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Table 3 Summary of results

From: Effectiveness of system navigation programs linking primary care with community-based health and social services: a systematic review

 

TYPE OF SYSTEM NAVIGATION MODEL

LAY PERSON-LED

(n = 10)

Non-professional trained to perform specific activities related to system navigation

HEALTH PROFESSIONAL-LED

(n = 4)

Health professional (e.g., social worker, nurse) performs specific activities related to system navigation

TEAM-BASED

(n = 6)

Lay person(s) and health professional(s) together, OR teams of health professionals perform specific activities related to system navigation

SELF-NAVIGATION WITH LAY SUPPORT

(n = 1)

Personalized list of local resources with lay support available, as needed

OUTCOME CATEGORY

# of studies

Overall impacts

Risk of bias

# of studies

Overall impacts

Risk of bias

# of studies

Overall impacts

Risk of bias

# of studies

Overall impacts

Risk of bias

HEALTH AND SOCIAL SERVICE ACCESS AND UTILIZATION OUTCOMES

Health service utilization

6

 ↔

Low-moderate

4

 ↔

Low-moderate

3

↑

Low

0

-

-

PATIENT-RELATED OUTCOMES

Quality of life/health-related quality of life, mental health, wellbeing

5

 ↔

Low-moderate

3

 ↔

Low-moderate

4

 ↔

Low-moderate

1

 ↔

Low

Social participation and function

2

 ↔

Moderate

2

 ↔

Low

4

 ↔

Low-moderate

0

-

-

Health behaviours

4

 ↔

Low-moderate

1

 ↔

Low

2

 ↔

Low–high

0

-

-

Patient activation, self-efficacy, empowerment

3

 ↔

Low-moderate

1

 ↔

Low

0

-

-

1

↑

Low

PATIENT EXPERIENCE OUTCOMES

Patient experiences

2

↑

Low-moderate

2

↑

Low-moderate

1

 ↔

Low

0

-

-

CAREGIVER OUTCOMES

Caregiver experiences

0

-

-

2

 ↔

Low-moderate

0

-

-

0

-

-

Caregiver health

0

-

-

1

 ↔

Moderate

0

-

-

0

-

-

COST-RELATED OUTCOMES

Cost-related

2

Insufficient data

Low-moderate

0

-

-

0

-

-

0

-

-

  1. ↑ = all studies reported statistically significant improvements; ↔ = some of the studies reported statistically significant improvements while other studies reported non-statistically significant findings, or none of the studies reported statistically significant findings