title: A Community-Based Outreach Navigator Approach to Establishing Partnerships for a Safety Net Mammography Screening Center.
abstract: Washington, DC, has one of the highest incidence and mortality rates for breast cancer in the USA. Patient navigation coupled with informational and community resources are important strategies that assist patients' access and help them understand the complex world of cancer care. The Georgetown Lombardi Comprehensive Cancer Center's Capital Breast Care Center (CBCC) is a safety net mammography screening center that utilizes a community-based navigation program. In addition to providing assistance with coordination of clinical services, navigators at CBCC are integral in establishing intra-community partnerships to educate members of the community about breast cancer screening. The aim of this study was to detail the role of patient navigation at the CBCC, with an emphasis on community engagement and community-based partnerships. We describe the process by which CBCC established partnerships with multiple community organizations between 2004 and 2015 and analyzed data of women screened in relationship to the evolution of the patient navigation services. Application of the CBCC navigation model that integrates individual patient outreach with community engagement has yielded viable and lasting community partnerships that have resulted in an increase in mammography uptake, especially among medically underserved minority women.
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Sherrie
authors.initials: S
authors.lastname: Wallington
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Bridget
authors.initials: B
authors.lastname: Oppong
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Chiranjeev
authors.initials: C
authors.lastname: Dash
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Tesha
authors.initials: T
authors.lastname: Coleman
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Holly
authors.initials: H
authors.lastname: Greenwald
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Tanya
authors.initials: T
authors.lastname: Torres
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
authors.forename: Marquita
authors.initials: M
authors.lastname: Iddirisu
authors.affiliation: Georgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA. lla9@georgetown.edu.
authors.forename: Lucile Lauren
authors.initials: LL
authors.lastname: Adams-Campbell
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000517:prevention & control; D003159:Community-Institutional Relations; D003695:Delivery of Health Care; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening; D008913:Minority Groups; D062526:Patient Navigation
keywords: Blacks; Community partnership; Latinas; Mammography screening; Patient navigation