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Start Over Topic breast cancer Publisher springer us
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129. A Community-Based Partnership to Successfully Implement and Maintain a Breast Health Navigation Program

Author

Shivon Tannan, Graham A. Colditz, Bettina F. Drake, Jennifer Tappenden, Melody S. Goodman, Victoria V. Anwuri, Mark Sanford, and Sherrill Jackson

Subjects
Adult, medicine.medical_specialty, Health (social science), Population, Disparities, Breast Neoplasms, Health Promotion, Health(social science), Continuous variable, 03 medical and health sciences, Breast cancer screening, 0302 clinical medicine, Breast cancer, Patient navigation, medicine, Chi-square test, Mammography, Humans, 030212 general & internal medicine, skin and connective tissue diseases, education, Early Detection of Cancer, Minority Groups, Aged, Community based, Gynecology, education.field_of_study, Original Paper, medicine.diagnostic_test, business.industry, Public Health, Environmental and Occupational Health, Middle Aged, Patient Acceptance of Health Care, medicine.disease, Community-Institutional Relations, 3. Good health, Socioeconomic Factors, 030220 oncology & carcinogenesis, Family medicine, General partnership, Screening, Female, business
Abstract

Breast cancer screening combined with follow-up and treatment reduces breast cancer mortality. However, in the study clinic, only 12 % of eligible women ≥40 years received a mammogram in the previous year. The objective of this project was to implement patient navigation, in our partner health clinic to (1) identify women overdue for a mammogram; and (2) increase mammography utilization in this population over a 2-year period. Women overdue for a mammogram were identified. One patient navigator made navigation attempts over a 2-year period (2009–2011). Navigation included working around systems- and individual-level barriers to receive a mammogram as well as the appropriate follow-up post screening. Women were contacted up to three times to initiate navigation. The proportion of women navigated and who received a mammogram during the study period were compared to women who did not receive a mammogram using Chi square tests for categorical variables and t tests for continuous variables with an α = 0.05. Barriers to previous mammography were also assessed. With 94.8 % of eligible women navigated and 94 % of these women completing mammography, the implementation project reached 89 % of the target population. This project was a successful implementation of an evidence-based patient navigation program that continues to provide significant impact in a high-need area. Cost was the most commonly cite barrier to mammography. Increasing awareness of resources in the community for mammography and follow-up care remains a necessary adjunct to removing structural and financial barriers to accessing preventive services.

Published
2015