Background Underserved communities in the USA face significant healthcare disparities, leading to poorer clinical outcomes and higher rates of chronic diseases. Socioeconomic barriers such as inadequate insurance coverage, poor health literacy, poverty, and cultural or linguistic differences impede patients' access to care and exacerbate these health inequities. Patient navigator programs, like the Pharmaceuticals-sponsored initiative at SUNY Downstate Health Sciences University and Kings County Hospital (KCH), help bridge gaps in healthcare and provide continuity and essential support for high-risk patients in underserved communities.

Methods A novel multi-lingual medical student-staffed two-site, dual-departmental patient navigator program was established by the rheumatology and dermatology specialties at SUNY Downstate Health Sciences University and KCH in June 2021 and August 2022, respectively. 153 patients were recruited from the UHB Arthritis clinic and 26 patients from dermatology clinics, with identified needs such as severe disease manifestations, poor adherence to appointments or medications, and/or language difficulties. Patients were randomly assigned to patient navigators unless they had a specific language need. Patient navigators were recruited from second-year medical students at SUNY Downstate Medical School. Students underwent standardized training, shadowed in the rheumatology and/or dermatology clinics, and received structured didactics. Data was collected on patient demographics, their use of the patient navigator program, and their method of communication, and stored on a HIPAA-compliant secure REDCap database.

Results 179 patients were enrolled in rheumatology and dermatology programs, paired with 30 active patient navigators, resulting in a PN-to-patient ratio of 1:5.97. The mean age of the patients was 48.5 years (SD 18.8). The male-to-female patient ratio was 1:5.13. Enrolled patients' most common rheumatological and dermatological conditions were lupus (53.6%) and hidradenitis suppurativa (46.2%), respectively. Since the program's initiation, 715 encounters occurred between patients and their navigators. The median number of encounters per patient was 4.00, with a mean of 5.439 (SD 4.98). The primary method of communication between PNs and patients was by telephone (50.4%), or text (30.1%). Navigators attended 91 clinic visits in person with their patients. Most encounters focused on appointment scheduling or reminders (40.3%), wellness checks (19.6%), and addressing patients' active medical issues unrelated to either specialty (14.9%). The mean number of issues addressed by the navigator per encounter was 1.45 (SD 0.849).

Conclusion The multispecialty Patient Navigator Program demonstrated significant engagement and support for patients with rheumatological and dermatological conditions. Further research will compare patients’ clinic attendance rates before and after patient navigator assignment.