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Virtual Care Navigation to Reduce Disparities and Improve Quality: A Pilot Program for Colorectal Cancer Screening
Virtual Care Navigation to Reduce Disparities and Improve Quality: A Pilot Program for Colorectal Cancer Screening
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211151507
- ISBN
- 9798383184196
- DDC
- 610.73
- 저자명
- Freeman, Robert.
- 서명/저자
- Virtual Care Navigation to Reduce Disparities and Improve Quality: A Pilot Program for Colorectal Cancer Screening
- 발행사항
- [Sl] : Yale University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 44 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-01, Section: A.
- 주기사항
- Advisor: Camilleri, Mary Ann.
- 학위논문주기
- Thesis (D.N.P.)--Yale University, 2024.
- 초록/해제
- 요약Purpose: This DNP project piloted a virtual care navigation program for primary care patients in an urban population, aimed at improving compliance with colorectal screening and reducing disparities in access to care.Background: Despite the high prevalence and mortality, colorectal cancer screening remains low in the United States. This is especially true for patients who are uninsured, who are younger and for racial minorities. Colorectal Cancer can be largely prevented when appropriate screening is done. Digital navigation tools have demonstrated effectiveness in helping patients complete preventative health measures like cancer screening.Methods: This quality improvement project implemented a virtual navigation program for colorectal cancer screening within an urban primary care setting. Participants were identified based on institutional colorectal screening guidelines. The technology department supported the development of the virtual program using the enterprise patient engagement portal. Descriptive and bivariate statistics were used to evaluate outcomes of the 11-week pilot period. Recommendations were made to the organization for scaling and sustaining the program.Results: A total of 948 patients had an annual primary care visit at the pilot locations during the 11-week pilot period. Out of all patients, 78 met the inclusion criteria and were enrolled in the virtual navigation program. An overall increase of 5.94% was observed in the colorectal screening rate compared to the same period one year prior. The baseline and pilot period screening rates were compared using Pearson Chi-squared and a statistically significant difference was measured (p = 0.016). No differences in screening rates by race were observed.Conclusion: The virtual navigation program was successful at improving colorectal screening rates within an urban primary care population. Due to limitations in participant size, no differences in screening rates by race were observed.
- 일반주제명
- Nursing
- 일반주제명
- Oncology
- 일반주제명
- Health education
- 키워드
- Disparities
- 기타저자
- Yale University Yale University School of Nursing
- 기본자료저록
- Dissertations Abstracts International. 86-01A.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520250211151507
■006m o d
■007cr#unu||||||||
■020 ▼a9798383184196
■035 ▼a(MiAaPQ)AAI31299214
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aFreeman, Robert.▼0(orcid)0000-0003-4946-6533
■24510▼aVirtual Care Navigation to Reduce Disparities and Improve Quality: A Pilot Program for Colorectal Cancer Screening
■260 ▼a[Sl]▼bYale University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a44 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-01, Section: A.
■500 ▼aAdvisor: Camilleri, Mary Ann.
■5021 ▼aThesis (D.N.P.)--Yale University, 2024.
■520 ▼aPurpose: This DNP project piloted a virtual care navigation program for primary care patients in an urban population, aimed at improving compliance with colorectal screening and reducing disparities in access to care.Background: Despite the high prevalence and mortality, colorectal cancer screening remains low in the United States. This is especially true for patients who are uninsured, who are younger and for racial minorities. Colorectal Cancer can be largely prevented when appropriate screening is done. Digital navigation tools have demonstrated effectiveness in helping patients complete preventative health measures like cancer screening.Methods: This quality improvement project implemented a virtual navigation program for colorectal cancer screening within an urban primary care setting. Participants were identified based on institutional colorectal screening guidelines. The technology department supported the development of the virtual program using the enterprise patient engagement portal. Descriptive and bivariate statistics were used to evaluate outcomes of the 11-week pilot period. Recommendations were made to the organization for scaling and sustaining the program.Results: A total of 948 patients had an annual primary care visit at the pilot locations during the 11-week pilot period. Out of all patients, 78 met the inclusion criteria and were enrolled in the virtual navigation program. An overall increase of 5.94% was observed in the colorectal screening rate compared to the same period one year prior. The baseline and pilot period screening rates were compared using Pearson Chi-squared and a statistically significant difference was measured (p = 0.016). No differences in screening rates by race were observed.Conclusion: The virtual navigation program was successful at improving colorectal screening rates within an urban primary care population. Due to limitations in participant size, no differences in screening rates by race were observed.
■590 ▼aSchool code: 0265.
■650 4▼aNursing
■650 4▼aOncology
■650 4▼aHealth education
■653 ▼aVirtual care navigation
■653 ▼aDisparities
■653 ▼aColorectal cancer screening
■653 ▼aDigital navigation tools
■653 ▼aUrban healthcare system
■690 ▼a0569
■690 ▼a0992
■690 ▼a0769
■690 ▼a0680
■71020▼aYale University▼bYale University School of Nursing.
■7730 ▼tDissertations Abstracts International▼g86-01A.
■790 ▼a0265
■791 ▼aD.N.P.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17161957▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
