History, Principles, and Future of Patient Navigation

Question 0

Common barriers in Harlem to timely care:

Answer 0

financial barriers, communication and information, medical system, and fear, distrust, and emotional

Question 1

What event led to the concept of patient navigation?

Answer 1

National Hearings on Cancer held by the American Cancer Society in 1989, and the release of “Report to the Nation on Cancer in the Poor,” showing how hard it was for the poor to get quality care

Question 2

Dr. Freeman’s model helped increase diagnosis at stage one from ___percent to ___ percent at stage zero or one.

Answer 2

6% to 41%

Question 3

Patient Navigator Research Program

Answer 3

• given $25 million from the patient navigator act of 2005

- designed to test the Harlem model with 9 research sites

Question 4

In 2015, cancer programs will be required to have what for approval?

Answer 4

patient navigation process

Question 5

The Discovery-Delivery Disconnect

Answer 5

disconnect between what we discover and the services we deliver to that person (often late diagnosis)

Question 6

National Cancer Act

Answer 6

• signed by Nixon in 1971

- declared “war on cancer” which resulted in significant investment and a decline in overall mortality

Question 7

Poor and uninsured

Answer 7

• more likely to be diagnosed later and more likely to die

- 50 million uninsured and 46 (14%) million poor in 2009

Question 8

Core focus and function of patient navigation

Answer 8

focus-promote timely movement of patient through process

function-eliminate barriers to timely care