The effectiveness of patient navigation to improve healthcare utilization outcomes: A meta-analysis of randomized controlled trials
| Autor: | Sobia F. Ali-Faisal, Naomi Medina-Jaudes, Lisa Benz Scott, Tracey J.F. Colella |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pediatrics Treatment adherence law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Neoplasms Health care medicine Humans Patient Navigation 030212 general & internal medicine Randomized Controlled Trials as Topic business.industry Attendance General Medicine Patient Acceptance of Health Care Healthcare utilization 030220 oncology & carcinogenesis Relative risk Meta-analysis Emergency medicine Usual care Patient Compliance business |
| Zdroj: | Patient Education and Counseling. 100:436-448 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2016.10.014 |
| Popis: | To determine the effects of patient navigation (PN) on healthcare utilization outcomes using meta-analysis and the quality of evidence.Medical and social science databases were searched for randomized controlled trials published in English between 1989 and May 2015. The review process was guided by PRISMA. Included studies were assessed for quality using the Downs and Black tool. Data were extracted to assess the effect of navigation on: health screening rates, diagnostic resolution, cancer care follow-up treatment adherence, and attendance of care events. Random-effects models were used to compute risk ratios and IOf 3985 articles screened, 25 articles met inclusion criteria. Compared to usual care, patients who received PN were significantly more likely to access health screening (OR 2.48, 95% CI, 1.93-3.18, P0.00001) and attend a recommended care event (OR 2.55, 95% CI, 1.27-5.10, P0.01). PN was favoured to increase adherence to cancer care follow-up treatment and obtain diagnoses. Most studies involved trained lay navigators (n=12) compared to health professionals (n=9).PN is effective to increase screening rates and complete care events.PN is an effective intervention for use in healthcare. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect