Feasibility of patient navigation and impact on adherence to screening colonoscopy in a large diverse urban population Journal Article

   

Authors:	Mendelsohn, R. B.; DeLeon, S. F.; Calo, D.; Villegas, S.; Carlesimo, M.; Wang, J. J.; Winawer, S. J.
Article Title:	Feasibility of patient navigation and impact on adherence to screening colonoscopy in a large diverse urban population
Abstract:	Introduction: Disparities observed in colorectal cancer (CRC) incidence and mortality among blacks and Hispanics compared with 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 to 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. © 2020, W. Montague Cobb-NMA Health Institute.
Keywords:	colorectal cancer; health promotion; colorectal cancer screening; preventive medicine; patient navigation
Journal Title:	Journal of Racial and Ethnic Health Disparities
Volume:	8
Issue:	3
ISSN:	2197-3792
Publisher:	Springer
Date Published:	2021-06-01
Start Page:	559
End Page:	565
Language:	English
DOI:	10.1007/s40615-020-00812-9
PUBMED:	32643126
PROVIDER:	scopus
PMCID:	PMC9338426
DOI/URL:	https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087692228&doi=10.1007%2fs40615-020-00812-9&partnerID=40&md5=5facb9ab34631e4673c14f8392f19012
Notes:	Article -- Export Date: 1 June 2021 -- Source: Scopus

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