Telephone Patient Navigation Increases Follow-Up Hepatitis B Care in the Postpartum Period for Immigrants Living in New York City

Facilitators and barriers to accessing hepatitis B care in the postpartum period among foreign-born New Yorkers: a qualitative analysis of case notes

“…Additionally, the study did not use randomization to create an intervention and standard of care group. Past research highlighted demographic differences between individuals who chose to participate in the intervention and those who did not [ 20 ]. As such, our case notes analysis is not generalizable to postpartum foreign-born people living with hepatitis B but contains lessons more specifically about the experiences of the subgroup of people who received patient navigation services.…”

“…To facilitate access to hepatitis B care in the postpartum period, NYC DOHMH’s Viral Hepatitis Program (VHP) developed a telephone-based patient navigation program that reaches out to people identified by the PHBP Program shortly after childbirth to connect them with hepatitis B care and reduce barriers to care. The conceptual framework for this telephone-based patient navigation program is Anderson’s health behavior model as adapted by Yang and Hwang [ 19 , 20 ]. Their model, which explains health service utilization among foreign-born populations in the U.S., takes into account contextual and structural factors such as government policies and healthcare system access, as well as community- and individual-level factors such as health beliefs, financial resources, and specific health needs.…”

“…An evaluation of the telephone-based patient navigation program found that during the course of the study period (July 1, 2016–March 31, 2019), participants were 1.66 times more likely to see a hepatitis B care provider within six months of childbirth than those who did not receive the intervention [ 20 ]. While three-quarters of all participants who received the telephone-based patient navigation intervention were successfully linked to care [ 20 ], the earlier study did not examine the underlying facilitators and barriers to care that exist for this population, which are important to improve health outcomes and guide future program development. Past qualitative research on HIV testing and linkage to care in immigrant communities has identified perceived barriers such as stigma [ 21 – 23 ], immigration concerns [ 24 ], and challenges to accessing health insurance coverage [ 22 , 24 ].…”

A Scoping Review of Health Equity Interventions in Governmental Public Health

“…Intervention components were strategies and tactics that interventions used to reach populations and effect change. These included: (1) health education training, [22][23][24][25][26][27][28][29] (2) free/affordable care, [30][31][32][33][34][35][36] (3) social media/social networks, 37-42 (4) training providers, [43][44][45][46][47][48] (5) data-driven strategy, [49][50][51][52] (6) structural/policy change, [53][54][55][56] (7) phonebased interventions, [57][58][59] and (8) environmental change.-60 Some articles used multiple tactics to reach populations. However, for our analysis and Figure 1, we categorized each article using the primary strategy used in intervention; categories are mutually exclusive.…”

Strategies to improve postpartum engagement in healthcare after high-risk conditions diagnosed in pregnancy: a narrative review

“…These roles may overlap: we define care co-ordination as a role that focuses on the provision of individualised care such as co-ordinating appointments and following up to ensure attendance, but which does not necessarily extend to in-person assistance; whereas patient navigators provide longitudinal care, often attending appointments with women, and provide a more culture-specific service. Both these strategies have been found to increase postpartum GDM testing [ 28 ] and early surveillance in people with chronic hepatitis B infection, another condition frequently diagnosed antepartum requiring long-term co-ordination of care [ 59 ].…”