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Patient Navigation: Addressing Social Challenges in Dialysis Patients.
Cervantes, Lilia; Hasnain-Wynia, Romana; Steiner, John F; Chonchol, Michel; Fischer, Stacy.
Afiliação
  • Cervantes L; Division of Hospital Medicine, Denver Health, Denver, CO; Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Denver, CO; Office of Research, Denver Health, Denver, CO. Electronic address: lilia.cervantes@dhha.org.
  • Hasnain-Wynia R; Office of Research, Denver Health, Denver, CO.
  • Steiner JF; Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
  • Chonchol M; Division of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Campus, Denver, CO.
  • Fischer S; Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Denver, CO.
Am J Kidney Dis ; 76(1): 121-129, 2020 07.
Article em En | MEDLINE | ID: mdl-31515136
ABSTRACT
Members of racial and ethnic minority groups make up nearly 50% of US patients with end-stage kidney disease and face a disproportionate burden of socioeconomic challenges (ie, low income, job insecurity, low educational attainment, housing instability, and communication challenges) compared with non-Hispanic whites. Patients with end-stage kidney disease who face social challenges often have poor patient-centered and clinical outcomes. These challenges may have a negative impact on quality-of-care performance measures for dialysis facilities caring for primarily minority and low-income patients. One path toward improving outcomes for this group is to develop culturally tailored interventions that provide individualized support, potentially improving patient-centered, clinical, and health system outcomes by addressing social challenges. One such approach is using community-based culturally and linguistically concordant patient navigators, who can serve as a bridge between the patient and the health care system. Evidence points to the effectiveness of patient navigators in the provision of cancer care and, to a lesser extent, caring for people with chronic kidney disease and those who have undergone kidney transplantation. However, little is known about the effectiveness of patient navigators in the care of patients with kidney failure receiving dialysis, who experience a number of remediable social challenges.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Diálise Renal / Disparidades em Assistência à Saúde / Navegação de Pacientes / Falência Renal Crônica Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Diálise Renal / Disparidades em Assistência à Saúde / Navegação de Pacientes / Falência Renal Crônica Limite: Humans Idioma: En Ano de publicação: 2020 Tipo de documento: Article