Community Health Navigator-Assisted Transition of Care from Hospital to Community: Protocol for a Randomised Controlled Trial

Community Health Navigator-Assisted Transition of Care from Hospital to Community: Protocol for a Randomised Controlled Trial

The objective of this parallel group, randomised controlled trial is to evaluate a community health navigator (CHN) intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes. Unplanned hospital readmissions are costly for the health system and negatively impact patients.

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In addition to clinical outcomes, researchers will assess patient experience, healthcare use, and costs, offering evidence on whether navigator programs can strengthen post-discharge care coordination and reduce health system burden—an approach with potential relevance for U.S. strategies to prevent avoidable readmissions. 


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