Understanding Perceptions of Care Coordination and Chronic Illness Management among Black Breast and Prostate Cancer Survivors and Providers: Findings from a Quality Improvement Study.
Laura SchubelMihriye MeteAllan FongChristian BoxleyAna BaracChristopher GallagherMichelle F MageeHannah AremPublished in: The Journal of ambulatory care management (2024)
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.
Keyphrases
- quality improvement
- prostate cancer
- healthcare
- palliative care
- primary care
- pain management
- patient safety
- type diabetes
- cardiovascular disease
- public health
- radical prostatectomy
- affordable care act
- physical activity
- young adults
- depressive symptoms
- social support
- skeletal muscle
- weight loss
- papillary thyroid
- insulin resistance