From experience to a learning health system: peer-to-peer perspectives and implications for healthcare navigation in Alberta, Canada

TL;DR

This study explores healthcare navigation experiences in Alberta to improve equitable access and outcomes through patient-centered recommendations.

Contribution

The study provides patient-centered recommendations to strengthen healthcare navigation services within a learning health system framework.

Findings

Participants identified gaps in navigation programs and emphasized the need for personalized approaches and training.

Themes included navigation experiences, the navigator role, and challenges in current practices.

Five recommendations were proposed to enhance navigation services and equitable healthcare access.

Abstract

Healthcare navigation services help individuals access timely and appropriate care within complex health systems, particularly those facing systemic and equity-related barriers. Understanding navigation experiences is essential to addressing service gaps and improving health outcomes. This study sought to examine the lived experiences of navigation in Alberta to identify inequities within existing programs and to provide recommendations for strengthening person-centered navigation within a learning health system framework.

This was a qualitative, peer-to-peer, patient-oriented research study. The study design followed the Patient and Community Engagement Research process of SET-COLLECT-REFLECT. The SET phase engaged patient and public partners in discussions to co-design the research question and the study design. The COLLECT phase included focus groups and interviews with adult residents in Alberta who had been navigated (n = 13) and those who had experience as healthcare navigators (n = 13) in the Alberta healthcare system. The data were thematically analyzed, identifying key themes and subthemes. The REFLECT phase ran two focus groups with COLLECT participants for member checking. This approach yielded the recommendations.

Of the 26 participants, over 75% were women (77% of the Navigated group and 75% of the Navigator group) aged 41–50 years old. Half of those in the Navigator group had provided their service for more than 5 years and had received specialized training in healthcare navigation. The following themes were identified: (1) participants’ situations and circumstances, (2) navigation experiences, (3) perspectives, (4) need for healthcare navigators, (5) the navigator role, (6) current best practices and challenges, and (7) training and support. Five recommendations included expanding the scope and enhancing awareness of navigation programs with a personalized approach and embedded evaluation and developing and formalizing navigation training programs.

This study identified gaps and opportunities in healthcare navigation programs from both navigator and navigated perspectives. The findings provide patient-centered recommendations to strengthen navigation services and their integration into Alberta's learning health system that can enhance equitable access, healthcare experiences, and outcomes.

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