Back to Search
Start Over
Feasibility of Patient Navigation and Impact on Adherence to Screening Colonoscopy in a Large Diverse Urban Population
- Source :
- J Racial Ethn Health Disparities
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- INTRODUCTION: Disparities observed in colorectal cancer (CRC) incidence and mortality among blacks and Hispanics compared to whites may be in part due to lower screening rates. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) has implemented a patient navigator (PN) program at NYC hospitals serving lower income patients to promote high adherence by patients referred for screening colonoscopy. A prior study showed this PN program increased adherence at 3 public hospitals. The aim of this study was to determine the feasibility of expanding the PN program to 10 hospital sites by assessing the impact of the PN program on adherence to screening colonoscopy in a large, urban, lower-income population. METHODS: Data were collected from 2007 through the first quarter of 2012 from PN sites. One site also contributed data from the pilot phase of the project, from 2005–2006. Adherence to scheduled screening colonoscopy among those ≥ 50 years was assessed among 10 hospital sites in NYC participating in the colonoscopy PN program. RESULTS: Among the 37,077 asymptomatic adults ≥ 50 years who were scheduled for a screening colonoscopy from 2005 to the first quarter of 2012, 84.2% (83.2% of black, 84.9% of Hispanic and 87.5% of white adults) were adherent to scheduled colonoscopy. CONCLUSIONS: Expansion of PN programs to navigate all patients referred for a colonoscopy was feasible in a large, urban setting. This can be implemented resulting in high overall adherence rates to screening colonoscopies. The program likely did not result in large ethnic disparities.
- Subjects :
- Male
medicine.medical_specialty
Health (social science)
Urban Population
Sociology and Political Science
Colorectal cancer
Population
Colonoscopy
Screening colonoscopy
Article
03 medical and health sciences
0302 clinical medicine
Epidemiology
medicine
Humans
Patient Navigation
030212 general & internal medicine
education
Poverty
Early Detection of Cancer
Aged
Preventive healthcare
education.field_of_study
030505 public health
medicine.diagnostic_test
business.industry
Health Policy
Incidence (epidemiology)
Public Health, Environmental and Occupational Health
Cultural Diversity
Health Status Disparities
Middle Aged
medicine.disease
Health promotion
Anthropology
Family medicine
Feasibility Studies
Patient Compliance
Female
New York City
Colorectal Neoplasms
0305 other medical science
business
Program Evaluation
Subjects
Details
- ISSN :
- 21968837 and 21973792
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Racial and Ethnic Health Disparities
- Accession number :
- edsair.doi.dedup.....46ba17e464043ff5486587ba1142631b