Healthcare navigation service in 2-1-1 San Diego: guiding individuals to the care they need

Am J Prev Med. 2012 Dec;43(6 Suppl 5):S450-6. doi: 10.1016/j.amepre.2012.08.012.

Abstract

Background: Connecting vulnerable populations to healthcare and health-related services remains a challenge. In San Diego County, California, many individuals are unaware that they are eligible for assistance, and community-based healthcare providers often do not have a single, reliable point of access for information on available programs.

Purpose: This paper describes how 2-1-1 San Diego worked with community partners to develop and implement a Healthcare Navigation Program. Navigators provide information about health insurance coverage, prescription assistance, and food assistance for low-income households and assist clients with transportation, appointment scheduling, child/elder care, and personal finance.

Methods: The 2-1-1 agents collected demographic, healthcare access, and program participation data as part of routine service. Participants in the Healthcare Navigation Program also completed a follow-up satisfaction survey. Data were collected July to December 2011, and analyzed in 2012.

Results: The program has resulted in increased enrollment of eligible individuals in California's Supplemental Nutrition Assistance Program and Medicaid, and a high percentage of callers reported satisfaction with the program and use of the referral information they received.

Conclusions: The health-related programs of 2-1-1 San Deigo demonstrate the ability of this platform to support improvements in health and healthcare access.

MeSH terms

  • Adolescent
  • Adult
  • California
  • Child
  • Child, Preschool
  • Follow-Up Studies
  • Food Assistance / statistics & numerical data
  • Health Services Accessibility*
  • Health Services Needs and Demand*
  • Humans
  • Infant
  • Information Services / organization & administration*
  • Male
  • Medicaid / statistics & numerical data
  • Middle Aged
  • Patient Satisfaction
  • Referral and Consultation / statistics & numerical data*
  • Telephone
  • United States
  • Young Adult