ArticleBMC health services research2025
Patient and provider perspectives on implementing patient navigation for colorectal cancer screening for Black and Latine patients: a qualitative study.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Factors Associated with Adherence to Recommended Colorectal Surveillance Intervals in Lynch Syndrome.Cancers · 2026Article
- A Socio-ecological Analysis of Factors Influencing the Perceived Value of Multicancer Early Detection Testing in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Understanding Patient Navigation Functions: A Qualitative Exploration of Navigators' Perspectives in Alberta, Canada.Health services insights · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn the United States, Black people experience inequities in colorectal cancer (CRC) screening access, contributing to CRC outcome inequities. Latine people in the US and have lower screening rates (53.4% vs. 70.4% for White people), and CRC is the leading cause of all cancer death among this population. Patient navigation is an evidence-based approach to increase CRC screening, however it is not often implemented at scale. We interviewed patients and providers about barriers and facilitators to CRC screening and scaling a patient navigation program for Black and Latine patients in a mid-Atlantic healthcare system.
methodsWe interviewed screening-eligible (age 45-75) patients (n = 15; 46.7% Black, 53.3% Latine) and healthcare system partners (n = 12; 42% primary care, 33% gastroenterology, and 25% systems-level administration). Interviews were in Spanish and English, and responses were analyzed qualitatively with a pragmatic thematic analysis to inform program implementation.
resultsNearly all patients and partners identified that CRC education and screening education were barriers to timely screening, and identified navigators as education brokers. Patients expressed that education on stool tests and colonoscopies is an essential part of informed decision-making, and can be facilitated by navigators. Navigators can also provide support for addressing or overcoming emotional or practice barriers. Navigators are further uniquely positioned to foster a trusting relationship through clear, direct, and timely communication with patients. Healthcare system partners suggested that navigators assist in identifying patients in need of CRC screening and facilitating closed-loop communication about screening completion. Anticipated barriers to implementation of a patient navigation program included buy-in from primary care providers and clinical administrators.
conclusionsImplementing CRC navigation was perceived as a potential solution to multilevel barriers to CRC completion for Black and Latine patients. Future work may consider identifying effective implementation strategies to ensure maximum navigation reach and effectiveness.
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