An Inventory of Avon Foundation for Women Breast Cancer Patient Navigation Programs Öffentlichkeit
Stanley, Sandte La Bren (2011)
Published
Abstract
Abstract
An Inventory of Avon Foundation for Women Breast Cancer Patient
Navigation Programs
By Sandte Stanley
The Avon Foundation for Women grantees provide breast cancer
services through patient navigation. The purpose of this study is
to explore the variation in the use and services of navigators,
describe the audiences they serve, treatment completion, and
evaluation mechanisms. Fifty-six Avon patient navigation programs
funded since 2008 throughout the United States; 44 (81%) complete
responses were received. Programs were racially and ethnically
diverse mostly serving Hispanics (30%) and African Americans (31%).
The age of clients was mostly in the 40-64 years old (64%) range. A
majority of clients that PN programs (90%) served had an average
income of less than $30,000. Programs tended to serve either
uninsured (50.7%) or clients with access to Medicaid (32.4%). PN
programs were both community-based and hospital-based programs
(22.5%) operating from safety-net settings (35.2%). All Avon
Foundation for Women Grantees incorporate some type of navigation
services within their programs. Patient navigators provided these
types of services: diagnostic services such as breast imagining
(e.g. mammography and breast ultrasound) and various types of
therapy. Barriers to care within the Avon funded PN programs were
consistent with barriers found in previous research, including
issues of transportation, access to appointments, language
barriers, and financial issues (e.g. cost of screening and
treatment specifically for those uninsured). PN programs found ways
to reduce multiple barriers through offering onsite services which
help to negate multiple systems and social barriers. The purpose of
this study is to explore the variation in the use and services of
navigators, describe the audiences they serve, and evaluation
mechanisms of these programs.
An Inventory of Avon Foundation for Women Breast Cancer Patient
Navigation Programs
By
Sandte Stanley
Bachelor of Arts in Psychology
Michigan State University
2009
Thesis Committee Chair: Cam Escoffery, PhD, MPH, CHES
An abstract of
A thesis submitted to the Faculty of the
Rollins School of Public Health of Emory University
in partial fulfillment of the requirements for the degree of
Master of Public Health
in Behavioral Sciences and Health Education
2011
Table of Contents
Table of Contents
Chapter 1: Introduction
Introduction...1
Purpose Statement...5
Research Questions...5
Definition of Key Terms...5
Chapter 2: Review of Literature
Review of Literature...7
Breast cancer statistics...7
Barriers to breast cancer services...8
Patient Navigation interventions...10
Outcomes of PN interventions...12
PN's impact on barriers to breast cancer after abnormal
screenings...12
Gap in literature...13
Chapter 3: Methodology
Methodology...15
Study design...15
Participants...15
Measures...16
Procedures...17
Data analysis...17
Results...18
Chapter 4: Discussion
Discussion...25
References...30
Appendix A
Avon Foundation Programming Survey...32
Appendix B
Invitation letter...43
Appendix C
Article to be submitted to Journal of American Cancer Society...44
About this Master's Thesis
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