What question did this study set out to answer?

The aim is to assess digital navigation practices in California's primary care safety-net clinics and propose implementation strategies.

Bridging the Digital Divide with Digital Navigation in the California Safety Net: A Mixed-Methods Study

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Mixed-methods study characterizes digital navigation in California safety-net clinics, suggesting diverse models for equitable access.

The aim is to assess digital navigation practices in California's primary care safety-net clinics and propose implementation strategies.
Conducted survey with 50 participants from 35 practices
Performed in-depth semi-structured interviews with 16 participants
Analyzed interview transcripts using mixed inductive-deductive approach
Utilized the Consolidated Framework for Implementation Research (CFIR) for development of tools
80% of participants indicated their health system implemented some form of digital navigation
Identified five models of digital navigation: integrated staff role, IT support, dedicated navigator, volunteer partners, rural hubs
Challenges included unmet needs for devices and broadband, lack of staff buy-in, and insufficient digital literacy
Highlighted the importance of advocacy for device access and reimbursement mechanisms

Natsuhara et al. (2026) studied this question.

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