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The Knowledge Exchange-Decision Support Model: application to cancer navigation programs.

A Fuchsia Howard1, Kirsten Smillie, Vivian Chan

  • 1School of Population and Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada, fuchsia.howard@ubc.ca.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|September 27, 2013
PubMed
Summary
This summary is machine-generated.

The Knowledge Exchange-Decision Support (KE-DS) Model helps plan cancer navigation programs by revealing how local health services and navigator roles impact patient care. This structured approach improves future program development.

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Area of Science:

  • Health Services Research
  • Knowledge Translation
  • Cancer Care Delivery

Background:

  • The Knowledge Exchange-Decision Support (KE-DS) Model offers a framework for knowledge generation and exchange.
  • Cancer navigation programs aim to improve patient access to care and support.

Purpose of the Study:

  • To demonstrate how the KE-DS Model clarifies contextual factors in planning and implementing cancer navigation programs.
  • To illustrate the application of the KE-DS Model in two Canadian cancer navigation initiatives.

Main Methods:

  • Qualitative thematic analysis of interviews and narrative data.
  • The KE-DS Model guided data collection and analysis.
  • Comparison of planning and implementation of two distinct cancer navigation programs.

Main Results:

  • Program conceptualization and adaptation varied based on local health service structures and professional roles.
  • Navigator roles were adapted to local contexts, influencing patient assessment, referral, education, coordination, and advocacy.
  • Distinct navigation approaches improved access to care for diverse patient populations.

Conclusions:

  • The KE-DS Model facilitates a structured approach to planning and implementing navigation programs.
  • Utilizing the KE-DS Model makes explicit the types of evidence used in program planning.
  • Systematic application of the KE-DS Model enhances understanding of knowledge exchange science.