Chicago Cancer Navigation Project

芝加哥癌症导航项目

基本信息

批准号：
7941368
负责人：
STEVEN Terry ROSEN
金额：
$ 30.19万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2012-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7941368
关键词：
Aftercare Ally Ambulatory Care Facilities American Cancer Society Biopsy Breast Cancer Patient Cancer Prognosis Caring Centers for Disease Control and Prevention (U.S.)Cervical Cervix Uteri Chicago Child Client satisfaction Colorectal Colorectal Cancer Communities Community Health Community Health Networks Complex Counseling Demographic Factors Diagnosis Diagnostic Diagnostic tests Educational Materials Enrollment Evaluation Excision Failure Federally Qualified Health Center Fright Funding Health Health system Healthcare Systems Hospitals Illinois Individual Insurance Intervention Learning Location Loop electrosurgical excision procedure Low income Malignant Neoplasms Malignant neoplasm of cervix uteri Malignant neoplasm of prostate Mammography Medicaid Medical center Operative Surgical Procedures Outpatients Pap smear Patient Education Patient observation Patients Performance Persons Primary Health Care Procedures Prostate Radiation therapy Reporting Resolution Resources Schedule Screening for cancer Screening procedure Services Site Social Work Social support Spouses Support System System Test Result Testing Time Transportation of Patients United States Public Health Service Veterans Woman X-Ray Computed Tomography base bone imaging cancer diagnosis cancer therapy care systems chemotherapy cost effectiveness experience follow-up health administration hormone therapy improved malignant breast neoplasm non-compliance patient home care patient oriented programs psychosocial racial and ethnic treatment as usual

项目摘要

DESCRIPTION (provided by applicant): The purpose of this application is to develop a patient navigation intervention for lower income patients in Chicago, Illinois, who need follow-up care for positive cancer screening tests of the prostate, colorectum, breast and cervix. We plan to create a patient navigator program, which interfaces with individuals, who although poor, have guaranteed financial access to follow-up care after a positive screening test is reported. Veterans will receive follow-up care through the Jesse Brown Chicago VA and affiliated Lakeside Community Based Outpatient Clinic (VA) health system (for prostate and colorectal cancer) and patients who receive care at Access Community Health Network (ACCESS) will receive follow-up care through the Medicaid insurance program (for breast and cervical cancer, as part of the Illinois Breast and Cervical Cancer Treatment Act). The proposed patient navigator will be closely integrated with the Veterans' Health Administration (Lakeside and Westside locations) and ACCESS, a Public Health Service-designated 330 Federally Qualified Health Center organization. This program is built, in part, upon a pre-existing navigator program (from the American Cancer Society / Centers for Disease Control funded Racial and Ethnic Approaches to Community Health (REACH) 2010 project). In 2003, 150 Veterans were diagnosed with prostate cancer and 120 diagnosed with colorectal cancer each year at the Jesse Brown VA medical center, while 152 women with breast cancer and 259 women with cervical cancer were identified at ACCESS. Through this program it is estimated that 9400 persons with abnormal screening tests for prostate, colorectal, cervical and breast will be navigated. The specific aims of this application are to: 1) increase the proportion of patients with diagnostic evaluations amongst the navigator interventions sites as compared to both previous performance and the usual care control sites; 2) for patients who do get follow-up diagnostic evaluations to improve mean time to a diagnostic resolution between abnormal screening and definitive follow-up for the intervention sites as compared to both previous performance and to the usual care control sites

描述（由申请人提供）：该应用的目的是为伊利诺伊州芝加哥的较低收入患者开发患者导航干预措施，他们需要对前列腺，结肠癌，乳房和子宫颈的癌症筛查测试进行阳性癌症的后续护理。我们计划创建一项患者导航器计划，该计划与个人相连，尽管较差，但在报告了积极的筛查测试后，他们保证了经济访问的后续护理。退伍军人将通过杰西·布朗·芝加哥VA获得后续护理，并基于湖滨社区的门诊诊所（VA）卫生系统（针对前列腺癌和大肠癌），并且在Access Community Health Network（Access）接受护理的患者将通过Medicaid保险计划（乳房和宫颈癌，作为伊利诺伊州乳腺癌的一部分，作为乳腺癌和宫颈癌治疗疗法）。拟议的患者导航员将与退伍军人卫生管理局（湖畔和西区地区）以及公共卫生服务指定的330个联邦合格的健康中心组织的Access紧密集成。该计划部分是在先前存在的导航计划（来自美国癌症协会 /疾病控制中心资助的种族和种族卫生方法（REACH）2010年项目中）建立的。 2003年，杰西·布朗·弗吉尼亚州医疗中心（Jesse Brown VA）医疗中心被诊断出150名退伍军人被诊断出患有前列腺癌，120名被诊断出患有结直肠癌，而152名乳腺癌女性和259名宫颈癌妇女在进入时被发现。通过该程序，据估计，将逐渐导航9400名对前列腺，结直肠，宫颈和乳房异常筛查测试的人。本应用的具体目的是：1）与先前的绩效和常规护理控制地点相比，导航员干预站点之间进行诊断评估的患者比例； 2）对于确实获得后续诊断评估的患者，与先前的表现和平常的护理控制地点相比