ArticleJournal of general internal medicine2024
Intensity and Variation of Health Navigator Support: Addressing Medical and Social Needs of Diabetes Patients in East Oakland.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Leveraging a Locally Anchored Learning Health Care System Toward Equitable Telehealth: Assessing Broadband Access and Supporting Use of Federal Internet Subsidies in a Safety-Net Setting.Learning health systems · 2026Article
- Implementation and costs of a food insecurity resource navigation program for primary care patients with diabetes and hypertension in South Carolina.Preventive medicine reports · 2026Article
- Improving Outcomes for Black Adults with Diabetes: The Power of Peer Support in the Multidisciplinary Care Team.Journal of multidisciplinary healthcare · 2026Review
- A Pilot Study of the Feasibility and Acceptability of a Patient Navigator in a Pediatric Type 1 Diabetes Clinic.Canadian journal of diabetes · 2025Article
- Housing Instability and Type 2 Diabetes Outcomes.JAMA network open · 2025Article
- Global trends of digital health technologies in patient navigation: A bibliometric and visual analysis from 2005 to 2024.Digital healthReview
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHealthcare systems are increasingly screening and referring patients for unmet social needs (e.g., food insecurity). Little is known about the intensity of support necessary to address unmet needs, how this support may vary by circumstance or time (duration), or the factors that may contribute to this variation.
objectiveDescribe health navigator services and the effort required to support patients with complex needs at a community health center in East Oakland, CA.
designRetrospective analysis of de-identified patient contact notes (e.g., progress notes).
participantsConvenience sample of patients (n = 27) enrolled in diabetes education and referred to health navigators.
interventionsNavigators provide education on managing conditions (e.g., diabetes), initiate and track medical and social needs referrals, and navigate patients to medical and social care organizations. MAIN MEASURES: Descriptive statistics for prevalence, mean, median, and range values of patient contacts and navigation services. We described patterns and variation in navigation utilization (both contacts and navigation services) based on types of need. KEY
resultsWe identified 811 unmet social and medical needs that occurred over 710 contacts with health navigators; 722 navigation services were used to address these needs. Patients were supported by navigators for a median of 9 months; approximately 25% of patients received support for > 1 year. We categorized patients into 3 different levels of social risk, accounting for patient complexity and resource needs. The top tertile (n = 9; 33%) accounted for the majority of resource utilization, based on health navigator contacts (68%) and navigation services (75%).
conclusionsThe required intensity and support given to meet patients' medical and social needs is substantial and has significant variation. Meeting the needs of complex patients will require considerable investments in human capital, and a risk stratification system to help identify those most in need of services.
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