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Health Serv Res. 2012 Feb;47(1 Pt 2):344-62. doi: 10.1111/j.1475-6773.2011.01330.x. Epub 2011 Oct 18.

Expanding the safety net of specialty care for the uninsured: a case study.

Author information

1
Robert Wood Johnson Foundation Clinical Scholars Program, Section of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, CT, USA.

Abstract

OBJECTIVE:

To describe core principles and processes in the implementation of a navigated care program to improve specialty care access for the uninsured.

STUDY SETTING:

Academic researchers, safety-net providers, and specialty physicians, partnered with hospitals and advocates for the underserved to establish Project Access-New Haven (PA-NH). PA-NH expands access to specialty care for the uninsured and coordinates care through patient navigation.

STUDY DESIGN:

Case study to describe elements of implementation that may be relevant for other communities seeking to improve access for vulnerable populations.

PRINCIPAL FINDINGS:

Implementation relied on the application of core principles from community-based participatory research (CBPR). Effective partnerships were achieved by involving all stakeholders and by addressing barriers in each phase of development, including (1) assessment of the problem; (2) development of goals; (3) engagement of key stakeholders; (4) establishment of the research agenda; and (5) dissemination of research findings.

CONCLUSIONS:

Including safety-net providers, specialty physicians, hospitals, and community stakeholders in all steps of development allowed us to respond to potential barriers and implement a navigated care model for the uninsured. This process, whereby we integrated principles from CBPR, may be relevant for future capacity-building efforts to accommodate the specialty care needs of other vulnerable populations.

PMID:
22092239
PMCID:
PMC3393006
DOI:
10.1111/j.1475-6773.2011.01330.x
[Indexed for MEDLINE]
Free PMC Article
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