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Time and Motion Study of a Community Patient Navigator

1 Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA;
2 Rush Medical College, Chicago, IL, 60612, USA;
3 Access DuPage, Carol Stream, IL, 60188, USA;
4 Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA;
5 Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA

Special Issues: Addressing Understudied and Vulnerable Populations and Health Systems

Research on patient navigation has focused on validating the utility of navigators by defining their roles and analyzing their effects on patient outcomes, patient satisfaction, and cost effectiveness. Patient navigators are increasingly used outside the research context, and their roles without research responsibilities may look very different. This pilot study captured the activities of a community patient navigator for uninsured women with a positive screening test for breast cancer, using a time and motion approach over a period of three days. We followed the actions of this navigator minute by minute to assess the relative ratios of actions performed and to identify areas for time efficiency improvement to increase direct time with patients. This novel approach depicts the duties of a community patient navigator no longer fettered by navigation logs, research team meetings, surveys, and the consent process. We found that the community patient navigator was able to spend more time with patients in the clinical context relative to performing paperwork or logging communication with patients as a result of her lack of research responsibilities. By illuminating how community patient navigation functions as separate from the research setting, our results will inform future hiring and training of community patient navigators, system design and operations for improving the efficiency and efficacy of navigators, and our understanding of what community patient navigators do in the absence of research responsibilities.
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Keywords patient navigation; time in motion analysis; breast cancer; uninsured; health services

Citation: Sara S. Phillips, Laura S. Tom, Charito Bularzik, Melissa A. Simon. Time and Motion Study of a Community Patient Navigator. AIMS Public Health , 2014, 1(2): 51-59. doi: 10.3934/publichealth.2014.2.51

References

  • 1. Wells KJ, Battaglia TA, Dudley DJ, et al. (2008) Patient Navigation: State of the Art or Is it Science? Cancer doi:10. 1002/cncr. 23815.
  • 2. Jean-Pierre P, Winters PC, Clark JA, et al. (2013) Do Better-Rated Navigators Improve Patient Satisfaction with Cancer-Related Care? J Cancer Educ doi: 10. 1007/s13187-013-0498-5.
  • 3. Campbell C, Craig J, Eggert J, et al. (2012) Implementing and Measuring the Impact of Patient Navigation at a Comprehensive Community Cancer Center. Onc Nurs Forum, doi:10. 1188/10. ONF. 61-68.
  • 4. Ferrante JM, Chen P, Kim S. (2007) The Effiect of Patient Navigation on Time to Diagnosis, Anxiety, and Satisfaction in Urban Minority Women with Abnormal Mammograms: A Randomized Controlled Trial. J Urban Health doi: 10. 1007/s11524-007-9228-9.
  • 5. Hendren S, Griggs JJ, Epstein R, et al. (2012) Randomized Controlled Trial of Patient Navigation for Newly Diagnosed Cancer Patients: Effects on Quality of Life. Cancer Epidem Biomar. doi:10. 1158/1055-9965. EPI-12-0537.
  • 6. Paskett ED, Harrop JP, Wells KJ. (2011) Patient Navigation: An Update on the State of the Science. CA-Cancer J Clin. doi: 10. 3322/caac. 20111.
  • 7. Clark JA, Parker VA, Battaglia TA, Freund KM. (2013) Patterns of Task and Network Actions Performed by Navigators to Facilitate Cancer Care. Health Care Manage Rev doi:10. 1097/HMR. 0b013e31828da41e.
  • 8. Phillips S, Nonzee N, Tom L, et al. (2014) Patient Navigators' Reflections on the Navigator-Patient Relationship. J Cancer Educ doi: 10. 1007/s13187-014-0612-3.
  • 9. Hunt BR, Allgood K, Sproles C, et al. (2013) Metrics for the Systemic Evaluation of Community-Based Outreach. J Cancer Educ. doi: 10. 1007/s13187-013-0519-4.
  • 10. Dohan D, Schrag D. (2005) Using Navigators to Improve Care of Underserved Patients: Current Practices and Approaches. Cancer doi: 10. 1002/cncr. 21214.
  • 11. Parker VA, Clark JA, Leyson J, et al. (2010) Patient Navigation: Development of a Protocol for Describing What Navigators Do. Health Ser Res doi: 10. 1111/j. 1475-6773.
  • 12. Wirth, P. , Kahn, L. , & Perkoff, G. T. (1977) Comparability of two methods of time and motion study used in a clinical setting: work sampling and continuous observation. Med Care. 15(11):953-60.
  • 13. Ampt, A. , Westbrook, J. , Creswick, N. , & Mallock, N. (2007) A comparison of self-reported and observational work sampling techniques for measuring time in nursing tasks. J health serv Res Polic. 12(1): 18-24.
  • 14. Freund KM, Battaglia TA, Calhoun E. (2008) National Cancer Institute Patient Navigation Research Program: Methods, Protocol, and Measures. Cancer doi: 10. 1002/cncr. 23960.
  • 15. Breen LJ, O'Connor M, Hewitt LY, et al (2013) The "Specter" of Cancer: Exploring Secondary Trauma for Health Professionals Providing Cancer Support and Counseling. Psychol Serv doi:10. 1037/a0034451.

 

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Copyright Info: 2014, Melissa A. Sim, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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