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

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

Open Access
|Feb 2026

References

  1. Jones CH, Dolsten M. Healthcare on the brink: navigating the challenges of an aging society in the United States. npj Aging. 2024;10(1):22. DOI: 10.1038/s41514-024-00148-2
  2. World Health Organization. Ageing and health. 2025 Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.
  3. Organisation for Economic Co-operation and Development. The future of health systems. 2025. Available from: https://www.oecd.org/en/topics/policy-issues/the-future-of-health-systems.html.
  4. Malik M, Walker K, Weeks K, Bafna T, Chakraborty Choudhury M. Burnout, Wellbeing, and Resilience of Healthcare Workers in the Post-COVID World. Frontiers; 2025. 1679590. DOI: 10.3389/978-2-8325-6873-6
  5. McLoughlan A, Semciw A, Borland R, Oldenburg B, Beauchamp A, Mehmet H, et al. Beyond the pandemic: evaluating the health care workforce’s readiness for sustained use of virtual care after COVID-19. 2024. DOI: 10.34172/jmdc.1285
  6. Polanco B, Oña A, Gemperli A, Pacheco Barzallo D. Excess healthcare utilization and costs linked to chronic conditions: a comparative study of nine European countries. Eur J Public Health. 2025;35(2):21627. DOI: 10.1093/eurpub/ckaf012
  7. Conilione P, Jessup R, Gust A. Novel machine learning model for predicting multiple unplanned hospitalisations. BMJ Health & Care Informatics. 2023;30(1). DOI: 10.1136/bmjhci-2022-100682
  8. Carter N, Valaitis RK, Lam A, Feather J, Nicholl J, Cleghorn L. Navigation delivery models and roles of navigators in primary care: a scoping literature review. BMC health services research. 2018;18:113. DOI: 10.1186/s12913-018-2889-0
  9. Jessup RL, Slade S, Roussy V, Whicker S, Rane V, Pelly J, et al. Peer Health Navigators to improve equity and access to health care in Australia: Can we build on successes from the COVID-19 pandemic? 2023. DOI: 10.1016/j.anzjph.2024.100128
  10. Mistry SK, Harris E, Harris M. Community health workers as healthcare navigators in primary care chronic disease management: a systematic review. Journal of General Internal Medicine. 2021;36:275571. DOI: 10.1007/s11606-021-06667-y
  11. Kennedy CE, Yeh PT, Verster A, Luhmann N, Nguyen VT, De Mello MB, et al. Do Peer Navigators Improve Initiation and Retention in HIV/VH/STI Treatment Programs for People From Key Populations? A Systematic Review of Effectiveness, Values and Preferences, and Cost. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2024;95(4):30512. DOI: 10.1097/QAI.0000000000003364
  12. Corrigan PW, Pickett S, Batia K, Michaels PJ. Peer navigators and integrated care to address ethnic health disparities of people with serious mental illness. Social Work in Public Health. 2014;29(6):58193. DOI: 10.1080/19371918.2014.893854
  13. McBrien KA, Ivers N, Barnieh L, Bailey JJ, Lorenzetti DL, Nicholas D, et al. Patient navigators for people with chronic disease: a systematic review. PloS One. 2018;13(2):e0191980. DOI: 10.1371/journal.pone.0191980
  14. Szilagyi PG, Humiston SG, Gallivan S, Albertin C, Sandler M, Blumkin A. Effectiveness of a citywide patient immunization navigator program on improving adolescent immunizations and preventive care visit rates. Archives of Pediatrics & Adolescent Medicine. 2011;165(6):54753. DOI: 10.1001/archpediatrics.2011.73
  15. Wells KJ, Valverde P, Ustjanauskas AE, Calhoun EA, Risendal BC. What are patient navigators doing, for whom, and where? A national survey evaluating the types of services provided by patient navigators. Patient Education and Counseling. 2018;101(2):28594. DOI: 10.1016/j.pec.2017.08.017
  16. Reid AE, Doucet S, Luke A. Exploring the role of lay and professional patient navigators in Canada. Journal of Health Services Research & Policy. 2020;25(4):22937. DOI: 10.1177/1355819620911679
  17. Budde HWG, Scarpetti G, Kroezen M, Maier CB. What are patient navigators and how can they improve integration of care? In: European Obesrvatory on Health Systems and Policies, editor. World Health Organization; 2022. https://eurohealthobservatory.who.int/publications/i/what-are-patient-navigators-and-how-can-they-improve-integration-of-care.
  18. Dickson K, Aboltins C, Pelly J, Jessup RL. Effective communication of COVID-19 vaccine information to recently-arrived culturally and linguistically diverse communities from the perspective of community engagement and partnership organisations: a qualitative study. BMC Health Services Research. 2023;23(1):110. DOI: 10.1186/s12913-023-09836-3
  19. Jessup RL, Bramston C, Putrik P, Haywood C, Tacey M, Copnell B, et al. Frequent hospital presenters’ use of health information during COVID-19: results of a cross-sectional survey. BMC Health Services Research. 2023;23(1):616. DOI: 10.1186/s12913-023-09504-6
  20. Said S, Cvetanovska N, Whicker SD, Stockman K, Nguyen D, Campbell D, et al. Attributes, skills and resources required for peer health navigator roles: A qualitative study of the perspective of patients, healthcare professionals and health navigators. Patient Education and Counseling. 2025:109201. DOI: 10.1016/j.pec.2025.109201
  21. Cvetanovska N, Said S, Jessup RL. Exploring the Role of Peer Health Navigators in the Australian Health System: A Qualitative Interview Study. Health Expectations. 2025;28(5):e70453. DOI: 10.1111/hex.70453
  22. Martin CM, Vogel C, Grady D, Zarabzadeh A, Hederman L, Kellett J, et al. Implementation of complex adaptive chronic care: the Patient Journey Record system (PaJR). Journal of Evaluation in Clinical Practice. 2012;18(6):122634. DOI: 10.1111/j.1365-2753.2012.01880.x
  23. Good NNP, Li J, et al. HealthLinks: chronic care evaluation: summary report. In: Health Do, editor. Victorian; 2018. Available at: https://www.health.vic.gov.au/publications/healthlinks-chronic-care-evaluation-summary-of-implementation-and-outcomes-for-2016-17.
  24. Martin C, Hinkley N, Stockman K, Campbell D. Resilience, health perceptions,(QOL), stressors, and hospital admissions—Observations from the real world of clinical care of unstable health journeys in Monash Watch (MW), Victoria, Australia. Journal of Evaluation in Clinical Practice. 2018;24(6):13108. DOI: 10.1111/jep.13031
  25. Jessup RL, Bramston C, Beauchamp A, Gust A, Cvetanovska N, Cao Y, et al. Impact of COVID-19 on emergency department attendance in an Australia hospital: a parallel convergent mixed methods study. BMJ open. 2021;11(12):e049222. DOI: 10.1136/bmjopen-2021-049222
  26. StataCorp. Stata Statistical Software: Release 18. In: Station C, editor. Texas; 2023.
  27. Thompson NR, Fan Y, Dalton JE, Jehi L, Rosenbaum BP, Vadera S, et al. A new Elixhauser-based comorbidity summary measure to predict in-hospital mortality. Medical Care. 2015;53(4):3749. DOI: 10.1097/MLR.0000000000000326
  28. Balaban RB, Galbraith AA, Burns ME, Vialle-Valentin CE, Larochelle MR, Ross-Degnan D. A patient navigator intervention to reduce hospital readmissions among high-risk safety-net patients: a randomized controlled trial. Journal of General Internal Medicine. 2015;30:90715. DOI: 10.1007/s11606-015-3185-x
  29. Jiang LG, Zhang Y, Greca E, Bodnar D, Gogia K, Wang Y, et al. Emergency department patient navigator program demonstrates reduction in emergency department return visits and increase in follow-up appointment adherence. The American Journal of Emergency Medicine. 2022;53:1739. DOI: 10.1016/j.ajem.2022.01.009
  30. Gassaway J, Jones ML, Sweatman WM, Hong M, Anziano P, DeVault K. Effects of peer mentoring on self-efficacy and hospital readmission after inpatient rehabilitation of individuals with spinal cord injury: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2017;98(8):152634. e2. DOI: 10.1016/j.apmr.2017.02.018
  31. Enard KR, Ganelin DM. Reducing preventable emergency department utilization and costs by using community health workers as patient navigators. Journal of Healthcare Management. 2013;58(6):41227. DOI: 10.1097/00115514-201311000-00007
  32. Meade CD, Wells KJ, Arevalo M, Calcano ER, Rivera M, Sarmiento Y, et al. Lay navigator model for impacting cancer health disparities. Journal of Cancer Education. 2014;29:44957. DOI: 10.1007/s13187-014-0640-z
  33. Cancer Australia. The Australian Cancer Plan 2023–2033. 2023 [cited 2025]. https://www.australiancancerplan.gov.au.
  34. NDIS Review Panel. Working Together to Deliver the NDIS: Final Report. In: Independent Review of the National Disability Insurance Scheme, editor. NDIS; 0223. https://www.ndisreview.gov.au/sites/default/files/resource/download/working-together-ndis-review-final-report.pdf.
  35. Balaban RB, Galbraith AA, Burns ME, Vialle-Valentin CE, Larochelle MR, Ross-Degnan D. A patient navigator intervention to reduce hospital readmissions among high-risk safety-net patients: a randomized controlled trial. Journal of General Internal Medicine. 2015;30(7):90715. DOI: 10.1007/s11606-015-3185-x
  36. Schwaita L, Said S, Whicher SD, Hoak F, Kaivaha L, Albourd W, Stevenson C, Mohammed M, Hu Y, Jessup RL. Co-designing a peer navigator role to improve equity in healthcare access for Pacific Islander, Maori and Arabic Communities in Australia. Health Expectations. June 2025;(28):e70351.
  37. Jessup RL, Stockman K, Nguyen D, Haywood C, Suleiman M, Thomas S, Hayes J, Fabri AM, Campbell D. Implementation of a peer health navigator program for patients at risk of frequent hospitalisation. BMC Geriatrics. 2026 (in press). DOI: 10.1186/s12877-025-06945-y
DOI: https://doi.org/10.5334/ijic.9105 | Journal eISSN: 1568-4156
Language: English
Submitted on: Jan 10, 2025
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Accepted on: Jan 20, 2026
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Published on: Feb 4, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Rebecca L. Jessup, Keith Stockman, Cilla Haywood, Daniel Nguyen, Mark Tacey, Sarah Thomas, Donald Campbell, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.