Toward a multi-level, needs-based approach to cancer navigation: Considerations for service design

TL;DR

This paper discusses how to design flexible and innovative cancer navigation services that address patient needs and integrate new technologies.

Contribution

It proposes a multi-level, needs-based approach to cancer navigation service design using global standards and Australian frameworks.

Findings

Patient navigation services must be flexible and multi-layered to be equitable and sustainable.

Integrating virtual care and AI can enhance cancer navigation service reach and effectiveness.

Global collaboration is needed to build sustainable workforce models for patient navigation.

Abstract

Evidence suggests that patient navigation can help address ongoing barriers to accessing timely, appropriate, and quality cancer care. It also supports people affected by cancer to navigate through complex health care systems. Cancer patient navigation interventions include education, logistical, social, and emotional support, facilitating referrals, care coordination, patient advocacy, and enabling self-management, delivered by clinical and/or non-clinical navigators. For patient navigation services to be equitable and sustainable in resource-strained health care environments, there is a need to establish fit-for-purpose, flexible, multi-layered, innovative navigation programs. These programs must also integrate virtual care technologies and emerging innovations, such as artificial intelligence, to enhance service provision and reach. This commentary draws on a contemporary Australian framework for patient navigation and global practice standards to offer service design considerations. Further global efforts in research, practice, and policy development are crucial for building sustainable cancer patient navigation workforce models and ensuring high-quality service delivery.

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