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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Patient perceptions of a comprehensive cancer navigation service</title>
<author>
<name sortKey="Hryniuk, W" sort="Hryniuk, W" uniqKey="Hryniuk W" first="W." last="Hryniuk">W. Hryniuk</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Simpson, R" sort="Simpson, R" uniqKey="Simpson R" first="R." last="Simpson">R. Simpson</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mcgowan, A" sort="Mcgowan, A" uniqKey="Mcgowan A" first="A." last="Mcgowan">A. Mcgowan</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carter, P" sort="Carter, P" uniqKey="Carter P" first="P." last="Carter">P. Carter</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">24764695</idno>
<idno type="pmc">3997445</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997445</idno>
<idno type="RBID">PMC:3997445</idno>
<idno type="doi">10.3747/co.21.1930</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">002D70</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002D70</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Patient perceptions of a comprehensive cancer navigation service</title>
<author>
<name sortKey="Hryniuk, W" sort="Hryniuk, W" uniqKey="Hryniuk W" first="W." last="Hryniuk">W. Hryniuk</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Simpson, R" sort="Simpson, R" uniqKey="Simpson R" first="R." last="Simpson">R. Simpson</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mcgowan, A" sort="Mcgowan, A" uniqKey="Mcgowan A" first="A." last="Mcgowan">A. Mcgowan</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Carter, P" sort="Carter, P" uniqKey="Carter P" first="P." last="Carter">P. Carter</name>
<affiliation>
<nlm:aff id="af1-conc-21-69">CAREpath Inc., Toronto, ON.</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Current Oncology</title>
<idno type="ISSN">1198-0052</idno>
<idno type="eISSN">1718-7729</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objective</title>
<p>Our aim was to determine the extent to which comprehensive navigation augments the provincial health system for meeting the needs of newly-diagnosed cancer patients (clients). We also assessed reactions of attending physicians to comprehensive navigation.</p>
</sec>
<sec>
<title>Methods</title>
<p>Clients who completed navigation as an employee benefit or through membership in an insurance organization were polled to determine whether they needed help beyond that provided by the provincial health system and the extent to which that help was provided by navigation. Exit interviews were analyzed for perceptions of the clients about reactions by their attending physicians to navigation.</p>
</sec>
<sec>
<title>Results</title>
<p>Of eligible clients, 72% responded. They reported needing help beyond that which the provincial system could provide in 64%–98% of specified areas. Navigation provided help in more than 90% of those cases. Almost all respondents (98%) appreciated having a designated oncology nurse navigator. Family doctors were perceived to be positive or neutral about navigation in 100% of exit interviews. Oncologists were positive or neutral in 92% (
<italic>p</italic>
< 0.001 for difference from family doctors).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>In many areas, cancer patients need additional help beyond that which the provincial health system can provide. Comprehensive cancer navigation provides that help to a considerable extent. Clients perceived the reactions of attending physicians to comprehensive navigation to be generally supportive or neutral.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Curr Oncol</journal-id>
<journal-id journal-id-type="publisher-id">CO</journal-id>
<journal-title-group>
<journal-title>Current Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1198-0052</issn>
<issn pub-type="epub">1718-7729</issn>
<publisher>
<publisher-name>Multimed Inc.</publisher-name>
<publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24764695</article-id>
<article-id pub-id-type="pmc">3997445</article-id>
<article-id pub-id-type="doi">10.3747/co.21.1930</article-id>
<article-id pub-id-type="publisher-id">conc-21-69</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
<subj-group subj-group-type="heading">
<subject>Cancer Rehabilitation and Survivorship</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Patient perceptions of a comprehensive cancer navigation service</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Hryniuk</surname>
<given-names>W.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-conc-21-69">
<sup>*</sup>
</xref>
<xref ref-type="corresp" rid="c1-conc-21-69"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Simpson</surname>
<given-names>R.</given-names>
</name>
<degrees>MA</degrees>
<xref ref-type="aff" rid="af1-conc-21-69">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McGowan</surname>
<given-names>A.</given-names>
</name>
<degrees>RN</degrees>
<xref ref-type="aff" rid="af1-conc-21-69">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Carter</surname>
<given-names>P.</given-names>
</name>
<degrees>BA AMP</degrees>
<xref ref-type="aff" rid="af1-conc-21-69">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="af1-conc-21-69">
<label>*</label>
CAREpath Inc., Toronto, ON.</aff>
<author-notes>
<corresp id="c1-conc-21-69">Correspondence to: William Hryniuk, 101 Turnbull Road, Dundas Ontario L9H 5R9. E-mail:
<email>whryniuk@CAREpath.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>4</month>
<year>2014</year>
</pub-date>
<volume>21</volume>
<issue>2</issue>
<fpage>69</fpage>
<lpage>76</lpage>
<permissions>
<copyright-statement>2014 Multimed Inc.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<sec>
<title>Objective</title>
<p>Our aim was to determine the extent to which comprehensive navigation augments the provincial health system for meeting the needs of newly-diagnosed cancer patients (clients). We also assessed reactions of attending physicians to comprehensive navigation.</p>
</sec>
<sec>
<title>Methods</title>
<p>Clients who completed navigation as an employee benefit or through membership in an insurance organization were polled to determine whether they needed help beyond that provided by the provincial health system and the extent to which that help was provided by navigation. Exit interviews were analyzed for perceptions of the clients about reactions by their attending physicians to navigation.</p>
</sec>
<sec>
<title>Results</title>
<p>Of eligible clients, 72% responded. They reported needing help beyond that which the provincial system could provide in 64%–98% of specified areas. Navigation provided help in more than 90% of those cases. Almost all respondents (98%) appreciated having a designated oncology nurse navigator. Family doctors were perceived to be positive or neutral about navigation in 100% of exit interviews. Oncologists were positive or neutral in 92% (
<italic>p</italic>
< 0.001 for difference from family doctors).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>In many areas, cancer patients need additional help beyond that which the provincial health system can provide. Comprehensive cancer navigation provides that help to a considerable extent. Clients perceived the reactions of attending physicians to comprehensive navigation to be generally supportive or neutral.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Comprehensive cancer navigation</kwd>
<kwd>clients</kwd>
<kwd>oncology nurse</kwd>
<kwd>CAREpath Inc.</kwd>
<kwd>survivorship care plan</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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