NCT00385866

Addressing Disparities in Cancer Care for Latino Medicare Beneficiaries

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,272 (actual)
• Sponsor: University of Medicine and Dentistry of New Jersey · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

To reduce Cancer health care disparities that exists among minority Medicare beneficiaries and to demonstrate cost effectiveness of patient navigation in reducing the burden of cancer.

Detailed description

The Latino population is the fastest growing minority population in the United States . Cancer ranks as the second leading cause of death among Latinos in the United States (24%), second only to heart disease . This project will evaluate whether an innovative facilitation program (targeting cancers of the prostate, colon/rectum, breast, and cervix) will improve cancer outcomes among Latino Medicare beneficiaries in the city of Newark, New Jersey. The overall aim of this project is to institute an innovative cancer care facilitation program for elderly Latinos in the city of Newark, NJ. The goal is to reduce the disparities observed in screening, time to diagnosis and treatment services, by utilizing a multidisciplinary team approach to health care, incorporating systems thinking methodology. Using the Multilevel Approach to Community Health (MATCH) planning model , the program will incorporate community outreach, education, and access to screening, and patient assistance in all aspects of the health care continuum. It will also include cultural and linguistic competency training for all those involved in the facilitation process. To accomplish this goal, we propose four objectives: 1. To establish a multidisciplinary team that will utilize a systems thinking approach to design and structure the delivery of cancer screening, diagnosis and treatment facilitation services. 2. To build a collaborative consortium between program partners to improve screening outcomes, that will encourage the utilization of services in the community. 3. To improve the delivery of cancer prevention and treatment facilitation by providing cultural and linguistic competency training to the multidisciplinary team, providers, and the community. 4. To demonstrate the effectiveness of the intervention in reducing the burden of cancer, by increasing screening rates, improving time to diagnosis and delivery of treatment services, patient satisfaction, and appropriate use of Medicare services.

Conditions

• Cancer

Interventions

Type	Name	Description
BEHAVIORAL	cancer screening and health education	The control group will receive cancer screening and health education materials on a quarterly basis but will not have access to patient navigation services.
BEHAVIORAL	facilitation of Services to improve cancer screening	The intervention group will receive cancer education and faciliation of services in the form of patient navigation

Timeline

• Start date: 2006-10-01
• Primary completion: 2010-09-01
• Completion: 2010-12-01
• First posted: 2006-10-11
• Last updated: 2016-04-20

Locations

1 site across 1 country: United States