Chicago Cancer Navigation Project

芝加哥癌症导航项目

基本信息

批准号：
7938283
负责人：
STEVEN Terry ROSEN
金额：
$ 12.54万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-16 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7938283
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

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 (forprostate 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 restate, colorectal, cervical and breast will be navigated. The specific aims of this proposal 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.

本申请的目的是为低收入患者开发患者导航干预措施伊利诺伊州芝加哥，需要对前列腺癌筛查阳性筛查测试的后续护理，Colorectum，乳房和子宫颈。我们计划创建一个患者导航器计划，该计划与个人接口尽管较差，但报告了阳性筛查测试后保证财务访问后续护理。退伍军人将通过杰西·布朗芝加哥弗吉尼亚州和附属湖滨社区获得后续护理基于门诊的诊所（VA）卫生系统（近直肠癌和结直肠癌）和接受的患者 Access Community Health Network（访问）的护理将通过医疗补助获得后续护理保险计划（作为乳腺癌和宫颈癌，作为伊利诺伊州乳腺癌和宫颈癌的一部分治疗法）。拟议的患者导航员将与退伍军人的健康密切相结合行政管理（湖畔和西区地区）和通道，公共卫生服务指定的330 联邦资格卫生中心组织。该程序部分是在预先存在的导航器上构建的计划（来自美国癌症协会 /疾病控制中心资助的种族和种族社区健康的方法（触及）2010年项目）。 2003年，诊断出150名退伍军人前列腺癌和每年在杰西·布朗·弗吉尼亚州医疗中心被诊断为结直肠癌的120个虽然有152名乳腺癌女性和259名宫颈癌妇女在进入时发现了妇女。通过该程序，估计有9400名患者进行了筛查异常的测试，以进行重复，结直肠癌，宫颈和乳房将被导航。该提案的具体目的是：1）增加比例与以前的两者相比性能和通常的护理控制网站； 2）对于确实得到后续诊断评估的患者改善平均时间，从与以前的性能和常规护理控制站点相比，干预站点。