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- Title
Factors Influencing the Implementation of Patient Navigation Programs for Adults with Complex Needs: A Scoping Review of the Literature.
- Authors
Kokorelias, Kristina M; Shiers-Hanley, Jessica E; Rios, Jorge; Knoepfli, Amanda; Hitzig, Sander L
- Abstract
Patient navigation is a model of care that aims to improve access to care by reducing the complexity of navigating health, education, and social services across the continuum of care and care settings. Little is known about the processes that facilitate or impede the implementation of patient navigation programs (PNPs). We conducted a scoping review to identify and summarize the current state of knowledge regarding the implementation and outcomes of existing implemented PNPs. We employed a 6-stage scoping review framework to identify and review eligible articles. Sixty-articles met the inclusion criteria (58 peer-reviewed and 2 grey literature). The Consolidated Framework for Implementation Research served as the theoretical framework during analysis to help extract factors relevant to implementation of navigator programs. Results of the scoping review are reported thematically. Influences on implementation were identified: (a) planning to ensure alignment with organizational need (b) funding (c) multidisciplinary engagement (d) establishing workflow (e) mechanisms for communication (f) stakeholders to encourage buy-in (g) appropriate caseload (h) in kind resources. PNPs improve the experiences of patients and families. The findings of this scoping review provides implementation considerations of PNPs across global care settings. Strategies for overcoming pragmatic and logistical issues must be developed for optimal implementation.
- Subjects
EVALUATION of human services programs; SYSTEMATIC reviews; PATIENT-centered care; CONTINUUM of care; HUMAN services programs; CONCEPTUAL structures; WORKFLOW; RESEARCH funding; HEALTH care teams; COMMUNICATION; INTERPROFESSIONAL relations; LITERATURE reviews; INTEGRATED health care delivery; ENDOWMENTS; SOCIAL case work
- Publication
Health Services Insights, 2021, Vol 14, p1
- ISSN
1178-6329
- Publication type
Article
- DOI
10.1177/11786329211033267