Patient Navigation: Addressing Social Challenges in Dialysis Patients.

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ID: 46314
2019
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Abstract
Members of racial and ethnic minority groups make up nearly 50% of US patients with end-stage kidney disease and face a disproportionate burden of socioeconomic challenges (ie, low income, job insecurity, low educational attainment, housing instability, and communication challenges) compared with non-Hispanic whites. Patients with end-stage kidney disease who face social challenges often have poor patient-centered and clinical outcomes. These challenges may have a negative impact on quality-of-care performance measures for dialysis facilities caring for primarily minority and low-income patients. One path toward improving outcomes for this group is to develop culturally tailored interventions that provide individualized support, potentially improving patient-centered, clinical, and health system outcomes by addressing social challenges. One such approach is using community-based culturally and linguistically concordant patient navigators, who can serve as a bridge between the patient and the health care system. Evidence points to the effectiveness of patient navigators in the provision of cancer care and, to a lesser extent, caring for people with chronic kidney disease and those who have undergone kidney transplantation. However, little is known about the effectiveness of patient navigators in the care of patients with kidney failure receiving dialysis, who experience a number of remediable social challenges.
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cervantes2019patientamerican Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Cervantes, Lilia;Hasnain-Wynia, Romana;Steiner, John F;Chonchol, Michel;Fischer, Stacy;
Journal american journal of kidney diseases : the official journal of the national kidney foundation
Year 2019
DOI
S0272-6386(19)30860-1
URL
Keywords
dialysis health literacy dialysis facility patient-centered care end-stage kidney disease (eskd) peer support cultural sensitivity culturally concordant care disparities in care linguistic barriers racial/ethnic minorities systemic bias transplant access transplant waitlisting underserved communities

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