Evaluating a bilingual patient navigation program for uninsured women with abnormal screening tests for breast and cervical cancer: Implications for future navigator research

M.A. Simon, L.S. Tom, N.J. Nonzee, K.R. Murphy, R. Endress, X. Dong and J. Feinglass

American Journal of Public Health, 2015, vol. 105, issue 5, e87-e94

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. Spanishspeaking 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.

Keywords: adolescent; adult; Breast Neoplasms; ethnology; female; health literacy; health services research; Hispanic; human; Illinois; middle aged; multilingualism; organization and management; patient attitude; patient care; program evaluation; risk factor; socioeconomics; time factor; trust; Uterine Cervical Neoplasms; young adult, Adolescent; Adult; Breast Neoplasms; Female; Health Literacy; Health Services Research; Hispanic Americans; Humans; Illinois; Middle Aged; Multilingualism; Patient Acceptance of Health Care; Patient Navigation; Program Evaluation; Risk Factors; Socioeconomic Factors; Time Factors; Trust; Uterine Cervical Neoplasms; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302341_8

DOI: 10.2105/AJPH.2014.302341

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