Context: ‘Innovative Models Promoting Access-to-Care Transformation’ (IMPACT) is a collaborative research program that brings together clinicians, academics, community services and community members in six regions of Australia and Canada. IMPACT’s aim is to develop interventions to improve access to primary care for vulnerable people. One partnership, in Victoria, Australia, will use health brokers to link individuals to primary care services. Objective: To a) investigate how brokers have been defined, characterised and used to link individuals to primary care, and b) explore the extent to which recognised dimensions of patient-centred care are incorporated into broker interventions. Design: Scoping review of a range of academic databases (including MEDLINE, CINAHL, PsycINFO and Scopus) and grey literature sources using a previously published framework. Inclusion criteria for the scoping review were: individuals without a regular source of, affiliation or connection with primary care; a broker defined as a) a person or b) a program or process, aiming to create a link between the individual and primary care. Eligible studies were set in an OECD country, reported in English and published from 2000-2015. Results: From over 5,000 initial sources, 20 met the inclusion criteria. Ten were program evaluations/descriptions, eight intervention studies, and two retrospective studies. Brokers were mostly described as patient navigators or community health workers who linked patients in emergency departments to primary care. Almost all sources described at least one element of patient-centred care such as goal setting, shared decision making and patient choice of provider. Conclusions: Connecting individuals to care that meets their health and social needs using a broker is an emerging field. The findings will inform the development of the Victorian intervention and be used to further understand the relationship between the patient-centredness of brokers and patient outcomes.
|Publication status||Published - 2016|
|Event||North American Primary Care Research Group Annual Meeting 2016 - Colorado Springs, United States of America|
Duration: 12 Nov 2016 → 16 Nov 2016
|Conference||North American Primary Care Research Group Annual Meeting 2016|
|Country||United States of America|
|Period||12/11/16 → 16/11/16|
Peart, A., Brown, T., Lewis, V., & Russell, G. (2016). Using brokers to link vulnerable individuals with primary care: A scoping review. Poster session presented at North American Primary Care Research Group Annual Meeting 2016, Colorado Springs, United States of America.