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Professional Issues

Evolution of Patient Navigation

Lillie D. Shockney
CJON 2010, 14(4), 405-407 DOI: 10.1188/10.CJON.405-407

The role of nurses in patient navigation has evolved over more than four decades. Navigators in cancer care can guide patients through the physical, emotional, and financial challenges that come with a diagnosis of cancer and facilitate communication among healthcare providers. Navigation has the potential to improve patient outcomes and system efficiency. Oncology nurses are well suited to help patients with cancer navigate the healthcare system from diagnosis and treatment through survivorship and palliative care.


Feldstein, P. J., Wickizer, T. M., & Wheeler, J. R. (1988). Private cost containment. The effects of utilization review programs on health care use and expenditures. <i>New England Journal of Medicine, 318</i>, 1310-1314.

Freeman, H. P. (2009). The Harold P. Freeman Patient Navigation Institute. Retrieved from <a target="_blank" href='http://www.hpfreemanpni.org'>http://www.hpfreemanpni.org</a>

Freeman, H. P., & Chu, K. C. (2005). Determinants of cancer disparities: Barrier to cancer screening, diagnosis, and treatment. <i>Surgical Oncology Clinics of North America, 14</i>, 655-669. doi: 10.1016/j.soc.2005.06.002

Goodwin, J. S., Satish, S., Anderson, E. T., Nattinger, A. B., & Freeman, J. L. (2003). Effect of nurse case management on the treatment of older women with breast cancer. <i>Journal of the American Geriatrics Society, 51</i>, 1252-1259. doi: 10.1046/j.1532-5415.2003.51409.x

National Cancer Institute. (2006). <i>The Patient Navigator Research Program (PNRP)</i>. Retrieved from <a target="_blank" href='http://crchd.cancer.gov/attachments/pnrp_brochure.pdf'>http://crchd.canc...

Pedersen, A., & Hack, T. F. (2010). Pilots of oncology health care: A concept analysis of the patient navigator role. <i>Oncology Nursing Forum, 37</i>, 55-60. doi: 10.1188/10.ONF.55-60

Restuccia, J. D. (1995). The evolution of hospital utilization review methods in the United States. <i>International Journal for Quality in Health Care, 7</i>, 253-260.

Riegel, B., Carlson, B., Kopp, Z., LePetri, B., Glaser, D., & Unger, A. (2002). Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. <i>Archives of Internal Medicine, 162</i>, 705-712. Retrieved from http://archinte.ama-assn.org/cgi/content/full/162/6/705 <a target="_blank" href='http://archinte.ama-assn.org/cgi/content/full/162/6/705'>http://archinte...

Sloan, F. A., Morrisey, A., & Valvona, J. (1988). Effects of the Medicare prospective payment system on hospital cost containment: An early appraisal. <i>Milbank Quarterly, 66</i>, 191-220.

Wang, T. J., Mort, E. A., Nordberg, P., Chang, Y., Cadigan, M. E., Mylott, L., … Fifer, M. A. (2002). A utilization management intervention to reduce unnecessary testing in the coronary care unit. <i>Archives in Internal Medicine, 162</i>, 1885-1890. Retrieved from http://archinte.ama-assn.org/cgi/content/full/162/16/1885 <a target="_blank" href='http://archinte.ama-assn.org/cgi/content/full/162/16/1885'>http://archin...

Wells, K. J., Battaglia, T. A., Dudley, D. J., Garcia, R., Greene, A., Calhoun, E., … Raich, P. C. (2008). Patient navigation: State of the art, or is it science? <i>Cancer, 113</i>, 1999-2010. doi: 10.1002/cncr.23815

U. S. Department of Health and Human Services. (2010). Patient navigator outreach and chronic disease prevention demonstration. Retrieved from <a target="_blank" href='http://bhpr.hrsa.gov/patientnavigator'>http://bhpr.hrsa.gov/patientnavig...