Using community-engaged methods to develop a study protocol for a cost analysis of a multi-site patient navigation intervention for breast cancer care

Serena Rajabiun, Victoria Xiao, Sharon Bak, Charlotte Robbins, Nicole Casanova, Howard J Cabral, Stephenie C Lemon, Jennifer S Haas, Karen M Freund, Tracy Battaglia, TRIP Consortium, Ted A James, Ellen Ohrenberger, Jo Ellen Ross, Leo Magrini, Susan T Gershman, Mark Kennedy, Anne Levine, Erica T Warner, Cheryl R Clark, William G Adams, Sharon Bak, Tracy A Battaglia, Janice Debrito, Katie Finn, Christine Gunn, Jackeline Hernandez, Naomi Y Ko, Ariel Maschke, Katelyn Mullikin, Charlotte Robbins, Christopher W Shanahan, Victoria Xiao, Howard J Cabral, Clara Chen, Carolyn Finney, Christine Lloyd-Travaglini, Magnolia Contreras, Stephanie Loo, Rachel A Freedman, Karen Burns White, Anne Marie Murphy, Beverly Moy, Jennifer S Haas, Caylin Marotta, Mira Oravcova-Mejia, Sanja Percac-Lima, Amy J Wint, Karen M Freund, William F Harvey, Amy M LeClair, Susan K Parsons, Dolma Tsering, Feng Qing Wang, Serena Rajabiun, Stephenie C Lemon, Serena Rajabiun, Victoria Xiao, Sharon Bak, Charlotte Robbins, Nicole Casanova, Howard J Cabral, Stephenie C Lemon, Jennifer S Haas, Karen M Freund, Tracy Battaglia, TRIP Consortium, Ted A James, Ellen Ohrenberger, Jo Ellen Ross, Leo Magrini, Susan T Gershman, Mark Kennedy, Anne Levine, Erica T Warner, Cheryl R Clark, William G Adams, Sharon Bak, Tracy A Battaglia, Janice Debrito, Katie Finn, Christine Gunn, Jackeline Hernandez, Naomi Y Ko, Ariel Maschke, Katelyn Mullikin, Charlotte Robbins, Christopher W Shanahan, Victoria Xiao, Howard J Cabral, Clara Chen, Carolyn Finney, Christine Lloyd-Travaglini, Magnolia Contreras, Stephanie Loo, Rachel A Freedman, Karen Burns White, Anne Marie Murphy, Beverly Moy, Jennifer S Haas, Caylin Marotta, Mira Oravcova-Mejia, Sanja Percac-Lima, Amy J Wint, Karen M Freund, William F Harvey, Amy M LeClair, Susan K Parsons, Dolma Tsering, Feng Qing Wang, Serena Rajabiun, Stephenie C Lemon

Abstract

Background: Patient navigation is an evidence-based intervention for reducing delays in oncology care among underserved populations. In order to address the financial sustainability of this intervention, information is needed on the cost of implementing patient navigation in diverse healthcare settings. Because patient navigation programs and care settings are highly variable, this paucity of cost data creates difficulties in identifying best practices and decisions about the feasibility of implementing navigation programs within a health care system. One barrier to collecting these cost data is the lack of assessment tools available to support patient navigation programs. These tools must be relevant to the wide variety of navigation activities that exist in health care settings, and be flexible enough to collect cost data important to stakeholders in fee-for-service and value-based care environments.

Methods and results: We present a novel approach and methods for assessing the cost of a patient navigation program implemented across six hospital systems to enhance timely entry and uptake of breast cancer care and treatment. These methods and tools were developed in partnership with breast oncology patient navigators and supervisors using principles of stakeholder engagement, with the goal of increasing usability and feasibility in the field.

Conclusions: This methodology can be used to strengthen cost analysis and assessment tools for other navigation programs for improving care and treatment for patients with chronic conditions.

Trial registration: NCT03514433.

Keywords: Breast cancer; Cost; Patient navigation.

Conflict of interest statement

The authors declare that they have no competing interests

© 2022. The Author(s).

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Source: PubMed

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