Although Hispanics are the largest ethnic minority population in the United States, Hispanics remain underserved by healthcare systems and are less likely to seek or receive health care, contributing to disparities in health status and mortality. The University of Texas Health Science Center at San Antonio (UTHSCSA) is uniquely positioned to mitigate disparities in health and cancer care for the disadvantaged regional Hispanic population. The UTHSCSA National Center of Excellence in Women's Health (NCoEWH), recently designated by the Office of Women's Health, addresses health disparities in a newly identified population of intense need in conjunction with the San Antonio Metropolitan Health District (SAMHD) and University Health System (UHS) Patient Navigation is a key feature of the NCoEWH and the proposed Patient Navigation Research Project will build on this element to assist patients in gaining access to cancer care in a coordinated manner using SAMHD clinics, UHS clinics, community-based agencies, and University Hospital. The PNRP approach to Navigation is unique in its matrix organization and focus on coordination between community sites and agencies, facilitated through active involvement of clinical oncologists using evidence-based guidelines. Data will be systematically gathered to assess and eliminate barriers through process improvement and community involvement in addressing issues that impede effective cancer care. The project, combining the efforts of Navigators and Promoters, will build cultural competence, optimal communication, community cooperation, interdisciplinary investigation, and sound research to provide solid evidence concerning the cost-effectiveness and clinical efficacy of highly coordinated care. Carefully designed, theoretically sound metrics will be incorporated into the development and implementation of a Program to address questions concerning cost-effectiveness, improving the timeliness of care, and the impact of Navigation on patient satisfaction, cancer outcomes, and the general health of the population

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
3U01CA116885-05S1
Application #
7933346
Study Section
Special Emphasis Panel (ZCA1-SRRB-D (M1))
Program Officer
Vanduyn, Maryann
Project Start
2009-09-30
Project End
2012-09-29
Budget Start
2009-09-30
Budget End
2012-09-29
Support Year
5
Fiscal Year
2009
Total Cost
$248,025
Indirect Cost
Name
University of Texas Health Science Center San Antonio
Department
Obstetrics & Gynecology
Type
Schools of Medicine
DUNS #
800772162
City
San Antonio
State
TX
Country
United States
Zip Code
78229
Whitley, Elizabeth M; Raich, Peter C; Dudley, Donald J et al. (2017) Relation of comorbidities and patient navigation with the time to diagnostic resolution after abnormal cancer screening. Cancer 123:312-318
Jean-Pierre, Pascal; Cheng, Ying; Wells, Kristen J et al. (2016) Satisfaction with cancer care among underserved racial-ethnic minorities and lower-income patients receiving patient navigation. Cancer 122:1060-7
Paskett, Electra D; Dudley, Donald; Young, Gregory S et al. (2016) Impact of Patient Navigation Interventions on Timely Diagnostic Follow Up for Abnormal Cervical Screening. J Womens Health (Larchmt) 25:15-21
Battaglia, Tracy A; Darnell, Julie S; Ko, Naomi et al. (2016) The impact of patient navigation on the delivery of diagnostic breast cancer care in the National Patient Navigation Research Program: a prospective meta-analysis. Breast Cancer Res Treat 158:523-34
Wells, Kristen J; Winters, Paul C; Jean-Pierre, Pascal et al. (2016) Effect of patient navigation on satisfaction with cancer-related care. Support Care Cancer 24:1729-53
Ko, Naomi Y; Snyder, Frederick R; Raich, Peter C et al. (2016) Racial and ethnic differences in patient navigation: Results from the Patient Navigation Research Program. Cancer 122:2715-22
Rodday, Angie Mae; Parsons, Susan K; Snyder, Frederick et al. (2015) Impact of patient navigation in eliminating economic disparities in cancer care. Cancer 121:4025-34
Ramachandran, Ambili; Snyder, Frederick R; Katz, Mira L et al. (2015) Barriers to health care contribute to delays in follow-up among women with abnormal cancer screening: Data from the Patient Navigation Research Program. Cancer 121:4016-24
Freund, Karen M; Battaglia, Tracy A; Calhoun, Elizabeth et al. (2014) Impact of patient navigation on timely cancer care: the Patient Navigation Research Program. J Natl Cancer Inst 106:dju115
Bensink, Mark E; Ramsey, Scott D; Battaglia, Tracy et al. (2014) Costs and outcomes evaluation of patient navigation after abnormal cancer screening: evidence from the Patient Navigation Research Program. Cancer 120:570-8

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