A pre-post survey analysis of satisfaction with health care and medical mistrust after patient navigation for American Indian cancer patients

J Health Care Poor Underserved. 2011 Nov;22(4):1331-43. doi: 10.1353/hpu.2011.0115.


Purpose: To assess the impact of patient navigation (PN) on satisfaction with health care and medical mistrust among American Indians (AI) undergoing cancer treatment.

Methods: This was a pre-post cohort survey study of 52 AI cancer patients who participated in a culturally-tailored PN program during their cancer treatment. Surveys were administered prior to and after cancer treatment assessing medical mistrust and satisfaction with health care using two Likert-type scales.

Results: Participation refusal rate was 7%. Mean scale scores for satisfaction with health care were significantly improved after PN compared with pre-navigation (p<.0001; Wilcoxon signed-rank test). There was no significant difference in the mean scale scores for medical mistrust after PN compared with those observed prior to treatment (p=.13).

Conclusions: American Indian cancer patients who received PN services during their cancer treatment showed improvement in levels of satisfaction with health. However, no improvements were observed in levels of medical mistrust.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Cultural Competency
  • Delivery of Health Care
  • Female
  • Health Care Surveys
  • Health Services / statistics & numerical data
  • Health Services Accessibility
  • Healthcare Disparities
  • Humans
  • Indians, North American / psychology*
  • Interviews as Topic
  • Male
  • Middle Aged
  • Neoplasms / ethnology*
  • Neoplasms / psychology*
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / psychology
  • Patient Advocacy
  • Patient Satisfaction / ethnology*
  • Prospective Studies
  • Socioeconomic Factors
  • South Dakota
  • Surveys and Questionnaires
  • Trust*
  • Young Adult