Abstract
A virtual patient navigator is a web/mobile application that helps patients with lung cancer diagnosis reduce their anxiety and uncertainties. In particular, lung cancer patients easily become overwhelmed when having to manage information overload, many appointments with different instructions and locations, and recommendations on how to improve their lifestyle. Existing solutions such as paper-based patient navigators provide much reliable information but are limited in terms of dynamic updates and do not provide opportunities for interactions between care providers and patients. In this paper, we propose a new web-based, mobile, and user-friendly virtual patient navigator application named Care Ami, which incorporates the information found in an existing paper-based navigator along with new features such as remote updates to personal care paths and calendars, personalized navigation guidance, sharing of symptom/medication information, and peer group support. The architecture and main features of this application are presented. Based on the identified requirements, Care Ami compares favorably against related work and solutions.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Aurelia. http://aurelia.io. Accessed 5 Jan 2017
Barker, D.: Web Content Management: Systems, Features, and Best Practices. O’Reilly Media, Sebastopol (2016)
Berkowitz, R.E., Fang, Z., Helfand, B.K., Jones, R.N., Schreiber, R., Paasche-Orlow, M.K.: Project ReEngineered Discharge (RED) lowers hospital readmissions of patients discharged from a skilled nursing facility. J. Am. Med. Directors Assoc. 14(10), 736–740 (2013). doi:10.1016/j.jamda.2013.03.004
Bootstrap. http://getbootstrap.com/. Accessed 21 Jan 2017
Campbell, C., Craig, J., Eggert, J., Bailey-Dorton, C.: Implementing and measuring the impact of patient navigation at a comprehensive community cancer centre. Oncol. Nurs. Forum 37(1), 61–68 (2010). doi:10.1188/10.ONF.61-68
Cancer Care Ontario: Diagnostic Assessment Program – Electronic Pathway Solution (dap-eps). https://patient.dap-eps.ca. Accessed 2 Jan 2017
Cancer Care Ontario: Ontario Cancer Statistics (2016). https://www.cancercare.on.ca/common/pages/UserFile.aspx?fileId=360956. Accessed 2 Jan 2017
Cashen, M.S., Dykes, P., Gerber, B.: eHealth technology and internet resources – barriers for vulnerable populations. J. Cardiovasc. Nurs. 19(3), 209–214 (2004)
Chiuve, S.E., McCullough, M.L., Sacks, F.M., Rimm, E.B.: Healthy lifestyle factors in the primary prevention of coronary heart disease among men. Circulation 114(2), 160–167 (2006). doi:10.1161/CIRCULATIONAHA.106.621417
CMS Matrix. http://www.cmsmatrix.org/. Accessed 21 Jan 2017
Drupalâ„¢. https://www.drupal.org/. Accessed 2 Jan 2017
Eng, E., Parker, E., Harlan, C.: Lay health advisor intervention strategies: a continuum from natural helping to paraprofessional helping. Health Educ. Behav. 24(4), 413–417 (1997). doi:10.1177/109019819702400402
Freeman, H.P.: Patient navigation – a community centered approach to reducing cancer mortality. J. Cancer Educ. 21(1 Suppl.), S11–S14 (2006). doi:10.1207/s15430154jce2101s_4
Fung-Kee-Fung, M., Maziak, D.E., et al.: Lung cancer diagnosis transformation: aligning the people, processes, and technology sides of the learning system. J. Clin. Oncol. 34(Suppl. 7S; abstr 50) (2016). http://meetinglibrary.asco.org/content/160997-181
Gabitova, G., Burke, N.J.: Improving healthcare empowerment through breast cancer patient navigation: a mixed methods evaluation in a safety-net setting. BMC Health Serv. Res. 14, 407 (2014). doi:10.1186/1472-6963-14-407
Gardiner, P., Hempstead, M.B., et al.: Reaching women through health information technology: the gabby preconception care system. Am. J. Health Promot. 27(3 Suppl.), eS11–eS20 (2013). doi:10.4278/ajhp.1200113-QUAN-18
Ghaddar, S.F., Valerio, M.A., Garcia, C.M., Hansen, L.: Adolescent health literacy – the importance of credible sources for online health information. J. Sch. Health 82(1), 28–36 (2012). doi:10.1111/j.1746-1561.2011.00664.x
Google inc.: Google Maps Indoor. https://www.google.ca/maps/about/partners/indoormaps/. Accessed 21 Jan 2017
Haase, K.R., Loiselle, C.G.: Oncology team members’ perceptions of a virtual navigational tool for cancer patients. Int. J. Med. Inform. 81(6), 395–403 (2012). doi:10.1016/j.ijmedinf.2011.11.001
Haase, K.R., Strohschein, F., Lee, V., Loiselle, C.G.: The promise of virtual navigation in cancer care: insights from patients and healthcare providers. Can. Oncol. Nurs. J. 26(3), 238–245 (2016)
Hevner, A.R., March, A.T., Park, J., Ram, S.: Design science in information systems research. MIS Q. 28(1), 75–105 (2004)
Hibbard, J.H., Greene, J.: What the evidence shows about patient activation – better health outcomes and care experience; fewer data on costs. Health Aff. (Millwood) 32(2), 207–214 (2013). doi:10.1377/hlthaff.2012.1061
Highfield, L., Hanks, J.: Interactive web-based portals to improve patient navigation and connect patients with primary care and speciality services in underserved communities. Perspect. Health Inf. Manag. 11(Spring), 1e (2014)
Horowitz, B.T.: Accenture Crafts Prototype Mobile App to Guide Patients to Care. eWeek (2013). http://bit.ly/2iYNgaR
Jack, B., Bickmore, T.: The Re-Engineered Hospital Discharge Program to Decrease Rehospitalization. CareManagement 16, 12–15 (2010)
Jack, B., Bickmore, T., et al.: Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events. The Agency for Healthcare Research and Quality (AHRQ) (2011)
Jandorf, J., Cooperman, J.L., et al.: Implementation of culturally targeted patient navigation system for screening colonoscopy in a direct referral system. Health Educ. Res. 28(5), 803–815 (2013). doi:10.1093/her/cyt003
Katz, M.L., Young, G.S., et al.: Barriers reported among the patients with breasts and cervical abnormalities in the patient navigation research program – impact on timely care. Women’s Health Issues 24(1), e155–e162 (2014). doi:10.1016/j.whi.2013.10.010
Kent, S.M., Yellowlees, P.: The technology-enabled patient advocate: a valuable emerging healthcare partner. Telemed. J. E Health 21(12), 1030–1037 (2015)
Kitchenham, B., Brereton, O.P., et al.: Systematic literature reviews in software engineering – a systematic literature review. Inf. Softw. Technol. 51(1), 7–15 (2009). doi:10.1016/j.infsof.2008.09.009
Lee, Y.J., Kim, J.H., et al.: Lung cancer in never smokers: change of a mindset in the molecular era. Lung Cancer 72(1), 9–15 (2011). doi:10.1016/j.lungcan.2010.12.013
Loiselle, C.G., Peters, O., Haase, K.R., Girouard, L., Korner, A., Wiljer, D., Fitch, M.: Virtual navigation in colorectal cancer and melanoma: an exploration of patient’s view. Support. Care Cancer 21(8), 2289–2296 (2013). doi:10.1007/s00520-013-1771-1
Loiselle, C.G.: Virtual Navigation in Cancer: A Pilot Study. Canadian Partnership Against Cancer, Toronto (2010)
Lorhan, S., Dennis, D., van der Westhuizen, M., Hodgson, S., Berrang, T., Daudt, H.: The experience of people with lung cancer with a volunteer-based lay navigation intervention at an outpatient cancer center. Patient Educ. Couns. 96(2), 237–248 (2014). doi:10.1016/j.pec.2014.05.002
MEAN. http://mean.io/. Accessed 5 Jan 2017
Mobilecare247 inc.: Patient Navigator. http://mobilecare247.com/services/patient-navigator/. Accessed 2 Jan 2017
Neville, C., Da Costa, D., et al.: Development of the lupus interactive navigator as an empowering web-based ehealth tool to facilitate lupus management: Users perspectives on usability and acceptability. JMIR Res. Protoc. 5(2), e44 (2014). doi:10.2196/resprot.4219
Pesch, B., Kendzia, B., et al.: Cigarette smoking and lung cancer – relative risk estimates for the major histological types from a pooled analysis of case-control studies. Int. J. Cancer 131(5), 1210–1219 (2012). doi:10.1002/ijc.27339
Post, D.M., McAlearney, A.S., Young, G.S., Krok-Schoen, J.L., Plascak, J.J., Paskett, E.D.: Effects of patient navigation on patient satisfaction outcomes. J. Canc. Educ. 30(4), 728–735 (2015). doi:10.1007/s13187-014-0772-1
Rhodes, A., Caelli, W.: A review paper role based access control. Information Security Research Centre (2000)
Shahab, L., McEwen, A.: Online support for smoking cessation – a systematic review of the literature. Addiction 104(11), 1792–1804 (2009). doi:10.1111/j.1360-0443.2009.02710.x
Talha, M., Sneha, R., Eunji, I.: Importance of patient-centered signage and navigation guide in an orthopedic and plastics clinic. BMJ Qual. Improv. Rep. 5(1) (2016). doi:10.1136/bmjquality.u209473.w3887
The Ottawa Hospital: Patient Passport, P1024 ENGLISH (REV 11/2015). http://ottawahospital.libguides.com/ld.php?content_id=19954598. Accessed 2 Jan 2017
Vorderstrasse, A., Lewinski, A., Melkus, G.D., Johnson, C.: Social support for diabetes self-management via ehealth interventions. Curr. Diab. Rep. 16(7), 56 (2016). doi:10.1007/s11892-016-0756-0
Xamarinâ„¢. https://www.xamarin.com. Accessed 5 Jan 2017
Acknowledgements
This work was supported in part by the funding from the Telfer Health Transformation Exchange (THTex) at the Telfer School of Management, University of Ottawa. We are also thankful to Carl Maisonneuve for useful discussions about the TOH platforms, and to Jacques Sincennes for his help with the infrastructure.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this paper
Cite this paper
Chandhoke, G.S. et al. (2017). A Virtual Patient Navigation Application for Lung Cancer Assessment Patients. In: Aïmeur, E., Ruhi, U., Weiss, M. (eds) E-Technologies: Embracing the Internet of Things . MCETECH 2017. Lecture Notes in Business Information Processing, vol 289. Springer, Cham. https://doi.org/10.1007/978-3-319-59041-7_16
Download citation
DOI: https://doi.org/10.1007/978-3-319-59041-7_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59040-0
Online ISBN: 978-3-319-59041-7
eBook Packages: Computer ScienceComputer Science (R0)