Journal of Cancer Education

, Volume 28, Issue 3, pp 527-534

Do Better-Rated Navigators Improve Patient Satisfaction with Cancer-Related Care?

  • Pascal Jean-PierreAffiliated withHarper Cancer Research InstituteDepartment of Psychology, University of Notre Dame Email author 
  • , Paul C. WintersAffiliated withDepartment of Family Medicine, University of Rochester Medical Center
  • , Jack A. ClarkAffiliated withCenter for Health Quality, Outcomes, and Economic Research—VA HSR&D, Boston University School of Public Health
  • , Victoria Warren-MearsAffiliated withNorthwest Portland Area Indian Health Board, Tribal Epidemiology Center
  • , Kristen J. WellsAffiliated withCenter for Evidence-based Medicine and Health Outcomes Research, University of South Florida College of Medicine
  • , Douglas M. PostAffiliated withDepartment of Family Medicine, Ohio State Wexner Medical Center
  • , Nancy LaVerdaAffiliated withGeorge Washington University (GWU) Cancer Institute, GWU Medical Center
  • , Mary Ann Van DuynAffiliated withCenter to Reduce Cancer Health Disparities, National Cancer Institute
  • , Kevin FiscellaAffiliated withDepartment of Family Medicine, University of Rochester Medical Center
    • , Patient Navigation Research Program GroupAffiliated withThe Patient Navigation Research Program group

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Patient navigation has emerged as a promising strategy for addressing racial-ethnic and socioeconomic disparities in cancer-related care. However, little is known about the impact of patients’ perception of the quality of navigation on patient outcomes. We examined the impact of better-rated navigators on patients’ satisfaction with cancer-related care. The sample included 1,593 adults (85.8 % with abnormal cancer screening and 14.2 % with confirmed cancer diagnosis) who received patient navigation. We defined better-rated navigators as those scoring above the first quartile of mean scores on the Patient Satisfaction with Interpersonal Relationship with Navigator scale. We defined patient satisfaction based on scores above or below the median of the Patient Satisfaction with Cancer-Related Care (PSCC) scale. We controlled for patient and site characteristics using backward selection logistic regression analyses. Among patients with abnormal screening, having a better-rated navigator was associated with higher score on the PSCC (p < 0.05). After controlling for other bivariate predictors of satisfaction (e.g., age, race, income, and household size), navigation by better-rated navigators was associated with a greater likelihood of having higher patient satisfaction [odds ratio (OR), 1.38; 95 % confidence interval (CI), 1.05–1.82]. Similar findings between better-rated navigators and score on the PSCC were found for participants with diagnosed cancer (OR, 3.06; 95 % CI, 1.56–6.0). Patients navigated by better-rated navigators reported higher satisfaction with their cancer-related care.


Patient navigation Cancer disparities Patient Satisfaction with Interpersonal Relationship with Navigators Patient Satisfaction with Cancer-Related Care