Implementation and maintenance of patient navigation programs linking primary care with community-based health and social services: a scoping literature review

BMC Health Services Research

Volumn 17, Issue 1, 2017, Pages 1-14

  Valaitis, Ruta K ^a   Carter, Nancy ^a   Lam, Annie ^a   Nicholl, Jennifer ^a   Feather, Janice ^a   Cleghorn, Laura ^a  

^a MCMASTER UNIVERSITY   (Canada)

Author keywords

Care coordination; Community; Implementation; Patient navigation; Primary care; Primary healthcare; Scoping literature review; Social care; Social services; Systems navigation

Indexed keywords

AUSTRALIA; CANADA; COORDINATION; DATA BASE; FOLLOW UP; HUMAN; MASS COMMUNICATION; NEW ZEALAND; ORGANIZATION; PRIMARY HEALTH CARE; QUALITY OF LIFE; SOCIAL WORK; SYSTEMATIC REVIEW; THEORETICAL MODEL; UNITED KINGDOM; WELLBEING; COMMUNITY CARE; EUROPE; FEMALE; MALE; ORGANIZATION AND MANAGEMENT; PATIENT CARE; UNITED STATES;

AUSTRALIA; CANADA; COMMUNITY HEALTH SERVICES; CONTINUITY OF PATIENT CARE; DIFFUSION OF INNOVATION; EUROPE; FEMALE; HUMANS; MALE; NEW ZEALAND; PATIENT NAVIGATION; PATIENT-CENTERED CARE; PRIMARY HEALTH CARE; QUALITY OF LIFE; SOCIAL WORK; UNITED KINGDOM; UNITED STATES;

EID: 85011578814     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-017-2046-1     Document Type: Article

References (70)

1. Freeman H, Muth B, Kerner JF. Expanding access to cancer screening and clinical follow-up among the medically underserved. Cancer Practice. 1995;3(1):19-30.
2. Freeman H. Patient navigation: a community based strategy to reduce cancer disparities. Journal of Urban Health. 2006;83(2):139-41.
3. The Change Foundation: Health System Navigators: Band-Aid or Cure? A Primer with reflections from the Change Foundation’s PANORAMA Panel. In. Toronto: The Change Foundation; 2013.
4. Nguyen TN, Kagawa-Singer M. Overcoming barriers to cancer care through health navigation programs. Seminars in Oncology Nursing. 2008;24(4):270-8.
5. Pedersen A, Hack TF. Pilots of oncology health care: a concept analysis of the patient navigator role. Oncology nursing forum. 2010;37(1):55-60.
6. Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer. 2005;104(4):848-55.
7. Manderson B, McMurray J, Piraino E, Stolee P. Navigation roles support chronically ill older adults through healthcare transitions: a systematic review of the literature. Health & Social Care in the Community. 2012;20(2):113-27.
8. Boyd CM, Boult C, Shadmi E, Leff B, Brager R, Dunbar L, Wolff JL, Wegener S. Guided care for multimorbid older adults. Gerontologist. 2007;47(5):697-704.
9. Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Family Practice. 2008;25(4):287-93.
10. Robinson-White S, Conroy B, Slavish KH, Rosenzweig M. Patient navigation in breast cancer: a systematic review. Cancer Nursing. 2010;33(2):127-40.
11. Sofaer S. Navigating poorly charted territory patient dilemmas in health care “nonsystems”. Medical Care Research and Review. 2009;66(1 suppl):75S-93S.
12. Van Lerberghe W. The world health report 2008: primary health care: now more than ever. Geneva: World Health Organization; 2008.
13. Institute of Medicine Committee on Quality of Health Care in America: Crossing the quality chasm: a new health system for the 21st century. Washington, D.C.: National Academy Press; 2001.
14. Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quarterly. 2004;82(4):581-629.
15. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(1):50.
16. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance, vol. 337. 2008.
17. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. International journal of nursing studies. 2013;50(5):587-92.
18. Nilsen P. Making sense of implementation theories, models and frameworks. Implementation Science. 2015;10(1):1.
19. World Health Organization, Alma Ata Declaration. Geneva: World Health Organization; 1978.
20. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. International journal of social research methodology. 2005;8(1):19-32.
21. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1):1-9.
22. Ferrante JM, Cohen DJ, Crosson JC. Translating the patient navigator approach to meet the needs of primary care. Journal of the American Board of Family Medicine : JABFM. 2010;23(6):736-44.
23. Natale-Pereira A, Enard KR, Nevarez L, Jones LA. The role of patient navigators in eliminating health disparities. Cancer 2011, 117(SUPPL. 15):3543-52.
24. Parker VA, Clark JA, Leyson J, Calhoun E, Carroll JK, Freund KM, Battaglia TA. Patient navigation: development of a protocol for describing what navigators do. Health services research. 2010;45(2):514-31.
25. Hendren S, Chin N, Fisher S, Winters P, Griggs J, Mohile S, Fiscella K. Patients’ barriers to receipt of cancer care, and factors associated with needing more assistance from a patient navigator. Journal of the National Medical Association. 2011;103(8):701-10.
26. Hendren S, Griggs JJ, Epstein RM, Humiston S, Rousseau S, Jean-Pierre P, Carroll J, Yosha AM, Loader S, Fiscella K. Study protocol: a randomized controlled trial of patient navigation-activation to reduce cancer health disparities. BMC cancer. 2010;10:551.
27. Palinkas LA, Ell K, Hansen M, Cabassa L, Wells A. Sustainability of collaborative care interventions in primary care settings. Journal of Social Work. 2011;11(1):99-117.
28. Pfeffer GN, Schnack JA. Nurse practitioners as leaders in a quality health care delivery system. Advanced practice nursing quarterly. 1995;1(2):30-9.
29. Esperat M, McMurry L, Du F, Huaxin S, Billings L, Masten Y, Flores D. Transformacion para salud: a patient navigation model for chronic disease self-management. Online Journal of Issues in Nursing. 2012;17(2):1-1.
30. Spiro A, Oo SA, Marable D, Collins JP. A unique model of the community health worker: the MGH Chelsea community health improvement team. Family and Community Health. 2012;35(2):147-60.
31. Clark CR, Baril N, Kunicki M, Johnson N, Soukup J, Ferguson K, Lipsitz S, Bigby J. Addressing social determinants of health to improve access to early breast cancer detection: results of the Boston REACH 2010 Breast and Cervical Cancer Coalition Women’s Health Demonstration Project. Journal of Women’s Health (15409996) 2009. 2010;18(5):677-90.
32. Bishop SE, Edwards JM, Nadkarni M. Charlottesville Health Access: a locality-based model of health care navigation for the homeless. Journal of Health Care for the Poor & Underserved. 2009;20(4):958-63.
33. Linkins K, Brya J, Oelschlaeger A, Simonson B, Lahiri S, McFeeters J, Schutze M, Jonas J, Mowry M. Influencing the disability trajectory for workers with serious mental illness: Lessons from Minnesota’s Demonstration to Maintain Independence and Employment. Journal of Vocational Rehabilitation. 2011;34(2):107-18.
34. Halkitis PN, Kupprat SA, Mukherjee PP. Longitudinal associations between case management and supportive services use among Black and Latina HIV-positive women in New York City. Journal of Women’s Health (15409996). 2010;19(1):99-108.
35. Gimpel N, Marcee A, Kennedy K, Walton J, Lee S, DeHaven MJ. Patient perceptions of a community-based care coordination system. Health Promotion Practice. 2010;11(2):173-81.
36. Carroll JK, Humiston SG, Meldrum SC, Salamone CM, Jean-Pierre P, Epstein RM, Fiscella K. Patients’ experiences with navigation for cancer care. Patient Education & Counseling. 2010;80(2):241-7.
37. McCloskey J. Promotores as partners in a community-based diabetes intervention program targeting Hispanics. Family & Community Health. 2009;32(1):48-57.
38. Bohman T, Wallisch L, Christensen K, Stoner D, Pittman A, Reed B, Ostermeyer B. Working Well - The Texas Demonstration to maintain independence and employment: 18-month outcomes. Journal of Vocational Rehabilitation. 2011;34(2):97-106.
39. Boult C, Wieland GD. Comprehensive primary care for older patients with multiple chronic conditions: “Nobody rushes you through”. JAMA : the journal of the American Medical Association. 2010;304(17):1936-43.
40. Burton J, Murphy E, Riley P. Primary immunodeficiency disease: a model for case management of chronic diseases. Professional case management. 2010;15(1):5-6.
41. Foret Giddens J, Tanner E, Frey K, Reider L, Boult C. Expanding the gerontological nursing role in Guided Care. Geriatric Nursing. 2009;30(5):358-64.
42. Wolff JL, Rand-Giovannetti E, Palmer S, Wegener S, Reider L, Frey K, Scharfstein D, Boult C. Caregiving and chronic care: the guided care program for families and friends. The journals of gerontology Series A, Biological sciences and medical sciences. 2009;64(7):785-91.
43. Layne LR K, Longnecker J, Holmes RM. Integrating patients into a healthcare home through a patient navigation program. 2012.
44. Bradford JB, Coleman S, Cunningham W. HIV System Navigation: an emerging model to improve HIV care access. AIDS Patient Care & STDs. 2007;21:S-58.
45. Maeng D, Davis D, Tomcavage J, Graf T, Procopio K. Improving patient experience by transforming primary care: evidence from geisinger’s patient-centered medical homes. Population Health Management. 2013;16(3):157-63.
46. Mullins CD, Shaya FT, Blatt L, Saunders E. A qualitative evaluation of a citywide Community Health Partnership program. Journal of the National Medical Association. 2012;104(1-2):53-60.
47. Retkin R, Antoniadis D, Pepitone D, Duval D. Legal services: a necessary component of patient navigation. Seminars in Oncology Nursing. 2013;29(2):149-55.
48. Brown N, Vaughn NA, Lin AJ, Browne R, White M, Smith P. Healthy families Brooklyn: working with health advocates to develop a health promotion program for residents living in New York City housing authority developments. Journal of community health. 2011;36(5):864-73.
49. Tejeda S, Darnell J, Cho YI, Stolley M, Markossian T, Calhoun E. Patient barriers to follow-up care for breast and cervical cancer abnormalities. Journal of Women’s Health (15409996). 2013;22(6):507-17.
50. Kramer A, Nosbusch J, Rice J. Safe mom, safe baby: a collaborative model of care for pregnant women experiencing intimate partner violence. Journal of Perinatal & Neonatal Nursing. 2012;26(4):307-18.
51. Tataw DB, Bazargan-Hejazi S, James FW. Health services utilization, satisfaction, and attachment to a regular source of care among participants in an urban health provider alliance. Journal of health and human services administration. 2011;34(1):109-41.
52. Mayhew L. On the effectiveness of care co-ordination services aimed at preventing hospital admissions and emergency attendances. Health Care Manag Sci. 2009;12(3)269-84.
53. Williams VS, Smith A, Chapman L, Oliver D. Community matrons - an exploratory study of patients’ views and experiences. Journal of Advanced Nursing. 2010;1(67):86-93.
54. Anderson JE, Larke SC. The Sooke Navigator project: using community resources and research to improve local service for mental health and addictions. Mental Health in Family Medicine. 2009;6(1):21-8.
55. Anderson JE, Larke SC. Navigating the mental health and addictions maze: a community-based pilot project of a new role in primary mental health care. Mental Health in Family Medicine. 2009;6(1):15-9.
56. McCann TV, Clark E. Adopting care provider-facilitator roles: community mental health nurses and young adults with an early episode of schizophrenia. Social Theory & Health. 2005;3(1):39-60.
57. Linzer M, Bitton A, Tu S-P, Plews-Ogan M, Horowitz KR, Schwartz MD. The End of the 15-20 Minute Primary Care Visit. J Gen Intern Med. 2015;30(11):1584-86.
58. Cottrell E, Chambers R, O’Connell P. Using simple telehealth in primary care to reduce blood pressure: a service evaluation. BMJ open. 2012;2(6):e001391.
59. Hung WW, Rossi M, Thielke S, Caprio T, Barczi S, Kramer BJ, Kochersberger G, Boockvar KS, Brody A, Howe JL. A multisite geriatric education program for rural providers in the Veteran Health Care System (GRECC-CONNECT). Gerontology & geriatrics education. 2014;35(1):23-40.
60. Lowe G, Plummer V, O’Brien AP, Boyd L. Time to clarify-the value of advanced practice nursing roles in health care. Journal of advanced nursing. 2012;68(3):677-85.
61. Woods LP. Implementing advanced practice: identifying the factors that facilitate and inhibit the process. Journal of Clinical Nursing. 1998;7(3):265-73.
62. Bryant-Lukosius D, DiCenso A, Browne G, Pinelli J. Advanced practice nursing roles: development, implementation and evaluation. Journal of Advanced Nursing. 2004;48(5):519-529.
63. Sangster-Gormley E, Martin-Misener R, Downe-Wamboldt B, DiCenso A. Factors affecting nurse practitioner role implementation in Canadian practice settings: an integrative review. Journal of advanced nursing. 2011;67(6):1178-90.
64. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Bmj. 2014;348:g1687.
65. Mold JW, Peterson KA. Primary care practice-based research networks: working at the interface between research and quality improvement. The Annals of Family Medicine. 2005;3 suppl 1:S12-20.
66. Campbell S, Braspenning J, Hutchinson A, Marshall M. Improving the quality of health care: research methods used in developing and applying quality indicators in primary care. BMJ: British Medical Journal. 2003;326(7393):816.
67. Greenhalgh T, Robert G, Bate P, Macfarlane F, Kyriakidou O. Diffusion of innovations in health service organisations: a systematic literature review. Oxford: Blackwell Publishing; 2005.
68. Freund K, Battaglia T, Calhoun E, Dudley D, Fiscella K, Paskett E, Raich P, Roetzheim R. National cancer institute patient navigation research program. Cancer. 2008;113(12):3391-9.
69. Freund KM, Battaglia TA, Calhoun E, Dudley DJ, Fiscella K, Paskett E, Raich PC, Roetzheim RG, Patient Navigation Research Program G. National Cancer Institute Patient Navigation Research Program: methods, protocol, and measures. Cancer. 2008;113(12):3391-9.
70. Peters DH, Adam T, Alonge O, Agyepong IA, Tran N. Implementation research: what it is and how to do it. BMJ (Clinical research ed). 2013;347:f6753. http://dx.doi.org/10.1136/bmj.f6753.