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Updated: Mar 2, 2026

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Practical Methodology of Cognitive Tasks Within a Navigational Assessment
Published on: June 1, 2015
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What Makes Patient Navigation Most Effective: Defining Useful Tasks and Networks
Journal of Health Care for the Poor and Underserved
|May 23, 2017
Summary
Patient navigators improve cancer care by directly assisting patients and coordinating with providers. Activities not directly related to diagnosis, but focused on patient support, significantly improve timely diagnosis rates.
Area of Science:
- Oncology
- Health Services Research
- Patient Navigation
Background:
- Patient navigation is increasingly adopted in cancer care.
- Understanding specific navigator activities' impact on clinical outcomes is crucial.
Purpose of the Study:
- To correlate specific patient navigator tasks with improved clinical outcomes, specifically the rate of diagnostic resolution.
- To identify which navigator activities are most effective in facilitating timely cancer diagnosis.
Main Methods:
- A mixed-methods study combining direct observation of patient navigators and analysis of trial outcome data.
- Correlation analysis was used to link navigator task frequency with diagnostic resolution rates.
- Focused content analysis identified key tasks associated with patient outcomes.
Main Results:
- Direct patient navigation (r = 0.679) and collaboration with clinical providers (r = 0.643) positively correlated with timely diagnosis.
- Tasks not directly related to diagnostic evaluation showed the strongest positive association (r = 0.714).
- Using medical records for non-navigation tasks had a negative association (r = -0.643).
Conclusions:
- Patient-centered navigation activities significantly improve timely diagnosis in cancer care.
- Systems-focused activities, such as using medical records for non-navigation tasks, may hinder diagnostic progress.
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