Evaluating a Bilingual Patient Navigation Program for Uninsured Women with Abnormal Screening Tests for Breast and Cervical Cancer: Implications for Future Navigator Research

Overview

Journal Am J Public Health

Specialty Public Health

Date 2015 Feb 26

PMID 25713942

Citations 17

Authors

Melissa A Simon

Laura S Tom

Narissa J Nonzee

Kara R Murphy

Richard Endress

XinQi Dong

Joe Feinglass

Affiliations

Soon will be listed here.

Abstract

Objectives: The DuPage Patient Navigation Collaborative evaluated the Patient Navigation Research Program (PNRP) model for uninsured women receiving free breast or cervical cancer screening through the Illinois Breast and Cervical Cancer Program in DuPage County, Illinois.

Methods: We used medical records review and patient surveys of 477 women to compare median follow-up times with external Illinois Breast and Cervical Cancer Program and Chicago PNRP benchmarks of performance. We examined the extent to which we mitigated community-defined timeliness risk factors for delayed follow-up, with a focus on Spanish-speaking participants.

Results: Median follow-up time (29.0 days for breast and 56.5 days for cervical screening abnormalities) compared favorably to external benchmarks. Spanish-speaking patients had lower health literacy, lower patient activation, and more health care system distrust than did English-speaking patients, but despite the prevalence of timeliness risk factors, we observed no differences in likelihood of delayed (> 60 days) follow-up by language.

Conclusions: Our successful replication and scaling of the PNRP navigation model to DuPage County illustrates a promising approach for future navigator research.

Citing Articles

Interventions to increase follow-up of abnormal cervical cancer screening results: A systematic literature review and meta-analysis.

Varon M, Geng Y, Fellman B, Troisi C, Fernandez M, Li R PLoS One. 2024; 19(2):e0291931.

PMID: 38381754 PMC: 10880967. DOI: 10.1371/journal.pone.0291931.

Predicting Social Determinants of Health in Patient Navigation: Case Study.

Iacobelli F, Yang A, Tom L, Leung I, Crissman J, Salgado R JMIR Form Res. 2023; 7:e42683.

PMID: 36976634 PMC: 10131925. DOI: 10.2196/42683.

Primary Care Clinician Perspectives on Patient Navigation to Improve Postpartum Care for Patients with Low Income.

Filicko A, Huennekens K, Davis K, Dolan B, Williams B, Feinglass J Womens Health Rep (New Rochelle). 2023; 3(1):1006-1015.

PMID: 36636317 PMC: 9811840. DOI: 10.1089/whr.2022.0064.

Delay of routine health care during the COVID-19 pandemic: A theoretical model of individuals' risk assessment and decision making.

Shukla P, Lee M, Whitman S, Pine K Soc Sci Med. 2022; 307:115164.

PMID: 35816834 PMC: 9217083. DOI: 10.1016/j.socscimed.2022.115164.

An examination of the implementation of a patient navigation program to improve breast and cervical cancer screening rates of Chinese immigrant women: a qualitative study.

Lewis-Thames M, Tom L, Leung I, Yang A, Simon M BMC Womens Health. 2022; 22(1):28.

PMID: 35120523 PMC: 8815179. DOI: 10.1186/s12905-022-01610-7.

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