Impact of Patient Demographics on Student-Led Patient Navigation Outcomes: A Study of a South Florida Medical School's Patient Navigation Program.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Southern Medical Journal Pub Date : 2024-08-01 DOI:10.14423/SMJ.0000000000001716

Lien Morcate, Sapna Kedia, Kristen Mascarenhas, Sabrina Taldone, Amar R Deshpande

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Abstract

Objectives: Medical student-run patient navigation (PN) programs enhance healthcare access in underserved communities. This study examines the relationship between patient demographics and PN outcomes in a student-led PN program.

Methods: Patients with moderate or high-risk health concerns were paired with medical students at health fairs. Statistical analysis evaluates program success and demographic influences.

Results: Of 444 patients, 66.4% were female, 47.1% Hispanic White, 49.1% spoke English, and 63.7% earned <300% of the federal poverty level. More than half were uninsured and 52.5% achieved navigation goals. Insurance status and risk level significantly predicted PN outcomes, with "other insurance" and high-risk patients being 1.9 and 1.7 times more likely to complete navigation.

Conclusions: The program achieved high completion rates, emphasizing the need for resources such as translators and financial assistance. Risk stratification successfully linked acute cases to resources. Navigation success was consistent, demonstrating the effectiveness of the program across diverse patient groups.

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患者人口统计学对学生主导的患者导航结果的影响：南佛罗里达医学院患者导航项目研究。

目标：由医学生管理的患者导航（PN）项目可提高医疗服务不足社区的医疗服务水平。本研究探讨了在学生主导的患者导航项目中，患者人口统计学特征与患者导航结果之间的关系：方法：在健康展销会上，有中度或高风险健康问题的患者与医学生配对。统计分析评估了项目的成功和人口统计学的影响因素：在 444 名患者中，66.4% 为女性，47.1% 为西班牙裔白人，49.1% 讲英语，63.7% 获得结论：该计划的完成率很高，强调了对翻译和经济援助等资源的需求。风险分层成功地将急性病例与资源联系起来。导航的成功率是一致的，证明了该计划在不同患者群体中的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Southern Medical Journal 医学-医学：内科

CiteScore

1.40

自引率

9.10%

发文量

222

审稿时长

4-8 weeks

期刊介绍： As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.