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Immigrants, Roma and Sinti unveil the “National” in Italian Identity
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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262 |
Introduction
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Immigrant Social-Economic Landscape Changes and Ethno-Racial Border Formation in Columbus, Ohio
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Intergenerational Conflicts in Iran: Myth or Reallity?
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Introduction
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Table of Contents
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Religiosity in Constitutions and the Status of Minority Rights
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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268 |
Table of Contents
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Daily Border Crossings: Negotiations of gender, body and subjectivity in the lives of women workers in urban malls.
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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270 |
Latino Catholicism and Indigenous Heritage as a Subfield of Latino Studies: A Critical Evaluation of New Approaches
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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The Representations of Arab-Muslims through the Language Lens
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In: Cultural Encounters, Conflicts, and Resolutions (2014)
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Australia’s Boatpeople Policy: Regional Cooperation or Passing the Buck?
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In: Cultural Encounters, Conflicts, and Resolutions (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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Examining the Impact of Contextual Ambiguity on Search Advertising Keyword Performance: A Topic Model Approach ...
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Examining the Impact of Contextual Ambiguity on Search Advertising Keyword Performance: A Topic Model Approach ...
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Two “Official” Languages of Work: Explaining the Persistence of Inequitable Access to French as a Language of Work in the Canadian Federal Public Service ...
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Don't cut off our tongues: Yolgnu voices in news and policymaking
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Developing an Empirically Based Linguistic Probability Lexicon
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In: ETD Collection for Fordham University (2014)
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Les politiques linguistiques entre cloisonnements et renouveaux épistémologiques
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In: Annals of the University of Bucharest / Political science series ; 13 ; 1 ; 35-53 (2014)
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English Language Learner (ELL) Accountability and Resource Allocation: A Critical Analysis of ELL Educational Outcomes
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