Patient navigation—an effective strategy to reduce health care costs and improve health outcomes
Menée aux Etats-Unis, cette étude observationnelle analyse, pour la période 2012-2015, le rapport coût-efficacité d'un parcours de soins coordonné dans les services oncologiques pour les patients gériatriques bénéficiaires du système d'assurance maladie Médicare (12 428 patients inclus, âgé moyen au diagnostic : 75 ans)
Patient navigation (PN) was formally defined by Freeman in 1990 in response to high breast cancer mortality rates observed among African American women in Harlem, New York.1 It is designed to help patients complete recommended tests, appointments, and treatments by identifying and resolving barriers to care.1 The single-site observational data by Freeman showed the influence of PN on breast cancer mortality rates1; however, randomized trials were needed to truly validate PN.
JAMA Oncology , commentaire, 2016