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

Melissa A. Simon*, Laura S. Tom, Narissa J. Nonzee, Kara R. Murphy, Richard Endress, Xin Qi Dong, Joe Feinglass

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)e87-e94
JournalAmerican journal of public health
Volume105
Issue number5
DOIs
StatePublished - May 1 2015

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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