247976 Evaluation of a Preliminary Patient Navigation Program for Cancer Care in Taiwan

Monday, October 31, 2011

Cheng-Hsu Wang, MD , Department of Medicine, Chang Gung Memorial Hospital, Keelung, Keelung, Taiwan
Shiuyu Lee, DNSc , School of Nursing, National Taipei University of Nursing and Health Science, Taipei, Taiwan
Cheng-I Hsieh, MD , Department of Medicine, Taipei Medical University, Taipei, Taiwan
Patient navigation program aims to reduce barriers of cancer prevention and cancer care. Cancer is the leading cause of death in Taiwan. Patient navigation program is a national initiative to promote quality of cancer care. The purpose of this study is to describe preliminary cancer navigation programs conducted in 6 hospitals in Taiwan and to evaluate from patients' and navigators' perspectives. A mixed method was used to collect data from interviews of 10 patients/family, a focus-group interview of 6 navigators, and navigators' records of encounters during one-year period. Data included characteristics of cancer navigation and patients'/family's reported barriers or needs. Results indicated all navigation programs were led by trained oncology nurses or social workers and located at outpatient settings. Trained lay persons or volunteers were accompanied to assist in the program. The patients/family participants reported that the navigation was characterized as prompt, directing and resourcing supports, including emotional and educational supports, problem-solving, and logistical coordination. The navigators valued the program for fulfilling unmet needs, and for bridging barriers and resources, but suggested that administrative support and collaborative work were the keys to success. A total of 4620 encounters were recorded. Navigations were made for mid-age patients and a majority were by the patients' own initiatives. Greater than 1/3 encounters were related to psychosocial and information needs. The top 3 navigation activities were education, counseling and providing information. This finding can assist in the future development of cancer navigation programs.

Learning Areas:
Chronic disease management and prevention
Program planning
Social and behavioral sciences

Learning Objectives:
1. To describe a cancer patient navigation program from the patient and the navigator's perspectives

Keywords: Cancer, Quality of Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualitifed to present because I worked with Dr. Lee and another co-author in this project and drafted for this abstract.
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.