Can digital navigators help reduce inequities in healthcare? A systematic review

BackgroundNavigating the healthcare system is complex. Care fragmentation is a major issue. Patient navigators have emerged to improve care continuity, especially for vulnerable individuals. With digital health expansion, digital navigator (DN) roles have been created to foster digital literacy, access and equity.ObjectivesTo identify DN's roles in reducing health inequities and examine its terminology, professional background, training, techniques, skills, communication methods and outcomes.MethodologySystematic review across five databases. Data extraction included DN characteristics and outcomes. Thematic analysis compared expectations and findings.ResultsSixteen studies were reviewed. Findings suggest that the DN may help reducing inequities in healthcare access, though it is not guaranteed. Gaps were found in DN roles, competencies, training and terminology. Most studies emphasised technical support, communication and clinical integration, with limited focus on social issues. Disparities were noted between expected and reported roles.ConclusionThe DN role shows promise, especially in fragmented systems, but remains underexplored. Current approaches emphasise technology over social support. Broader understanding and implementation are needed.