Evaluating a Bilingual Patient Navigation Program for Uninsured Women With Abnormal Screening Tests for Breast and Cervical Cancer: Implications for Future Navigator Research

• DOI: 10.2105/ajph.2014.302341
• Publication Date: 2015-02-25T21:08:46Z
• Authors: Melissa A. Simon; Laura S. Tom; Narissa J. Nonzee; Kara R. Murphy; Richard Endress; XinQi Dong; Joe Feinglass
• Keywords: Health Literacy; Distrust

The DuPage Patient Navigation Collaborative evaluated the Research Program (PNRP) model for uninsured women receiving free breast or cervical cancer screening through Illinois Breast and Cervical Cancer in County, Illinois.We used medical records review patient surveys of 477 to compare median follow-up times with external Chicago PNRP benchmarks performance. We examined extent which we mitigated community-defined timeliness risk factors delayed follow-up, a focus on Spanish-speaking participants.Median time (29.0 days 56.5 abnormalities) compared favorably benchmarks. patients had lower health literacy, activation, more care system distrust than did English-speaking patients, but despite prevalence factors, observed no differences likelihood (> 60 days) by language.Our successful replication scaling navigation County illustrates promising approach future navigator research.