Evidence map›Paper›PMID 41660051›Full record

ArticleInternational journal of integrated care

Impact of Clinician-Supported Peer Health Navigation on Hospital Resource Utilisation amongst High Risk Adults: A Pragmatic Propensity-Score Matching Study.

Rebecca L Jessup, Keith Stockman, Cilla Haywood, Daniel Nguyen, Mark Tacey, Sarah Thomas, Donald Campbell

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Rebecca L JessupVictorian Centre for Virtual Health Research, Northern Health, Epping, Australia.ORCID https://orcid.org/0000-0003-2211-5231
Keith StockmanStaying Well and Hospital Without Walls Program, Northern Health, Epping, Australia.ORCID https://orcid.org/0000-0002-1096-6453
Cilla HaywoodAustin Health Department of Medicine, Austin Health, Heidelberg, Australia.ORCID https://orcid.org/0000-0002-8127-7014
Daniel NguyenStaying Well and Hospital Without Walls Program, Northern Health, Epping, Australia.
Mark TaceyAustin Health Department of Medicine, Austin Health, Heidelberg, Australia.ORCID https://orcid.org/0000-0002-6318-3911
Sarah ThomasStaying Well and Hospital Without Walls Program, Northern Health, Epping, Australia.ORCID https://orcid.org/0000-0002-0063-9547
Donald CampbellStaying Well and Hospital Without Walls Program, Northern Health, Epping, Australia.ORCID https://orcid.org/0009-0006-2639-7001

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Northern Patient Watch (NPW) program aimed to reduce hospital resource use by providing proactive support through peer health navigators working alongside health professionals. This study assessed the impact of NPW on hospital admissions, bed-days, emergency department presentations, and outpatient non-attendance rates, compared to propensity score-matched controls. Research Method: A propensity score matching design compared NPW enrolees with controls over 3-, 6-, and 12-month follow-up periods. Hospital resource utilisation was the primary outcome, with secondary outcomes including outpatient appointment non-attendance rates. Statistical methods addressed both normally and non-normally distributed variables. Results: NPW enrolees used fewer hospital bed-days at all time points compared to matched controls, with the greatest effect at 12 months (median 2.00 [CI 0.00, 8.00] vs. 4.00 [CI 1.00, 14.00]). Admissions were significantly lower at all time points, halving at 12 months (median 1.00 [CI 0.00, 4.00] vs. 2.00 [CI 1.00, 4.00]). Emergency presentations were lower in the NPW group but not statistically significant. Outpatient non-attendance rates were significantly reduced (12 months: 44.8% vs. 55.6%), showing improved healthcare engagement. Conclusion: The NPW programme reduced admissions, bed-days, and outpatient non-attendance, suggesting peer health navigators supported by health professionals improve resource use and patient engagement.

Indexed as

emergency department presentationshospital admissionsintegrated careoutpatient non-attendancepeer health navigatorspropensity score matchingresource utilisation

Identifiers

PMID41660051
PMCPMC12879996

What OpenQuestion holds

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Registered trials

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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.