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Patient navigation programs in Alberta, Canada: an environmental scan.

Karen L Tang1, Jenny Kelly2, Nishan Sharma2

  • 1Department of Medicine (Tang); Department of Community Health Sciences (Tang, Sharma); O' Brien Institute for Public Health (Tang, Ghali); W21C Research and Innovation Centre, Cumming School of Medicine (Kelly, Sharma); Office of the Vice-President (Research) (Ghali), University of Calgary, Calgary, Alta. klktang@ucalgary.ca.

CMAJ Open
|September 8, 2021
PubMed
Summary
This summary is machine-generated.

Patient navigation programs are widespread in Alberta, Canada, serving diverse patient groups. Key gaps identified include program awareness, resource availability, and equitable geographic access.

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Area of Science:

  • Health Services Research
  • Patient Navigation
  • Healthcare Delivery Systems

Background:

  • Patient navigation is a complex intervention gaining traction in Canadian healthcare.
  • An environmental scan was conducted to map patient navigation programs in Alberta, Canada.

Purpose of the Study:

  • To understand the landscape of patient navigation programs within Alberta's health care system.
  • To identify existing programs, their characteristics, and gaps in patient navigation services.

Main Methods:

  • An environmental scan identified patient navigation programs in Alberta Health Services (AHS) and Primary Care Networks (PCNs).
  • Key informants identified programs, and program contacts completed telephone surveys.
  • Programs were included if they provided individual navigation, facilitated care continuity, or empowered patients.

Main Results:

  • 58 patient navigation programs were included: 43 from AHS and 15 from PCNs.
  • Most programs (93%) used individual navigators; some incorporated web resources or structural changes.
  • Programs effectively served patients with cancer, substance use disorders, mental health concerns, and pediatric patients.

Conclusions:

  • Patient navigation programs are prevalent and have expanded beyond oncology.
  • Significant gaps exist in program awareness, resource allocation, and equitable access.
  • Findings are relevant for developing and implementing patient navigation interventions in Alberta and elsewhere.