, Konkle, Kate, Ahuja, Nirmal, Lengerich, Eugene J.
Formato: research tables/charts Journal Article
Publicado: Amplity Health Mar2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2024
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      pub: Amplity Health
      place: East Windsor, New Jersey
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        atl: Understanding Opportunities to Strengthen and Support Cancer Patient Navigation in Pennsylvania: An Environmental Scan.
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          Curriero, Samantha
          Konkle, Kate
          Ahuja, Nirmal
          Lengerich, Eugene J.
        affil: Johns Hopkins University School of Nursing, Baltimore, MD
      sug:
        subj:
          Patient Navigation
          Oncologic Care Pennsylvania
          Financial Support
          Success
          Geographic Factors
          Human
          Male
          Female
          Pennsylvania
          Cancer Patients
          Surveys
          Questionnaires
          Descriptive Statistics
          Bivariate Statistics
          Comparative Studies
          Patient Satisfaction
          Data Analysis Software
          Chi Square Test
          Funding Source
          Male
          Female
      ab: Background: Patient navigation (PN) improves cancer-related care, especially care among vulnerable populations who have limited access to medical and preventive care. The Cancer Navigation and Survivorship Network (CaNSuN), established in 2018, aims to connect, educate, and share evidence-based practices among navigators in Pennsylvania. Objectives: To conduct an environmental scan to increase understanding of navigation in Pennsylvania and identify strategies to better support and strengthen PN. The scan sought to describe characteristics of navigators, funding for and primary location of PN, measures of success, and important challenges. Methods: A 19-question survey was developed, piloted, and then administered in September 2021. The survey was initially distributed to the 169 CaNSuN newsletter subscribers and members of the Pennsylvania Cancer Coalition with a request to complete the survey and distribute the survey to colleagues. Additionally, requests were emailed to health system partners, state Department of Health, American Cancer Society, and community- based organizations. Descriptive and bivariate analyses were conducted. Results: Of the 82 complete responses, 77% were from nurse navigators and community health workers and were almost equally divided between working in community, clinical, and hospital settings. Navigators reported being in the field, on average, for 6 years. Challenges identified were lack of clarity on the role (32%), lack of guidelines for navigation (28%), measuring program success (28%), and funding (25%). About 40% reported their positions were funded by a hospital, and 20% by nonprofits. Patient satisfaction (50%) and time to treatment (24%) were the most common measures used to evaluate success. Significant relationships were observed between the navigator type and work setting, involvement at different stages of the cancer continuum, evaluation methods, and challenges. Conclusion: Results identified opportunities to strengthen support for both navigators and navigation systems in Pennsylvania. Navigation is a growing field with many navigators being new to the role. Groups like CaNSuN can provide professional development and facilitate a statewide learning community of navigators. CaNSuN can advocate for systems and policy change that will better support PN.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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