Using community-engaged methods to develop a study protocol for a cost analysis of a multi-site patient navigation intervention for breast cancer care

Abstract Background Patient navigation is an evidence-based intervention for reducing delays in oncology care among underserved populations. In order to address the financial sustainability of this intervention, information is needed on the cost of implementing patient navigation in diverse healthca...

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Asıl Yazarlar: Serena Rajabiun (Yazar), Victoria Xiao (Yazar), Sharon Bak (Yazar), Charlotte Robbins (Yazar), Nicole Casanova (Yazar), Howard J. Cabral (Yazar), Stephenie C. Lemon (Yazar), Jennifer S. Haas (Yazar), Karen M. Freund (Yazar), Tracy Battaglia (Yazar), TRIP Consortium (Yazar)
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Baskı/Yayın Bilgisi: BMC, 2022-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Serena Rajabiun  |e author 
700 1 0 |a Victoria Xiao  |e author 
700 1 0 |a Sharon Bak  |e author 
700 1 0 |a Charlotte Robbins  |e author 
700 1 0 |a Nicole Casanova  |e author 
700 1 0 |a Howard J. Cabral  |e author 
700 1 0 |a Stephenie C. Lemon  |e author 
700 1 0 |a Jennifer S. Haas  |e author 
700 1 0 |a Karen M. Freund  |e author 
700 1 0 |a Tracy Battaglia  |e author 
700 1 0 |a TRIP Consortium  |e author 
245 0 0 |a Using community-engaged methods to develop a study protocol for a cost analysis of a multi-site patient navigation intervention for breast cancer care 
260 |b BMC,   |c 2022-07-01T00:00:00Z. 
500 |a 10.1186/s12913-022-08192-y 
500 |a 1472-6963 
520 |a Abstract Background Patient navigation is an evidence-based intervention for reducing delays in oncology care among underserved populations. In order to address the financial sustainability of this intervention, information is needed on the cost of implementing patient navigation in diverse healthcare settings. Because patient navigation programs and care settings are highly variable, this paucity of cost data creates difficulties in identifying best practices and decisions about the feasibility of implementing navigation programs within a health care system. One barrier to collecting these cost data is the lack of assessment tools available to support patient navigation programs. These tools must be relevant to the wide variety of navigation activities that exist in health care settings, and be flexible enough to collect cost data important to stakeholders in fee-for-service and value-based care environments. Methods and results We present a novel approach and methods for assessing the cost of a patient navigation program implemented across six hospital systems to enhance timely entry and uptake of breast cancer care and treatment. These methods and tools were developed in partnership with breast oncology patient navigators and supervisors using principles of stakeholder engagement, with the goal of increasing usability and feasibility in the field. Conclusions This methodology can be used to strengthen cost analysis and assessment tools for other navigation programs for improving care and treatment for patients with chronic conditions. Trial registration NCT03514433 
546 |a EN 
690 |a Cost 
690 |a Patient navigation 
690 |a Breast cancer 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Health Services Research, Vol 22, Iss 1, Pp 1-10 (2022) 
787 0 |n https://doi.org/10.1186/s12913-022-08192-y 
787 0 |n https://doaj.org/toc/1472-6963 
856 4 1 |u https://doaj.org/article/55d0b47a354a4ae3909a621f65dfb01c  |z Connect to this object online.