The healthcare system is part of a larger ecosystem that encompasses consumers and patients who live, work, volunteer, and raise families in addition to seeking medical advice and care. And the healthcare organization is a critical part of the community and therefore needs to understand and address the needs of their community. This chapter focuses on the value of a thoughtful community needs assessment, understanding the needs and assets of the community and developing collaborative partnerships to reach out and create access to care as well as provide cancer education, screening, and patient support. Navigators play an essential role in this ecosystem and are critical to community outreach efforts. They often serve as the bridge to screening, treatment, and survivorship services. Though frequently community outreach is thought of as the portion of navigation that occurs prior to someone being diagnosed with cancer, it also is of importance to note that it also is part of the survivorship care delivery model as patients are transitioned back to their community for posttreatment and long-term survivorship monitoring and care.
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