Effects of Patient Navigation on Patient Satisfaction Outcomes

Douglas M. Post, Ann Scheck McAlearney, Gregory S. Young, Jessica L. Krok-Schoen, Jesse Plascak, Electra D. Paskett

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Patient navigation (PN) may reduce cancer health disparities. Few studies have investigated the effects of PN on patient-reported satisfaction with care or assessed patients’ satisfaction with navigators. The objectives of this study are to test the effects of PN on patient satisfaction with cancer care, assess patients’ satisfaction with navigators, and examine the impact of barriers to care on satisfaction for persons with abnormal cancer-related screening tests or symptoms. Study participants included women and men with abnormal breast, cervical, or colorectal cancer screening tests and/or symptoms receiving care at 18 clinics. Navigated (n = 416) and non-navigated (n = 292) patients completed baseline and end-of-study measures. There was no significant difference between navigated and non-navigated patients in change in patient satisfaction with cancer care from baseline to exit. African-American (p < 0.001), single (p = 0.03), low income (p < 0.01), and uninsured patients (p < 0.001) were significantly less likely to report high patient satisfaction at baseline. A significant effect was found for change in satisfaction over time by employment status (p = 0.04), with full-time employment showing the most improvement. The interaction between satisfaction with navigators and satisfaction with care over time was marginally significant (p = 0.08). Baseline satisfaction was lower for patients who reported a barrier to care (p = 0.02). Patients reporting other-focused barriers (p = 0.03), including transportation (p = 0.02), had significantly lower increases in satisfaction over time. Overall, results suggested that assessing barriers to cancer care and tailoring navigation to barrier type could enhance patients’ experiences with health care. PN may have positive effects for healthcare organizations struggling to enhance quality of care.

Original languageEnglish (US)
Pages (from-to)728-735
Number of pages8
JournalJournal of Cancer Education
Volume30
Issue number4
DOIs
StatePublished - Dec 1 2015

Fingerprint

Patient Navigation
Patient Satisfaction
Early Detection of Cancer
Neoplasms
Delivery of Health Care
Quality of Health Care
Uterine Cervical Neoplasms
African Americans
Colorectal Neoplasms
Organizations
Breast Neoplasms
Health

All Science Journal Classification (ASJC) codes

  • Oncology
  • Public Health, Environmental and Occupational Health

Keywords

  • Cancer screening
  • Disparities
  • Oncology
  • Patient navigation
  • Patient satisfaction
  • Quality improvement

Cite this

Post, D. M., McAlearney, A. S., Young, G. S., Krok-Schoen, J. L., Plascak, J., & Paskett, E. D. (2015). Effects of Patient Navigation on Patient Satisfaction Outcomes. Journal of Cancer Education, 30(4), 728-735. https://doi.org/10.1007/s13187-014-0772-1
Post, Douglas M. ; McAlearney, Ann Scheck ; Young, Gregory S. ; Krok-Schoen, Jessica L. ; Plascak, Jesse ; Paskett, Electra D. / Effects of Patient Navigation on Patient Satisfaction Outcomes. In: Journal of Cancer Education. 2015 ; Vol. 30, No. 4. pp. 728-735.
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Post, DM, McAlearney, AS, Young, GS, Krok-Schoen, JL, Plascak, J & Paskett, ED 2015, 'Effects of Patient Navigation on Patient Satisfaction Outcomes', Journal of Cancer Education, vol. 30, no. 4, pp. 728-735. https://doi.org/10.1007/s13187-014-0772-1

Effects of Patient Navigation on Patient Satisfaction Outcomes. / Post, Douglas M.; McAlearney, Ann Scheck; Young, Gregory S.; Krok-Schoen, Jessica L.; Plascak, Jesse; Paskett, Electra D.

In: Journal of Cancer Education, Vol. 30, No. 4, 01.12.2015, p. 728-735.

Research output: Contribution to journalArticle

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