203075 Challenges and Opportunities in Adapting Patient Navigation in Diabetes Care

Monday, November 9, 2009: 5:00 PM

Linda Fleisher, MPH , Fox Chase Cancer Center, Cheltenham, PA
Kuang-Yi Wen, PhD , Fox Chase Cancer Center, Cheltenham, PA
Theresa Berger, MBE , Fox Chase Cancer Center, Cheltenham, PA
Rachel E. Gallo, BS , Fox Chase Cancer Center, Cheltenham, PA
Suzanne M. Miller, PhD , Fox Chase Cancer Center, Cheltenham, PA
Patient navigation has been used frequently and successfully to improve cancer care (screening, diagnosis, treatment and follow-up). However, little is known about its potential effectiveness with other chronic diseases. A formative evaluation was conducted in three sites serving rural and urban patients regarding the need for and practicality of developing a patient navigation program in diabetic care.

Semi-structured interviews and focus groups were conducted to identify gaps in existing clinical practice and potential role for a navigation program. Open-ended interview questions were structured across distinct themes derived from the discussion of our previous Patient Navigator Workshop. Total of 24 participants were interviewed across three sites and numbers of participants per site ranged from 5 to 11. Participants included clinicians, administrators, coordinators, educators, and operation managers. Content analysis was conducted to understand the potential opportunity and challenges to adapting a patient navigation program into diabetic care.

Lack of patient education was the most significant unmet need in managing diabetes. Secondarily, lack of medical insurance and financial need were indicated as a major factor in patient's noncompliance. Navigation could be beneficial in the ongoing monitoring as well as facilitating communication between various providers.

Diabetic patients need continuity of support, monitoring, and resource for compliance and disease management. There is potential for patient navigation in diabetes care, but future research is needed to develop appropriate models.

Learning Objectives:
Identify challenges and opportunities of using patient navigation programs in diabetic care in a variety of health care settings.

Keywords: Diabetes, Access and Services

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 25 years of experience in health education/health communications and have conducted formative evaluation projects similar to the one being presented
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.