Do Better-Rated Navigators Improve Patient Satisfaction with Cancer-Related Care?

Patient navigation has emerged as a promising strategy for addressing racial-ethnic and socioeconomic disparities in cancer-related care. However, little is known about the impact of patients’ perception of the quality of navigation on patient outcomes. We examined the impact of better-rated navigat...

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Bibliographic Details
Published in:Journal of cancer education 2013-09, Vol.28 (3), p.527-534
Main Authors: Jean-Pierre, Pascal, Winters, Paul C., Clark, Jack A., Warren-Mears, Victoria, Wells, Kristen J., Post, Douglas M., LaVerda, Nancy, Van Duyn, Mary Ann, Fiscella, Kevin
Format: Article
Language:English
Subjects:
Adult
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Continuity of Patient Care - standards
Early Detection of Cancer
Female
Follow-Up Studies
Health care access
Hospitals
Humans
Interpersonal Relationship
Male
Middle Aged
Minority & ethnic groups
Minority Groups
Navigation
Neoplasms - diagnosis
Neoplasms - psychology
Neoplasms - therapy
Outcomes of Treatment
Patient Care - psychology
Patient Care - standards
Patient Navigation
Patient satisfaction
Patient Satisfaction - statistics & numerical data
Patients
Pharmacology/Toxicology
Prognosis
Research Projects
Resistance (Psychology)
Social Cognition
Social support
Socioeconomic factors
Surveys and Questionnaires
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Summary:Patient navigation has emerged as a promising strategy for addressing racial-ethnic and socioeconomic disparities in cancer-related care. However, little is known about the impact of patients’ perception of the quality of navigation on patient outcomes. We examined the impact of better-rated navigators on patients’ satisfaction with cancer-related care. The sample included 1,593 adults (85.8 % with abnormal cancer screening and 14.2 % with confirmed cancer diagnosis) who received patient navigation. We defined better-rated navigators as those scoring above the first quartile of mean scores on the Patient Satisfaction with Interpersonal Relationship with Navigator scale. We defined patient satisfaction based on scores above or below the median of the Patient Satisfaction with Cancer-Related Care (PSCC) scale. We controlled for patient and site characteristics using backward selection logistic regression analyses. Among patients with abnormal screening, having a better-rated navigator was associated with higher score on the PSCC ( p  
ISSN:0885-8195
1543-0154
DOI:10.1007/s13187-013-0498-5