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Patient-centered Care01:13

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Introduction To Health Care Delivery System01:18

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Providers' Views on a Community-Wide Patient Navigation Program: Implications for Dissemination and Future

Erika E de la Riva1, Nadia Hajjar2, Laura S Tom1

  • 1Northwestern University-Feinberg School of Medicine, Chicago, IL, USA.

Health Promotion Practice
|March 25, 2016
PubMed
Summary

The DuPage Patient Navigation Collaborative (DPNC) improved care for women with abnormal cancer screenings by strengthening community partnerships. Patient navigators enhanced service delivery, though expanding this model to other health areas is recommended.

Keywords:
access to health carebreast cancercervical cancercommunity-based participatory researchhealth disparitiesminority health

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Area of Science:

  • Public Health
  • Health Services Research
  • Community Health

Background:

  • The DuPage Patient Navigation Collaborative (DPNC) adapted a model to assist uninsured women with abnormal breast/cervical cancer screenings.
  • Previous findings show DPNC effectiveness in addressing delayed follow-up risk factors, but patient measures may not fully capture navigator impact.

Purpose of the Study:

  • To explore the critical roles of the DPNC in strengthening community partnerships and enhancing clinical services through provider interviews.
  • To identify how navigators impact resource utilization and service delivery for vulnerable populations.

Main Methods:

  • Conducted semistructured interviews with 19 DPNC providers from diverse organizations (county health, clinics, advocacy, academia).
  • Analyzed qualitative data to understand provider perspectives on DPNC's role in community and clinical settings.

Main Results:

  • Providers reported that while resources existed, they were often underused before DPNC implementation.
  • DPNC was instrumental in fostering community partnerships, improving referral processes, communication, and clinical service delivery.
  • Navigators enhanced collaboration between community resources and clinical teams.

Conclusions:

  • The DPNC model effectively strengthens community partnerships and enhances clinical service delivery for vulnerable women.
  • Expanding patient navigation to mental health, women's health, and chronic conditions is recommended.
  • Integrating community-embedded navigators can improve healthcare access and service delivery for underserved populations.