PCPs remaining involved throughout the continuum of cancer care<\/a>. According to a recent study, more than 50% of PCPs had a role in shaping treatment preferences for individual patients. After receiving an initial diagnosis from primary care, patients are usually transferred to oncology for further testing and treatment. If this transition is not properly coordinated, it is possible for vital information to be overlooked, or for patients to miss crucial treatment stages. This is especially true for underserved and vulnerable patient populations, who face significant socio-economic barriers to getting the care they need. The Massachusetts General Hospital Cancer Center\u2019s intervention aims to improve care for newly diagnosed patients on multiple fronts: the TopCare registry can help detect patients in need of additional support, and Patient Navigators are empowered to step in and act as a conduit between primary care and oncology services.<\/p>\n<\/p>\n
The TopCare Patient Registry collects patient data from a number of different sources into one, user-friendly platform. It was developed to screen the patient population of all MGH Community Health Centers and their community partners, helping to identify patients who are eligible to receive navigation services. The system updates every day, extracting information from electronic medical records and billings. It can track patients as they make their way through the MGH system, accurately recording their entire cancer care roadmap. \u00a0Based on TopCare data and referrals from community health centers and community partners, patients can be referred to a Patient Navigator, who assists in creating a plan to overcome any barriers to appropriate and timely care.<\/p>\n
Patient Navigators can support patients in securing transportation to and from appointments, guide the patient through treatment decisions and subsequent treatment options, and can help manage financial concerns. Patient Navigators can also provide interpreter services and accompany patients to their medical appointments. In addition to these in-person services, patients at the MGH Cancer Center can receive phone navigation, including phone calls reminding them about upcoming appointments and screening for barriers to care. Over the Merck Foundation grant period, over 400 vulnerable patients diagnosed with cancer are projected to receive navigation services.<\/p>\n
The Massachusetts General Hospital Cancer Center\u2019s intervention specifically targets underserved communities to ensure that low-income and minority patients receive patient-centered care throughout the cancer continuum, with the ultimate goal of achieving equity in cancer care in northeastern Massachusetts.<\/p>\n
Facts and Figures<\/u><\/strong><\/p>\nThe main communities that are part of the Massachusetts General Hospital Cancer Center intervention are Chelsea, Revere, and Charlestown:<\/p>\n