The role of patient navigators: Case studies in Singapore
Open accessAbstract
In 2014, a patient navigator (PN) program was initiated in a healthcare cluster in Singapore. The program was set up to improve care coordination and facilitate continuity of care of patients. PNs are trained nurses who act as a clinical liaison between the patients, family, staff and the healthcare system to coordinate patients’ treatment plans and ensure continuity of care provision from the acute to the community setting. PNs care for patients with chronic diseases and their role includes resolving caregiver disputes, eliminating barriers to treatment, exploring financial assistance options, facilitating terminal discharge and providing end-of-life counseling. This article describes the activities performed by PNs in the acute care setting. The case studies demonstrate the depth and breadth of navigation activities and illustrate how hospital-based navigators help patients seek treatment earlier, access resources and receive care at the appropriate healthcare setting.
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When multiple carers were involved, differences of opinion created uncertainty and hindered decision-making on the patient's behalf.
“When multiple carers were involved, differences of opinion created uncertainty and hindered decision-making on the patient’s behalf (CMOC28) [46, 99].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [99]
In this review, assigning a single care coordinator was suggested as a potential solution, but rarely implemented.
“In this review, assigning a single care coordinator was suggested as a potential solution, but rarely implemented [53, 55, 60, 99].”
From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [99]
Cites
Balaban, R. B., Galbraith, A. A., Burns, M. E., Vialle-Valentin, C. E., Larochelle, M. R., & Ross‐Degnan, D. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-015-3185-x · Cited by 143 · see citing works
Community Navigation for Stroke Survivors and Their Care Partners: Description and Evaluation
Egan, M. Y., Anderson, S. D., & McTaggart, J. (2010) · Topics in Stroke Rehabilitation · doi:10.1310/tsr1703-183 · Cited by 44 · see citing works
Development of a chronic kidney disease patient navigator program
Jolly, S. E., Navaneethan, S. D., Schold, J. D., Arrigain, S., König, V., Burrucker, Y. K., Hyland, J., Dann, P., Tucky, B. H., Sharp, J. W., et al. (2015) · BMC Nephrology · doi:10.1186/s12882-015-0060-2 · Cited by 42 · see citing works
Domingo, J. B., Davis, E. L., Allison, A., et al. (2011) · PubMed · Cited by 13 · see citing works
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Lawson, L., Cooper, M., Tolley, C., Hand, A., & Nazar, H. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06123-0 · Cited by 10 · see citing works
“When multiple carers were involved, differences of opinion created uncertainty and hindered decision-making on the patient’s behalf (CMOC28) [46, 99].”
- Authors
- Mustapha, N. Z. B., Yi, X., Mohd Razali, M. R. B., Najumudin, N. B., & Barman, H. B.
- Affiliations
- Singapore General Hospital (SG)
- Division of Nursing, Singapore General Hospital, Singapore
- Corresponding author
- Mustapha, Nur Zarifah Binte
- Venue
- Proceedings of Singapore Healthcare
- Publisher
- SAGE Publications
- Published
- 2016-07-31
- Volume
- 25
- Issue
- 3
- Pages
- 188-190
- ISSN
- 2010-1058 (ISSN-L)
- 2059-2329
- OpenAlex
- W2344095517
- Cited by
- 8
- References
- 4
- Citations by year
- 2025: 2 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Proceedings of Singapore Healthcare (publishedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- patient navigators, care coordination, continuity of care, chronic disease, acute care, hospital discharge, financial aid, barriers to treatment
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