Journal of Cancer Education

, Volume 28, Issue 3, pp 527–534

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

  • Pascal Jean-Pierre
  • Paul C. Winters
  • Jack A. Clark
  • Victoria Warren-Mears
  • Kristen J. Wells
  • Douglas M. Post
  • Nancy LaVerda
  • Mary Ann Van Duyn
  • Kevin Fiscella
  • Patient Navigation Research Program Group
Article
  • 290 Downloads

Abstract

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.

Keywords

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

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Pascal Jean-Pierre
    • 1
    • 10
  • Paul C. Winters
    • 2
  • Jack A. Clark
    • 3
  • Victoria Warren-Mears
    • 4
  • Kristen J. Wells
    • 5
  • Douglas M. Post
    • 6
  • Nancy LaVerda
    • 7
  • Mary Ann Van Duyn
    • 8
  • Kevin Fiscella
    • 2
  • Patient Navigation Research Program Group
    • 9
  1. 1.Harper Cancer Research InstituteNotre DameUSA
  2. 2.Department of Family MedicineUniversity of Rochester Medical CenterRochesterUSA
  3. 3.Center for Health Quality, Outcomes, and Economic Research—VA HSR&DBoston University School of Public HealthBostonUSA
  4. 4.Northwest Portland Area Indian Health BoardTribal Epidemiology CenterPortlandUSA
  5. 5.Center for Evidence-based Medicine and Health Outcomes ResearchUniversity of South Florida College of MedicineTampaUSA
  6. 6.Department of Family MedicineOhio State Wexner Medical CenterColumbusUSA
  7. 7.George Washington University (GWU) Cancer InstituteGWU Medical CenterWashingtonUSA
  8. 8.Center to Reduce Cancer Health DisparitiesNational Cancer InstituteRockvilleUSA
  9. 9.The Patient Navigation Research Program groupBethesdaUSA
  10. 10.Department of PsychologyUniversity of Notre DameNotre DameUSA

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