History and principles of patient navigation
Open accessAbstract
Patient navigation is a patient‐centric health care service delivery intervention, the principal purpose of which is to eliminate barriers, which may occur across the health care continuum, to timely diagnosis and treatment of cancer and other chronic diseases. This intervention, which was pioneered in Harlem, NY, is being widely replicated nationally and is receiving considerable support for demonstration projects and research to test its effectiveness. This article reviews the history of the development of patient navigation and outlines the basic principles of this intervention based on two decades of experience.
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Navigation programs for patients with cancer improve access and continuity of care.
“Navigation programs for patients with cancer improve access and continuity of care”
From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [3]
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References 8 · Cited by 666
Research works printed but not linked: 2
- [3]Roetzheim RG Gonzales EC Ferrante JM Effects of health insurance and race on breast carcinoma treatments and outcomes Cancer 2000 89 11 2202 2213 11147590
- [4]Oluwole SF Ali AO Adu A Impact of a cancer screening program on breast cancer stage at diagnosis in a medically underserved urban community J Am Coll Surg 2 2003 196 2 180 188 12595043
- Authors
- Freeman, H. P., & Rodriguez, R. L.
- Corresponding author
- Freeman, Harold P.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2011-07-20
- Volume
- 117
- Issue
- S15
- Pages
- 3537-3540
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC4557777
- OpenAlex
- W1992330512
- Cited by
- 666
- References
- 8
- Citations by year
- 2026: 65 · 2025: 79 · 2024: 93 · 2023: 68 · 2022: 66 · 2021: 57 · 2020: 33 · 2019: 37 · 2018: 32 · 2017: 37 · 2016: 22 · 2015: 21 · 2014: 17 · 2013: 26 · 2012: 12
- FWCI
- 8.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (U01CA117281)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- patient navigation, barriers to cancer care, chronic care, patient-centered care, Harlem, intervention principles
- MeSH terms
- Health Services Accessibility, Humans, Medical Oncology, Neoplasms, Poverty, Quality Assurance, Health Care, United States, History, 20th Century, Health Status Disparities, Healthcare Disparities
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