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Establishing effective patient navigation programs in oncology.

Diego Lopez1, Mandi L Pratt-Chapman2, Elizabeth A Rohan3

  • 1Harvard Medical School, Boston, MA, USA.

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
|March 20, 2019
PubMed
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Patient navigation programs improve cancer care access and outcomes for patients facing healthcare barriers. Further work is needed to standardize practices and align payment policies for oncology navigation.

Keywords:
Cancer care barriersOncologyPatient navigation

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Area of Science:

  • Oncology
  • Health Services Research
  • Public Health

Background:

  • Cancer treatment advances have improved survival rates.
  • Many US patients face challenges accessing timely and equitable cancer care.
  • Patient navigation is crucial for addressing these access barriers.

Purpose of the Study:

  • Disseminate conclusions from a National Cancer Policy Forum workshop on patient navigation.
  • Provide a clinically relevant review of patient navigation in oncology.
  • Facilitate discussions on improving patient navigation services in cancer care.

Main Methods:

  • Narrative literature review.
  • Summary of workshop discussions among experts.
  • Synthesis of current evidence on patient navigation.

Main Results:

  • Patient navigation effectively improves cancer care outcomes across the continuum.
  • Evidence supports navigation in overcoming patient- and system-level barriers.
  • Consensus on scope of practice and evaluation criteria is still needed.

Conclusions:

  • Patient navigation is essential for equitable cancer care access.
  • Navigation programs address critical barriers for vulnerable patient populations.
  • Policy and payment alignment are necessary for widespread navigation program success.