From the National Center for Farm Worker Health

This poster was created for use by any Community Health Center wanting to increase the involvement of Migrant/Seasonal Farmworker consumers on the board of directors. The poster is designed to be customized to individual sites.

Crafting a policy-relevant research agenda for patient navigation in cancer care.

Journal:  Cancer, 117: 3563–3572. doi: 10.1002/cncr.26269
Authors: B. Ashleigh Guadagnolo MD, MPH, Daniel Dohan PhD, Peter Raich MD
Article first published online: 20 JUL 2011

Abstract
BACKGROUND:
Racial and ethnic minorities as well as other vulnerable populations experience disparate cancer-related health outcomes. Patient navigation is an emerging health care delivery innovation that offers promise in improving quality of cancer care delivery to these patients who experience unique health-access barriers. Metrics are needed to evaluate whether patient navigation can improve quality of care delivery, health outcomes, and overall value in health care during diagnosis and treatment of cancer.

METHODS:
Information regarding the current state of the science examining patient navigation interventions was gathered via search of the published scientific literature. A focus group of providers, patient navigators, and health-policy experts was convened as part of the Patient Navigation Leadership Summit sponsored by the American Cancer Society. Key metrics were identified for assessing the efficacy of patient navigation in cancer diagnosis and treatment.

RESULTS:
Patient navigation data exist for all stages of cancer care; however, the literature is more robust for its implementation during prevention, screening, and early diagnostic workup of cancer. Relatively fewer data are reported for outcomes and efficacy of patient navigation during cancer treatment. Metrics are proposed for a policy-relevant research agenda to evaluate the efficacy of patient navigation in cancer diagnosis and treatment.

CONCLUSIONS:
Patient navigation is understudied with respect to its use in cancer diagnosis and treatment. Core metrics are defined to evaluate its efficacy in improving outcomes and mitigating health-access barriers.

La Vida Mia portrays the life of a Latina agricultural worker who is experiencing domestic violence in her personal life.  The video depicts the reality that abuse victims face and the effect the abuse has on their life.  Warning, this video may contain graphic scenarios as it displays abusive situations.  

This photonovella accompanies the video "La Vida Mia"

Please contact Adrian Velasquez, Family Violence Initiative Coordinator at MCN if you would like to receive a DVD version of this educational video.

Three printable brochures on Asthma, Lead and Pesticides produced by Farmworker Justice. 

This flyer describes oral health for the diabetic.  It is in English and Spanish. 

This flyer describes depression and the steps to health living.  Available in Spanish and English. 

This two-hour webinar was intended for clinicians and others who are involved in the diagnosis of active TB. The recording consists of a 90-minute web-based seminar followed by a 30-minute question and answer period. This case-based training highlights common basic dilemmas in the differential diagnosis of TB. The seminar was webcast live on July 20, 2011.

Faculty
Lisa Chen, M.D., University of California, San Francisco
Philip Hopewell, M.D., University of California, San Francisco
Gisela Schecter, M.D., M.P.H., University of California, San Francisco
Kevin Winthrop, M.D., M.P.H., Oregon Health and Science University

Synopsis
The panel of experts review case scenarios of the most common diagnostic dilemmas in the diagnosis of TB which include basic issues in the recognition of NTM, infectious pneumonia, and cancers.

Participant evaluations include:

This was by far one of the BEST presentations on TB-related topics I have ever had the opportunity in which to participate.

After it was over, the nurses I work with and I sat together and discussed the information we had learned. We also discussed how we could apply the information to our patients. Excellent training!

The presentations are well-structured; interaction between presenters is helpful and engaging. The cases as a whole present a helpful range of situations encountered in diagnosing TB. As a non-clinician, I found it interesting and engaging, too.

I particularly like the interaction between the three presenters during each presentation. It is good to have the other doctors’ thoughts and opinions during each of the presentations.

If it is archived and available, I will probably listen again. Excellent material and so very applicable.

Webpage includes video and audio recording and printed transcript. Print-outs of slides, three to a page, make taking notes easy.

The AIDS Education and Training Centers conduct targeted, multidisciplinary education and training programs for health care providers treating persons living with HIV/AIDS. This website provides a central repository for AETC program and contact information and for training materials developed within the AETC network.

Use the link below to access MCN's Rapid Assessment Tool to help adolescent farmworkers identify agricultural tasks they perform in agriculture and facilitate clinician understanding about the health risks associated with it.  Youth worker images are adapted and reproduced with permission from the National Children Center for Rural and Agricultural Health and Safety. Images copyrighted through Marshfield Clinic, Marshfield, Wisconsin.

If computers and internet access are unavailable where patient care is provided, the worker assessment sheet and clinician information grid are available in PDF.

EthnoMed contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants to Seattle or the US, many of whom are refugees fleeing war-torn parts of the world. Search the site via culture and clinical topics.