TY - JOUR
T1 - Providers’ Views on a Community-Wide Patient Navigation Program
T2 - Implications for Dissemination and Future Implementation
AU - de la Riva, Erika E.
AU - Hajjar, Nadia
AU - Tom, Laura S.
AU - Phillips, Sara
AU - Dong, Xin Qi
AU - Simon, Melissa A.
N1 - Publisher Copyright:
© 2016, © 2016 Society for Public Health Education.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2015
Y1 - 2015
N2 - The DuPage Patient Navigation Collaborative (DPNC) adapted and scaled the Patient Navigation Research Program’s intervention model to navigate uninsured suburban DuPage County women with an abnormal breast or cervical cancer screening result. Recent findings reveal the effectiveness of the DPNC in addressing patient risk factors for delayed follow-up, but gaps remain as patient measures may not adequately capture navigator impact. Using semistructured interviews with 19 DPNC providers (representing the county health department, clinics, advocacy organizations, and academic partners), this study explores the critical roles of the DPNC in strengthening community partnerships and enhancing clinical services. Findings from these provider interviews revealed that a wide range of resources existed within DuPage but were often underused. Providers indicated that the DPNC was instrumental in fostering community partnerships and that navigators enhanced the referral processes, communications, and service delivery among clinical teams. Providers also recommended expanding navigation to mental health, women’s health, and for a variety of chronic conditions. Considering that many in the United States have recently gained access to the health care system, clinical teams might benefit by incorporating navigators who serve a dual working purpose embedded in the community and clinics to enhance the service delivery for vulnerable populations.
AB - The DuPage Patient Navigation Collaborative (DPNC) adapted and scaled the Patient Navigation Research Program’s intervention model to navigate uninsured suburban DuPage County women with an abnormal breast or cervical cancer screening result. Recent findings reveal the effectiveness of the DPNC in addressing patient risk factors for delayed follow-up, but gaps remain as patient measures may not adequately capture navigator impact. Using semistructured interviews with 19 DPNC providers (representing the county health department, clinics, advocacy organizations, and academic partners), this study explores the critical roles of the DPNC in strengthening community partnerships and enhancing clinical services. Findings from these provider interviews revealed that a wide range of resources existed within DuPage but were often underused. Providers indicated that the DPNC was instrumental in fostering community partnerships and that navigators enhanced the referral processes, communications, and service delivery among clinical teams. Providers also recommended expanding navigation to mental health, women’s health, and for a variety of chronic conditions. Considering that many in the United States have recently gained access to the health care system, clinical teams might benefit by incorporating navigators who serve a dual working purpose embedded in the community and clinics to enhance the service delivery for vulnerable populations.
KW - access to health care
KW - breast cancer
KW - cervical cancer
KW - community-based participatory research
KW - health disparities
KW - minority health
UR - http://www.scopus.com/inward/record.url?scp=84964944591&partnerID=8YFLogxK
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U2 - 10.1177/1524839916628865
DO - 10.1177/1524839916628865
M3 - Article
C2 - 27009130
AN - SCOPUS:84964944591
VL - 17
SP - 382
EP - 390
JO - Health Promotion Practice
JF - Health Promotion Practice
SN - 1524-8399
IS - 3
ER -