Data obtained from these surveys not only assess patient satisfaction, but identify opportunities to refine the health care delivery process. A market-oriented approach measures the impact of the patient navigator on the potential to influence patient volume. The popularity of patient navigators has the potential to influence patients to initiate their care at an institution with a patient navigator versus one without. 


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The services of a patient navigator are becoming increasingly necessary to coordinate the multidisciplinary providers and complexity of care across the disease trajectory inherent in cancer treatment.3 The most essential role of patient navigation is to assure that a patient with a suspicious cancer-related finding receives a timely diagnosis and treatment.4 Patient navigator programs can increase cancer screening and adherence to diagnostic follow-up. These programs have successfully helped patients overcome communication, financial, and systemic barriers. They essentially act as a bridge between a complex and diverse medical culture and the patient’s culture, and help expedite diagnostic workup, initiate treatment, and improve participation in clinical trials.2,6,8

Oncology care is a complex entity, involving many disciplines as well as multiple treatment options from numerous specialties. Further studies are needed to define the role, establish credentials, quantify cost effectiveness, and evaluate the sustainability of navigation programs.3 However, patient navigation has shown the capacity to assist patients through the continuum of care while eliminating barriers to timely screening and diagnosis, improving health outcomes, and increasing patient and health care provider satisfaction. ONA

Rose Valentino is assistant director of nursing for the Upstate Cancer Center, SUNY Update Medical University, Syracuse, New York.


1. Cancer Care Patient Navigation: A practical guide for community cancer centers. Rockville, MD: Association of Community Cancer Centers; 2009:S3-S39

2. Varner A, Murph P. Cancer patient navigation: where do we go from here? Oncol Issues. 2010;50-53.

3. Robinson-White S, Conroy B, Slavish KH, Rosenzweig M. Patient navigation in breast cancer: a systemic review. Cancer Nurs. 2010;33(2):127-140. 

4. Freeman HP. A model patient navigation program. Oncol Issues. 

5. Paskett E, Harrop J, Wells KJ, Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011;61(4):237-249.

6. Muscari DE, Kennedy J, Helseley M, et al. Making the case for nurse navigators—benefits, outcomes, and return on investment. Oncol Issues. 2011;26-33.

7. Swanson J, Asfeldt T, Kalaskie C, et al. How the NCCCP is using patient navigation to help reduce cancer disparities. Oncol Issues. 2011;46-52.

8. Swanson J, Strusowski P, Mack N, et al. Growing a navigation program using the NCCP navigation assessment tool. Oncol Issues. 2012;36-44.

9. Cancer program standards. Commission on Cancer Web site. Accessed 
March 18, 2013.