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“We Are Not Free”: The Meaning of in American Indian Resistance to President Johnson's War on Poverty
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In: Scholarship and Professional Work - Communication (2014)
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Improving healthcare empowerment through breast cancer patient navigation: a mixed methods evaluation in a safety-net setting.
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In: BMC health services research, vol 14, iss 1 (2014)
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Abstract:
BackgroundBreast cancer mortality rates in the U.S. remain relatively high, particularly among ethnic minorities and low-income populations. Unequal access to quality care, lower follow up rates, and poor treatment adherence contribute to rising disparities among these groups. Healthcare empowerment (HCE) is theorized to improve patient outcomes through collaboration with providers and improving understanding of and compliance with treatment. Patient navigation is a health care organizational intervention that essentially improves healthcare empowerment by providing informational, emotional, and psychosocial support. Patient navigators address barriers to care through multilingual coordination of treatment and incorporation of access to community services, support, and education into the continuum of cancer care.MethodsUtilizing survey and qualitative methods, we evaluated the patient navigation program in a Northern California safety-net hospital Breast Clinic by assessing its impact on patients' experiences with cancer care and providers' perspectives on the program. We conducted qualitative interviews with 16 patients and 4 service providers, conducted approximately 66 hours of clinic observations, and received feedback through the self-administered survey from 66 patients.ResultsThe role of the patient navigator at the Breast Clinic included providing administrative assistance, psychosocial support, improved knowledge, better understanding of treatment process, and ensuring better communication between patients and providers. As such, patient navigators facilitated improved collaboration between patients and providers and understanding of interdisciplinary care processes. The survey results suggested that the majority of patients across all ethnic backgrounds and age groups were highly satisfied with the program and had a positive perception of their navigator. Interviews with patients and providers highlighted the roles of a navigator in ensuring continuity of care, improving treatment completion rates, and reducing providers' workload and waiting time. Uncertainty about the navigator's role among the patients was a weakness of the program.ConclusionsPatient navigation in the Breast Clinic had a positive impact on patients' experiences with care and healthcare empowerment. Clarifying uncertainties about the navigators' role would aid successful outcomes.
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Keyword:
Adult; Aged; Breast cancer; Breast Neoplasms; California; Continuity of Patient Care; Disparities; Female; Health Policy & Services; Health Services Accessibility; Healthcare empowerment; Humans; Interviews as Topic; Library and Information Studies; Middle Aged; Nursing; Patient Navigation; Patient Satisfaction; Poverty; Power; Psychological; Public Health and Health Services; Qualitative Research; Social Support; Surveys and Questionnaires
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URL: https://escholarship.org/uc/item/5mb9v3h6
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Can a minimal intervention reduce secondhand smoke exposure among children with asthma from low income minority families? Results of a randomized trial.
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In: Journal of immigrant and minority health, vol 16, iss 2 (2014)
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Support from hospital to home for elders: a randomized trial.
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In: Annals of internal medicine, vol 161, iss 7 (2014)
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Designing audience-centered interactive voice response messages to promote cancer screenings among low-income Latinas.
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In: Preventing chronic disease, vol 11, iss 3 (2014)
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Provincial poverty dynamics in Lao PDR: a case study of Savannakhet
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In: Journal of Current Southeast Asian Affairs ; 31 ; 3 ; 3-27 (2014)
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Tackling the existing burden of infectious diseases in the developing world: existing gaps and the way forward
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Os rostos da pobreza brasileira: análise crítica dos discursos do governo federal, da Veja e da Cufa
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Ribas, Rodrigo Slama. - : Universidade Federal do Rio Grande do Norte, 2014. : BR, 2014. : UFRN, 2014. : Programa de Pós-Graduação em Estudos da Linguagem, 2014. : Linguística Aplicada; Literatura Comparada, 2014
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O Entrelaçamento entre assistência social e trabalho informal: verdades e equívocos em tempos de crise do capital
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Souto, Jeane Medeiros de. - : Universidade Federal do Rio Grande do Norte, 2014. : BR, 2014. : UFRN, 2014. : Programa de Pós-Graduação em Serviço Social, 2014. : Serviço Social, Formação Profissional, Trabalho e Proteção Social; Serviço Social, Cultura e Relaçõe, 2014
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“We Are Not Free”: The Meaning of (Freedom) in American Indian Resistance to President Johnson’s War on Poverty
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In: Papers in Communication Studies (2014)
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