# Implementation and Evaluation of a Training Program to Improve Patient Navigators’ Competencies: A Quasi-Experiment at a Public Tertiary Hospital in China

## TL;DR

A training program improved patient navigators' skills in a Chinese hospital, boosting their competency scores and patient satisfaction, though effects slightly declined over time.

## Contribution

The study introduces a competency-based training program for patient navigators using the PDCA framework and Miller’s Pyramid Model, validated through a quasi-experimental design.

## Key findings

- PN competency scores increased significantly after training but slightly declined after 6 months.
- Patient satisfaction with PN services improved modestly over the 6-month period.
- Theoretical knowledge application posed challenges, suggesting the need for differentiated training approaches.

## Abstract

Background/Objectives: Patient navigation is vital for improving healthcare accessibility and patient experience in China’s public hospitals, where high patient demand meets limited medical resources. Patient navigators (PNs) assist patients through the complex healthcare system, but the lack of standardized training and evaluation hampers their ability to meet patient needs. This study piloted a Competencies Improvement Training Program (CITP) in a tertiary hospital to clarify PN competencies, design a feasible curriculum, assess its efficacy, and share insights with peer hospitals. Methods: The CITP used the Plan–Do–Check–Act (PDCA) framework and designed a curriculum with Miller’s Pyramid Model. Over 6 months, eight sessions were conducted, including theory, case studies, etc. The quasi-experimental design compared PN competencies and patient satisfaction before and after. Multiple instruments measured baseline competencies and program efficacy with a 6-month post-training follow-up. Results: A total of 75 PNs (75%) participated and completed all sessions. A total of 1189 patients were surveyed before training, 495 in the first month after training, and 502 in the 6-month follow-up. The CITP significantly boosted PN competency scores from 90.259 to 95.453, though it dipped to 92.721 by 6 months. Patient satisfaction with PN services improved modestly over 6 months. Challenges in applying theoretical knowledge to practical skills were noted, suggesting differentiated training based on navigator demographics. Patient satisfaction for aspects like politeness and tone was linked to patient age and education. Conclusions: The CITP enhanced PN core competencies and provided an evidence-based curriculum model. Future research should involve larger multi-center populations with longer-term follow-ups to validate the program’s effectiveness across diverse settings.