Evidence map›Paper›PMID 24517539›Full record

ArticleAIDS patient care and STDs2014

Patient navigation facilitates medical and social services engagement among HIV-infected individuals leaving jail and returning to the community.

Kimberly A Koester, Mark Morewitz, Charles Pearson, John Weeks, Rebecca Packard, Milton Estes, Jacqueline Tulsky, Mi Suk Kang-Dufour, Janet J Myers

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS patient care and STDs, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 7 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 7 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Kimberly A Koester1 Department of Medicine, Center for AIDS Prevention Studies, University of California , San Francisco, California.
Mark Morewitz
Charles Pearson
John Weeks
Rebecca Packard
Milton Estes
Jacqueline Tulsky
Mi Suk Kang-Dufour
Janet J Myers
University of California, San Francisco · USSan Francisco AIDS Foundation · USSan Francisco Department of Public Health · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Navigator Enhanced Case Management for Jail InmatesR01DA027209 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MYERS, JANET · 2009 to 2013
$2.5M
NCRR NIH HHS UL1 RR024131NIDA NIH HHS R01DA027209
6 · The paper itself

Abstract

HIV-infected individuals leaving jails, facilities typically used to confine accused persons awaiting trial or to incarcerate persons for minor offenses, often face barriers to engagement with medical and social-support services. Patient navigation is a model that may ease these barriers by supporting individuals in negotiating fragmented and highly bureaucratic systems for services and care. While there is evidence linking navigation to a reduction in health disparities, little is known about the mechanisms by which the model works. We present findings of an ethnographic study of interactions between navigators and their clients: HIV-infected men and women recently released from jails in San Francisco, California. We conducted 29 field observations of navigators as they accompanied their clients to appointments, and 40 in-depth interviews with clients and navigators. Navigators worked on strengthening clients' abilities to engage with social-services and care systems. Building this strength required navigators to gain clients' trust by leveraging their own similar life experiences or expressing social concordance. After establishing meaningful connections, navigators spent time with clients in their day-to-day environments serving as mentors while escorting clients to and through their appointments. Intensive time spent together, in combination with a shared background of incarceration, HIV, and drug use, was a critical mechanism of this model. This study illustrates that socially concordant navigators are well positioned to facilitate successful transition to care and social-services engagement among a vulnerable population.

Indexed as

Case ManagementPatient NavigationPrisonsCaliforniaFemaleFollow-Up StudiesHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CarePatient CareProgram EvaluationQualitative ResearchSan Francisco

Identifiers

PMID24517539
PMCPMC3926180
OpenAlexW2091056769

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.