Table 4 Patient navigator interventions with a focus on various chronic diseases and multimorbidity
From: The role of patient navigators in ambulatory care: overview of systematic reviews
Skill-mix interventions | Outcomes | |||||
|---|---|---|---|---|---|---|
Details of the intervention | Profession(s) | Population | Countries | Patient-related outcomes | Health-system related outcomes | Source |
Patient navigation interventions addressing patients with one or multiple chronic conditions (e.g. appointment scheduling, reminders, mobilize social support, education, liaison with providers) | Intervention: Lay persons, peers, professional workers Comparison: Not reported | Patients with diabetes, CVD, HIV/AIDS, CKD, dementia, or multiple (including socially disadvantaged patients) | US, CA, ZA | • Improved clinical patient outcomes • Improved mortality rates for HIV patients (non-significant) | • | • [12]a |
Patient navigation intervention to address barriers in chronic care (e.g. education, referrals, social and emotional support, supporting self-management) | Intervention: case managers, community health workers, public health nurses, health coaches Comparison: Not reported | Patients with diabetes, HIV, kidney failure (mostly from vulnerable communities) | US, ZA | • Improved adherence to recommended care or visits • Improvements in disease-specific patient outcomes | • Fewer hospitalizations and ED visits for patients with diabetes | • [33] |