Test 1 Review Flashcards
What were the findings of the Report to Nation on Cancer in the Poor?
- poor face barriers, and often don’t get treatment
- poor may make extreme sacrifices
- fatalism is prevalent among poor
- poor experience greater pain and suffering
How did healthcare navigation start?
the American Cancer Society released the Report to Nation on Cancer in the Poor, whose findings sparked the beginning
Who started healthcare navigation, where, and why?
Dr. Freeman, oncologist at Harlem Hospital in New York. he wanted to eliminate barriers to timely care, mainly for breast cancer patients
Barriers Dr. Freeman stated:
financial, communication and information, medical system, and emotional (fear and distrust)
What were the outcomes of Dr. Freeman’s model?
increased early stage diagnosis and treatment, and increased survival rate
- 6% Stage 1 diagnosis to 41% in Stage 0 or 1
- 5 year survival rate from 39% to 70%
What is the discovery-delivery disconnect?
disconnection between what we know and what we do-results in unequal treatment
-ex) provider knows patient needs treatment but doesn’t give the treatment because the patient can’t pay
What kinds of people perform navigation?
- professional (nurses and social workers)
- paraprofessionals (tumor registrars and community health workers)
- laypeople (community leaders and cancer survivors)
disparity
a great difference, such as the difference between healthcare for richer and poor
fatalism
mindset that the outcome will be bad regardless, so they don’t need to get treatment
continuum of care
linear progress of patient throughout healthcare system with overlapping phases
6 Phases of Continuum of Care
- Education and Outreach
- Screening
- Diagnosis and Staging
- Treatment
- Survivorship
- End of life
Roles that navigators address
- access to care needs
- emotional and practical concerns
- patient and family concerns
- being involved throughout continuum of care
5 A’s of Quality of Care
- Accessible-removing structural and cultural barriers to care
- Affordable-ensure people have insurance and free/low cost programs
- Available-map location and identify contacts for cancer services and advocate for services to fill gaps
- Appropriate-establish culturally competent services and staff
- Accountable-assure sustainability, quality, and responsiveness of services
+ understandable-provide education to improve knowledge, attitudes, and practices
Health literacy is the strongest predictor of what?
health status
Factors that affect health literacy
culture, language, age, literacy skills, etc
