| 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 | - | - |