Understanding Perceptions of Care Coordination and Chronic Illness Management among Black Breast and Prostate Cancer Survivors and Providers: Findings from a Quality Improvement Study.
Journal
The Journal of ambulatory care management
ISSN: 1550-3267
Titre abrégé: J Ambul Care Manage
Pays: United States
ID NLM: 7802876
Informations de publication
Date de publication:
17 Jul 2024
17 Jul 2024
Historique:
medline:
19
7
2024
pubmed:
19
7
2024
entrez:
19
7
2024
Statut:
aheadofprint
Résumé
Navigating cancer care is complex and is exacerbated by pre-existing comorbidities managed by multiple providers. In this quality improvement study, we evaluated changes in perceived care coordination, navigation, and chronic illness care with community health worker (CHW) and mHealth support among Black breast cancer and prostate cancer patients with hypertension and/or diabetes. We collected patient and provider surveys on chronic illness care coordination at baseline and six months and found improvements in multiple domains. These findings support engaging CHWs to improve care coordination among cancer patients with comorbidities and demonstrate a use case of importance with emerging navigation reimbursement policies.
Identifiants
pubmed: 39028275
doi: 10.1097/JAC.0000000000000505
pii: 00004479-990000000-00049
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Références
AACR. (2022). The State of Cancer Health Disparities in 2022. AACR Cancer Disparities Progress Report. Retrieved February 28, 2024, from https://cancerprogressreport.aacr.org/disparities/cdpr22-contents/cdpr22-the-state-of-cancer-health-disparities-in-2022/
Afifi A. M., Saad A. M., Al‐Husseini M. J., Elmehrath A. O., Northfelt D. W., & Sonbol M. B. (2020). Causes of death after breast cancer diagnosis: A US population-based analysis. Cancer Medicine, 126(7), 1559–1567.
Allen J. K., Dennison-Himmelfarb C. R., Szanton S. L.,BoneL.HillM. N.LevineD. M. ... AndersonK. (2011). Community Outreach and cardiovascular Health (COACH) Trial. Circulation: Cardiovascular Quality and Outcomes. Circulation Cardiovascular Quality and Outcomes [Internet], 1(6), 595–602.
Bakshi S., Carlson L. C., Gulla J., Wang P., Helscel K., Yun B. J. … … & Flaster A. O. (2022). Improving care coordination and reducing ED utilization through patient navigation. American Journal of Managed Care, 28(5), 201–206.
Battaglia T. A., McCloskwy L., Caron S. E., Murrell S. S., Bernstein E., Childs A. … … & Bernstein J. (2012). Feasibility of chronic disease patient navigation in an urban primary care practice. The Journal of Ambulatory Care Management, 35(1), 38–49. doi:10.1097/JAC.0b013e31822cbd7c
doi: 10.1097/JAC.0b013e31822cbd7c
Beasley J. M., Shah M., Wyatt L. C., Zanowiak J., Trinh-Shevrin C., & Islam N. S. (2021). A community health worker-led intervention to improve blood pressure control in an immigrant community with comorbid diabetes: Data from two randomized, controlled trials conducted in 2011–2019. American Journal of Public Health, 111(6), 1040–1044. doi:10.2105/AJPH.2021.306216
doi: 10.2105/AJPH.2021.306216
Bird J. A., Otero-Sabogal R., Ha N. T., & Mcphee S. J. (1996). Tailoring lay health worker interventions for diverse cultures: Lessons learned from Vietnamese and Latina communities. Health Education Quarterly, 23(1_suppl), 105–122.
Bol N., Helberger N., & Weert J. C. (2018). Differences in mobile health app use: A source of new digital inequalities? The Information Society, 34(3), 183–193. doi:10.1080/01972243.2018.1438550
doi: 10.1080/01972243.2018.1438550
Bonomi A. E., Glasgow R., Wagner E. H., Davis C., & Sandhu N. (2000). Assessment of chronic illness care: How well does your organization provide care for chronic illness? Paper presented at the Institute for Healthcare Improvement National Congress, Seattle, Washington.
Braithwaite D., Tammemagi C. M., Moore D. H.OzanneE. M.HiattR. A.BelkoraJ. ... EssermanL. (2009). Hypertension is an independent predictor of survival disparity between African-American and white breast cancer patients. International Journal of Cancer, 124(5), 1213–1219. doi:10.1002/ijc.24054
doi: 10.1002/ijc.24054
Centers for Medicare Medicaid Services. (2023). Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule. Retrieved January 10, 2024, from https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2024-medicare-physician-fee-schedule-final-rule
Challa A. A., Calaway A. C., Cullen J., Garcia J., Desai N., Weintraub N. L., Guha A. (2021). Cardiovascular toxicities of androgen deprivation therapy. Current Treatment Options in Oncology, 22(6), 47. doi:10.1007/s11864-021-00846-z
doi: 10.1007/s11864-021-00846-z
Centers for Disease Control and Prevention. (2020). National diabetes statistics report. Retrieved from https://www.cdc.gov/diabetes/php/data-research/index.html
Coleman K., Austin B. T., Brach C., & Wagner E. H. (2009). Evidence on the chronic care model in the new millennium. Health Affairs, 28(1), 75–85. doi:10.1377/hlthaff.28.1.75
doi: 10.1377/hlthaff.28.1.75
Dennis S. M., Zwar N., Griffiths R., Roland M., Hasan I., Powell Davies G. … & Harris M. (2008). Chronic disease management in primary care: From evidence to policy. Medical Journal of Australia, 188(S8), S53–S56. doi:10.5694/j.1326-5377.2008.tb01745.x
doi: 10.5694/j.1326-5377.2008.tb01745.x
Diamond J. E., Kaltenbach L. A., Granger B. B., Fonarow G. C., Al-Khalidi H. R., Albert N. M. … & Thibodeau J. T. (2024). Access to mobile health interventions among patients hospitalized with heart failure: Insights into the digital divide from the CONNECT-HF mHealth substudy. Circulation: Heart Failure, 17(2), e011140. doi:10.1161/CIRCHEARTFAILURE.123.011140
doi: 10.1161/CIRCHEARTFAILURE.123.011140
Doose M., McGee-Avila J., Stroup A. M., Ferrante J., Xu B., Herman N. L. … & Tsui J. (2019). Shared care during breast and colorectal cancer treatment: Is it associated with patient-reported care quality? The Journal for Healthcare Quality (JHQ), 41(5), 281–296. doi:10.1097/JHQ.0000000000000192
doi: 10.1097/JHQ.0000000000000192
Fan J., McCoy R. G., Ziegenfuss J. Y., Smith S. A., Borah B. J., Deming J. R. … … & Shah N. D. (2015). Evaluating the structure of the patient assessment of chronic illness care (PACIC) survey from the Patient’s perspective. Annals of Behavioral Medicine, 49(1), 104–111. doi:10.1007/s12160-014-9638-3
doi: 10.1007/s12160-014-9638-3
Fan K., & Zhao Y. (2022). Mobile health technology: A novel tool in chronic disease management. Intelligent Medicine, 2(1), 41–47.
Franklin S. S., & Wong N. D. (2013). Hypertension and cardiovascular disease: Contributions of the Framingham Heart Study. Global Heart, 8(1), 49–57. doi:10.1016/j.gheart.2012.12.004
doi: 10.1016/j.gheart.2012.12.004
Giaquinto A. N., Miller K. D., Tossas K. Y., Winn R. A., Jemal A., & Siegel R. L. (2022). Cancer statistics for African American/black people 2022. CA A Cancer Journal for Clinicians, 72(3), 202–229.
Glasgow R. E., Whitesides H., Schaefer J., Mahoney L. D., Reid R. J., & Greene S. (2005). Patient assessment of chronic illness care (PACIC). APA PsycTests.
Glasgow R. E., Whitesides H., Nelson C. C., & King D. K. (2005). Use of the patient assessment of chronic illness care (PACIC) with diabetic patients: Relationship to patient characteristics, receipt of care, and self-management. Diabete Care, 28(11), 2655–2661. doi:10.2337/diacare.28.11.2655
doi: 10.2337/diacare.28.11.2655
Gunderson J. M., Wieland M. L., Quirindongo-Cedeno O., Asiedu G. B., Ridgeway J. L., O’Brien M. W. … … & Njeru J. W. (2018). Community health workers as an extension of care coordination in primary care: A community-based cosupervisory model. The Journal of Ambulatory Care Management, 41(4), 333. doi:10.1097/JAC.0000000000000255
doi: 10.1097/JAC.0000000000000255
Harris P. A., Taylor R., Thielke R., Payne J., Gonzalez N., & Conde J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. doi:10.1016/j.jbi.2008.08.010
doi: 10.1016/j.jbi.2008.08.010
Horne H. N., Phelan-Emrick D. F., Pollack C. E., Markakis D., Wenzel J., Ahmed S. … … & Ford J. G. (2015). Effect of patient navigation on colorectal cancer screening in a community-based randomized controlled trial of urban African American adults. Cancer Causes and Control, 26(2), 239–246. doi:10.1007/s10552-014-0505-0
doi: 10.1007/s10552-014-0505-0
Kim K., Choi J. S., Choi E., Nieman C. L., Joo J. H., Lin F. R. … … & Han H. R. (2016). Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: A systematic review. American Journal of Public Health, 106(4), e3–e28. doi:10.2105/AJPH.2015.302987
doi: 10.2105/AJPH.2015.302987
Lam C., Cronin K., Ballard R., & Mariotto A. (2018). Differences in cancer survival among white and black cancer patients by presence of diabetes mellitus: Estimations based on SEER‐Medicare‐linked data resource. Cancer Medicine, 7(7), 3434–3444. doi:10.1002/cam4.1554
doi: 10.1002/cam4.1554
Lee J.-A., Choi M., Lee S. A., & Jiang N. (2018). Effective behavioral intervention strategies using mobile health applications for chronic disease management: A systematic review. BMC Medical Informatics and Decision Making, 18(1), 12. doi:10.1186/s12911-018-0591-0
doi: 10.1186/s12911-018-0591-0
Li R., Liang N., Bu F., & Hesketh T. (2020). The effectiveness of self-management of hypertension in adults using mobile health: Systematic review and meta-analysis. JMIR mHealth and uHealth, 8(3), e17776. doi:10.2196/17776
doi: 10.2196/17776
Loskutova N. Y., Tsai A. G., Fisher E. B., LaCruz D. M., Cherrington A. L., Harrington T. M. … … & Pace W. D. (2016). Patient navigators connecting patients to community resources to improve diabetes outcomes. The Journal of the American Board of Family Medicine, 29(1), 78–89. doi:10.3122/jabfm.2016.01.150048
doi: 10.3122/jabfm.2016.01.150048
Miller-Rosales C., & Rodriguez H. P. (2021). Interdisciplinary primary care team expertise and diabetes care management. The Journal of the American Board of Family Medicine, 34(1), 151–161. doi:10.3122/jabfm.2021.01.200187
doi: 10.3122/jabfm.2021.01.200187
Osborn J., Ajakaiye A., Cooksley T., & Subbe C. P. (2020). Do mHealth applications improve clinical outcomes of patients with cancer? A critical appraisal of the peer-reviewed literature. Supportive Care in Cancer, 28(3), 1469–1479. doi:10.1007/s00520-019-04945-4
doi: 10.1007/s00520-019-04945-4
Quinn C. C., Shardell M. D., Terrin M. L., Barr E. A., Ballew S. H., & Gruber-Baldini A. L. (2011). Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control. Diabete Care, 34(9), 1934–1942. doi:10.2337/dc11-0366
doi: 10.2337/dc11-0366
Raich P. C., Whitley E. M., Thorland W., Valverde P., & Fairclough D. (2012). Patient navigation improves cancer diagnostic resolution: An individually randomized clinical trial in an underserved population. Cancer Epidemiology Biomarkers and Prevention, 21(10), 1629–1638. doi:10.1158/1055-9965.EPI-12-0513
doi: 10.1158/1055-9965.EPI-12-0513
Rosenthal E. L., Wiggins N., Brownstein J.N. JohnsonS.BorbonI. A. & RaelR. (1998). The final report of the National Community Health Advisor Study: Weaving the future [Press release]
Sarfati D., Koczwara B, & Jackson C. (2016). The impact of comorbidity on cancer and its treatment. CA A Cancer Journal for Clinicians, 66(4), 337–350. doi:10.3322/caac.21342
doi: 10.3322/caac.21342
Schmittdiel J., Mosen D. M., Glasgow R. E., Hibbard J., Remmers C., & Bellows J. (2008). Patient Assessment of Chronic Illness Care (PACIC) and improved patient-centered outcomes for chronic conditions. Journal of General Internal Medicine, 23(1), 77–80. doi:10.1007/s11606-007-0452-5
doi: 10.1007/s11606-007-0452-5
Snyder C. F., Frick K. D., Kantsiper M. E., Peairs K. S., Herbert R. J., Blackford A. L. … … & Earle C. C. (2009). Prevention, screening, and surveillance care for breast cancer survivors compared with controls: Changes from 1998 to 2002. Journal of Clinical Oncology, 27(7), 1054–1061. doi:10.1200/JCO.2008.18.0950
doi: 10.1200/JCO.2008.18.0950
Swann R., McPhail S., Witt J., Shand B., Abel G. A., Hiom S. … … & Rubin G. (2018). Diagnosing cancer in primary care: Results from the National Cancer Diagnosis Audit. British Journal of General Practice, 68(666), e63–e72. doi:10.3399/bjgp17x694169
doi: 10.3399/bjgp17x694169
Tang P. Y., Duni J., Peeples M. M., Kowitt S. D., Bhushan N. L., Sokol R. L. … & Fisher E. B. (2021). Complementarity of digital health and peer support: “This is what’s coming”. Frontiers in Clinical Diabetes and Healthcare, 2, 646963. doi:10.3389/fcdhc.2021.646963
doi: 10.3389/fcdhc.2021.646963
Vaughan E. M., Cardenas V. J. Jr, Chan W., Amspoker A. B., Johnston C. A., Virani S. S. … Naik A. D. (2024). Implementation and evaluation of a mHealth-based community health worker feedback loop for hispanics with and at risk for diabetes. Journal of General Internal Medicine, 39(2), 229–238. doi:10.1007/s11606-023-08434-7
doi: 10.1007/s11606-023-08434-7
Virani S. S., Alonso A., Benjamin E. J., Bittencourt M. S., Callaway C. W., Carson A. P. … & Tsao C. W. (2020). Heart disease and stroke statistics-2020 update: A report from the American Heart Association. Circulation, 141(9), e139–e596. doi:10.1161/cir.0000000000000757
doi: 10.1161/cir.0000000000000757
Wagner E. H., Ludman E. J., Bowles E. J. A., Penfold R., Reid R. J., Rutter C. M. … & McCorkle R. (2014). Nurse navigators in early cancer care: A randomized, controlled trial. Journal of Clinical Oncology, 32(1), 12. doi:10.1200/JCO.2013.51.7359
doi: 10.1200/JCO.2013.51.7359
Welldoc. (2023). Retrieved December 16, 2024, from https://www.welldoc.com/
Wenzel J., Jones R., Klimmek R., Szanton S., & Krumm S. (2012). Exploring the role of community health workers in providing cancer navigation: Perceptions of African American older adults. Oncology Nursing Forum, 39(3), E288. doi:10.1188/12.ONF.E288-E298
doi: 10.1188/12.ONF.E288-E298
Young J. M., Jennifer W., Butow P. N., Solomon M. J., & Shaw J. (2011). Measuring cancer care coordination: Development and validation of a questionnaire for patients. BMC Cancer, 11, 298. doi:10.1186/1471-2407-11-298
doi: 10.1186/1471-2407-11-298