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[Brachytherapy training: a survey of French radiation oncology residents].
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In: ISSN: 1278-3218 ; Cancer Radiothérapie ; https://hal.archives-ouvertes.fr/hal-01141162 ; Cancer Radiothérapie, Elsevier Masson, 2014, 18 (1), pp.28-34 (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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Parent-child cultural orientations and child adjustment in Chinese American immigrant families.
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In: Developmental psychology, vol 50, iss 1 (2014)
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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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The psychometric properties of the generalized anxiety disorder-7 scale in Hispanic Americans with English or Spanish language preference.
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In: Cultural diversity & ethnic minority psychology, vol 20, iss 3 (2014)
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Neighborhood characteristics, parenting styles, and children's behavioral problems in Chinese American immigrant families.
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In: Cultural diversity & ethnic minority psychology, vol 20, iss 2 (2014)
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The effect of involvement in a student-run free clinic project on attitudes toward the underserved and interest in primary care.
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In: Journal of health care for the poor and underserved, vol 25, iss 2 (2014)
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Transforming Warrant Officer Career College Instructor Assessment for the Army Learning Model
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In: DTIC (2014)
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A home-based intervention using augmentative and alternative communication (AAC) techniques in rural Kenya: what are the caregivers' experiences?
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) ; CrossRef (2014)
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Appraisal of space words and allocation of emotion words in bodily space
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The perception of prosody and associated auditory cues in early-implanted children: the role of auditory working memory and musical activities.
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In: Int J Audiol , 53 (3) 182 - 191. (2014) (2014)
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Avaliação fonoaudiológica da deglutição na demência frontotemporal ; Phonoaudiological swallowing evaluation in frontotemporal dementia
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The teaching of English in secondary schools in Japan: From curriculum to the classroom
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Te whakaako i te reo Māori i te kura auraki tuarua i Aotearoa nei: Kei tua o te awe māpere. The teaching of te reo Māori in English-medium secondary schools in New Zealand: Beyond the mask.
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Free and Open Source Tools (FOSTs): An Empirical Investigation of Pre-Service Teacher’s Competency, Attitude, and Pedagogical Intention.
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In: Departmental Papers (TE) (2014)
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