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首页> 外文期刊>Journal of health care for the poor and underserved >What Makes Patient Navigation Most Effective: Defining Useful Tasks and Networks
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What Makes Patient Navigation Most Effective: Defining Useful Tasks and Networks

机译：是什么让患者导航最有效：定义有用的任务和网络

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Given the momentum in adopting patient navigation into cancer care, there is a need to understand the contribution of specific navigator activities to improved clinical outcomes. A mixed-methods study combined direct observations of patient navigators within the Patient Navigation Research Program and outcome data from the trial. We correlated the frequency of navigator tasks with the outcome of rate of diagnostic resolution within 365 days among patients who received the intervention relative to controls. A focused content analysis examined those tasks with the strongest correlations between navigator tasks and patient outcomes. Navigating directly with specific patients (r = 0.679), working with clinical providers to facilitate patient care (r = 0.643), and performing tasks not directly related to their diagnostic evaluation for patients were positively associated with more timely diagnosis (r = 0.714). Using medical records for non-navigation tasks had a negative association (r =-0.643). Content analysis revealed service provision directed at specific patients improved care while systems-focused activities did not.
机译：鉴于采用患者导航进入癌症护理的势头，需要了解特定导航员活动的贡献，以改善临床结果。混合方法研究患者导航研究计划内的患者导航员的直接观察和试验中的结果数据。我们将导航仪任务的频率与诊断分辨率的结果相关联365天内，患者在接受控制的患者之间进行干预。聚焦内容分析检查了导航器任务和患者结果之间最强相关性的任务。直接与特定患者（R = 0.679）导航，与临床供应商合作，以促进患者护理（R = 0.643），并且执行与其对患者诊断评估无直接相关的任务与更及时的诊断（R = 0.714）正相关（R = 0.714）。使用非导航任务的医疗记录具有负关联（R = -0.643）。内容分析显示，针对特定患者的服务规定改善了护理，同时以系统为中心的活动没有。

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