Online Program

Navigated care: Increasing access to health care and integrated wellness programs

Monday, November 4, 2013 : 3:30 p.m. - 3:50 p.m.

Derek Arledge, Cambridge Public Health Department, Cambridge, MA
Albert W. Pless, MS, Cambridge Public Health Department, Cambridge, MA
Stacey King, MS, Cambridge Public Health Department, Cambridge, MA
Shalini Tendulkar, ScD, ScM, Institute for Community Health, Cambridge Health Alliance, Cambridge, MA
Jeremy Keller, MD, Windsor St. Health Center, Cambridge Health Alliance, Cambridge, MA
Claude-Alix Jacob, MPH, Cambridge Public Health Department, Cambridge, MA

Men are less likely to go to the doctor, talk about their medical issues, and engage in prevention and wellness programs. The Men's Health League (MHL) provides better access to health through its Navigated Care (NC) program based at the Cambridge Public Health Department, within Cambridge Health Alliance, a health care delivery system. NC is a healthcare gateway, using electronic medical records (EMR) to efficiently link to clinical services while bridging community-based care. NC also connects men with health insurance, a Massachusetts requirement since 2006; and improves men's health care experience by building relationships between patients, navigators, and clinicians.


Men are referred to the MHL's Navigated Care program to address lack of health insurance, need for a doctor, and related health care concerns. The Health Care Navigator also connects men to other wellness programs offered by the Men's Health League. Evaluation methods track demographics, insurance access, interactions with physicians, and self-reported health status.


After participating in Navigated Care, men (n=74) reported 1) having a primary care physician (18% pre-program, 100% post-program); 2) having health insurance (35% pre-program, 98% post-program); and 3) having a physical exam in past 12 months (41% pre-program, 97% post-program). Improved health status was also reported, with 77% of men reporting good to excellent health post-program, compared with 40% pre-program.


This presentation will share implementation lessons learned in connecting men to healthcare as well as key data findings from a patient navigation program. Lastly, it will discuss current directions for Navigated Care.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Public health or related research

Learning Objectives:
Describe a successful approach of connecting men to healthcare. Discuss quantitative and qualitative impacts of Navigated Care on men, based on experience with a program focused on men of color. Illustrate a program that supports successful implementation of a regional health disparities program

Keyword(s): Access to Health Care, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I haved worked in the field of public health at a local public health department for the past 2 years and I coordinate a health care access program for men
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.