227356 Patient navigation for underrepresented women: An evidence-based approach to breast and cervical cancer screening in suburban Chicago

Monday, November 8, 2010

Melissa A. Simon, MD, MPH , Feinberg School of Medicine at Northwestern University, Faculty Physician, Chicago, IL
Shaneah Taylor, MPH , Patient Navigation Research Project, Access Dupage, Carol Stream, IL
Nadia Hajjar, MPH , Patient Navigation Research Project, Access Dupage, Carol Stream, IL
Belinda Reyes, MSW , Patient Navigation Research Project, Access Dupage, Carol Stream, IL
Kara Murphy , Executive Director, Access Dupage, Carol Stream, IL
Richard Endress, PhD , President, Access Dupage, Carol Stream, IL
Background: Within the context of a community based participatory research (CBPR) framework, the DuPage Navigation Collaborative built a multidisciplinary patient navigation project partnering with award- winning community-based coalition of community based and government funded organizations dedicated to providing health care to uninsured residents of a large suburban county in the Chicago metropolitan area. The current program is focused on follow-up of abnormal breast and cervical cancer screening tests for underrepresented women. Methods: Utilizing patient navigation methodology and practice, 600 women will be interviewed and navigated upon receiving an abnormal breast and/or cervical cancer screening test. Interviews will be thematically coded to analyze emerging themes amongst women in the study. Data analysis will track the date of abnormality through the point of diagnostic resolution measuring whether patient navigation contributed to more efficient dealings with the healthcare system. Results/Anticipated Results: The project will reflect the solid construction and utilization of a successful community development tool: a health safety net to prevent and eliminate growing health disparities in a suburban community setting. Patient Navigation will serve as a community resource that can be a model for caring for the growing population of un- and under-insured, medically underserved.

Learning Areas:
Provision of health care to the public
Public health or related research

Learning Objectives:
1. Discuss the implications of Patient Navigation research for underrepresnted women in suburban counties in Chicago. 2. Assess Community Based Participatory Research in the breast and cervical cancer screening arena. 3. Demonstrate typical Patient Navigation methodology and practice.

Keywords: Access to Health Care, Breast Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am currently a NIH NICHD K12 Women’s Reproductive Health Scholar focused on the social epidemiology of cervical cancer. I am the Principal Investigator on several recent grants from the American Cancer Society on barriers low income women face in obtaining care and treatment for abnormal cervical and breast cancer screens and from the National Institutes of Health (NCMHD and NIA) focused on patient navigation-based interventions to overcome these barriers.
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.