IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v90y2022ics0149718921000720.html
   My bibliography  Save this article

Implementation and evaluation of patient navigation in Chicago: Insights on addressing the social determinants of health and integrating HIV prevention and care services

Author

Listed:
  • Greene, George J.
  • Reidy, Emma
  • Felt, Dylan
  • Marro, Rachel
  • Johnson, Amy K.
  • Phillips, Gregory
  • Green, Evelyn
  • Stonehouse, Patrick

Abstract

Patient navigation is a primary element in linkage to HIV pre-exposure prophylaxis (PrEP) care and linkage to or re-engagement in HIV care, depending on the HIV status of the individual. However, there is a dearth of literature describing navigation services in these areas. In the context of Chicago Project PrIDE, this project conducted process and implementation evaluations with eight agencies leading demonstration projects to address these gaps. The evaluation team conducted semi-structured, individual interviews with agency staff (N = 20) assessing navigation implementation and fit, as well as project successes and challenges. Additionally, agency staff collected patient surveys (N = 300) assessing services provided, service quality, and satisfaction. The interview transcripts were coded and analyzed thematically and descriptive analyses were performed on the survey data. Analyses indicated that screening for social determinants of health, providing healthcare engagement guidance, and providing service referrals were frequently cited navigation activities. Most staff members indicated that navigation fits well within their agencies, and that limited staff and clinic capacity were often barriers to navigation. Patient navigation to support engagement in HIV prevention and care services is critical due to the extensive support provided by navigators to address social determinants of health impacting HIV disparity populations.

Suggested Citation

  • Greene, George J. & Reidy, Emma & Felt, Dylan & Marro, Rachel & Johnson, Amy K. & Phillips, Gregory & Green, Evelyn & Stonehouse, Patrick, 2022. "Implementation and evaluation of patient navigation in Chicago: Insights on addressing the social determinants of health and integrating HIV prevention and care services," Evaluation and Program Planning, Elsevier, vol. 90(C).
    • Handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000720
    DOI: 10.1016/j.evalprogplan.2021.101977
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718921000720
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2021.101977?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Witmer, A. & Seifer, S.D. & Finocchio, L. & Leslie, J. & O'Neil, E.H., 1995. "Community health workers: integral members of the health care work force," American Journal of Public Health, American Public Health Association, vol. 85(8), pages 1055-1058.
    2. Lindeman, Peter T. & Bettin, Emily & Beach, Lauren B. & Adames, Christian N. & Johnson, Amy K. & Kern, Dave & Stonehouse, Patrick & Greene, George J. & Phillips, Gregory, 2018. "Evaluation capacity building—Results and reflections across two years of a multisite empowerment evaluation in an HIV prevention context," Evaluation and Program Planning, Elsevier, vol. 71(C), pages 83-88.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jiyun Kim & Yuna Paik & Seungmi Park, 2022. "Cancer Screening Program Delivered by Community Health Workers for Chinese Married Immigrant Women in Korea," IJERPH, MDPI, vol. 19(11), pages 1-9, May.
    2. Alan Kirschenbaum, 2021. "Reducing patient surge: community based social networks as first responders," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 108(1), pages 163-175, August.
    3. Arima, Yuzo & Guthrie, Brandon L. & Rhew, Isaac C. & De Roos, Anneclaire J., 2009. "The impact of the First Steps prenatal care program on birth outcomes among women receiving Medicaid in Washington State," Health Policy, Elsevier, vol. 92(1), pages 49-54, September.
    4. Visram, Shelina & Walton, Nick & Akhter, Nasima & Lewis, Sue & Lister, Graham, 2020. "Assessing the value for money of an integrated health and wellbeing service in the UK," Social Science & Medicine, Elsevier, vol. 245(C).
    5. Galárraga, Omar & Quijano-Ruiz, Alonso & Faytong-Haro, Marco, 2024. "The effects of mobile primary health teams: Evidence from the Médico del Barrio strategy in Ecuador," World Development, Elsevier, vol. 181(C).
    6. Ilona Sips & Ahmad Haeri Mazanderani & Helen Schneider & Minrie Greeff & Francoise Barten & Mosa Moshabela, 2014. "Community Care Workers, Poor Referral Networks and Consumption of Personal Resources in Rural South Africa," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-7, April.
    7. López-Sanders, Laura, 2017. "Changing the navigator's course: How the increasing rationalization of healthcare influences access for undocumented immigrants under the Affordable Care Act," Social Science & Medicine, Elsevier, vol. 178(C), pages 46-54.
    8. South, Jane & Purcell, Martin E. & Branney, Peter & Gamsu, Mark & White, Judy, 2014. "Rewarding altruism: Addressing the issue of payments for volunteers in public health initiatives," Social Science & Medicine, Elsevier, vol. 104(C), pages 80-87.
    9. Estelle D. Watson & Shabir Moosa & Dina C. Janse Van Rensburg & Martin Schwellnus & Estelle V. Lambert & Mark Stoutenberg, 2023. "Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?," IJERPH, MDPI, vol. 20(17), pages 1-13, August.
    10. Schwarzman, Joanna & Bauman, Adrian & Gabbe, Belinda J. & Rissel, Chris & Shilton, Trevor & Smith, Ben J., 2019. "Understanding the factors that influence health promotion evaluation: The development and validation of the evaluation practice analysis survey," Evaluation and Program Planning, Elsevier, vol. 74(C), pages 76-83.
    11. Judith Nalukwago & Rik Crutzen & Bart van den Borne & Paul Mukisa Bukuluki & Leonard Bufumbo & Richard Batamwita & Amos Zikusooka & Rachel Lenzi & Gretchen Thompson & Jane Alaii, 2018. "Adolescents Discussing Sexual Behaviors With Key Influencing Audiences," Global Journal of Health Science, Canadian Center of Science and Education, vol. 10(8), pages 1-91, August.
    12. Kash, Bita Arbab & May, Marlynn Lee & Tai-Seale, Ming, 2007. "Community health worker training and certification programs in the United States: Findings from a national survey," Health Policy, Elsevier, vol. 80(1), pages 32-42, January.
    13. Schwarzman, Joanna & Bauman, Adrian & Gabbe, Belinda J. & Rissel, Chris & Shilton, Trevor & Smith, Ben J., 2022. "How practitioner, organisational and system-level factors act to influence health promotion evaluation capacity: Validation of a conceptual framework," Evaluation and Program Planning, Elsevier, vol. 91(C).
    14. May, Marlynn L. & Contreras, Ricardo B., 2007. "Promotor(a)s, the organizations in which they work, and an emerging paradox: How organizational structure and scope impact promotor(a)s' work," Health Policy, Elsevier, vol. 82(2), pages 153-166, July.
    15. Nunes, João & Lotta, Gabriela, 2019. "Discretion, power and the reproduction of inequality in health policy implementation: Practices, discursive styles and classifications of Brazil's community health workers," Social Science & Medicine, Elsevier, vol. 242(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000720. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.