Opt-Out Patient Navigation to Improve Breast and Cervical Cancer Screening Among Homeless Women.
J Womens Health (Larchmt)
; 26(9): 999-1003, 2017 09.
Article
em En
| MEDLINE
| ID: mdl-28103125
ABSTRACT
BACKGROUND:
A patient navigation model was implemented to improve breast and cervical cancer screening among women who were homeless in five shelters and shelter clinics in New York City in 2014. MATERIALS ANDMETHODS:
Navigation consisted of opt-out screening to eligible women; cancer health and screening education; scheduling and following up for screening completion, obtaining, and communicating results to patients and providers; and care coordination with social services organizations.RESULTS:
Women (n = 162, aged 21-74, 58% black) completed mammogram (88%) and Pap testing (83%) from baselines of 59% and 50%, respectively. There was no association between mental health or substance abuse and screening completion. Adjusted analysis showed a significant association between refusing/missing Pap testing and older age (odds ratio [OR] 1.12, 95% confidence interval [CI] 1.04-1.20); independent predictors of mammogram included more pregnancies (OR 0.57, 95% CI 0.37-0.88) and older age (OR 0.84, 95% CI 0.79-0.90).CONCLUSIONS:
Opt-out patient navigation is feasible and effective and may mitigate multilevel barriers to cancer screening among women with unstable housing.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pacientes Ambulatoriais
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Pessoas Mal Alojadas
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Neoplasias da Mama
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Mamografia
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Neoplasias do Colo do Útero
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Detecção Precoce de Câncer
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Navegação de Pacientes
/
Teste de Papanicolaou
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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Screening_studies
Limite:
Adult
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Aged
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Female
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Humans
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article