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Association between perception of care coordination and health outcomes in Korean cancer survivors.


ABSTRACT: BACKGROUND:To determine relationship between cancer survivors' perception of care coordination and their health outcomes. METHODS:Study subjects were 1306 Korean adulthood cancer survivors who were enrolled in two academic hospital and completed a questionnaire consisting of questions asking two aspects of care coordination for cancer treatment they had received: 1) who played a main coordinator role and 2) whether care services had met their necessitated health concerns. We measured health outcomes including new comorbidity, number of clinic visits, health-related quality of life (HRQoL) and fear of cancer recurrence (FCR). Associations between the level of care coordination and health outcomes were evaluated by multiple logistic regression analysis after adjusting for covariates. RESULTS:Survivors with uncoordinated care were more likely to have more new comorbidities after cancer diagnosis, visit clinic more frequently and have worse HRQoL and higher FCR. Females and unmarried survivors were more likely to have received uncoordinated care than males and ever married survivors. Uncoordinated care group had an increased the risk of new comorbidity (odds ratio 1.73, [95% confidence interval] 1.02-2.92), multiple clinic visits (1.69, 1.00-2.88), severe FCR (2.28, 1.33-3.93), low EuroQoL Visual Analogue Scale (1.82, 1.28-2.60), low global health status (1.51, 1.04-2.21), and poor physical (2.00, 1.31-3.04), role (2.46, 1.69-3.56) and emotional function (2.62, 1.81-3.78). CONCLUSIONS:Coordinated care of Korean cancer survivors was associated with their health outcomes, including new comorbidity, clinic visits, HRQoL and FCR. Good care coordination may be reinforced to improve outcomes of survivorship care.

SUBMITTER: Shin J 

PROVIDER: S-EPMC7001372 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Association between perception of care coordination and health outcomes in Korean cancer survivors.

Shin Jinyoung J   Shin Dong Wook DW   Lee Jungkwon J   Hwang Ji Hye JH   Yoo Jung Eun JE   Ko Hyeonyoung H   Song Yun-Mi YM  

Health and quality of life outcomes 20200204 1


<h4>Background</h4>To determine relationship between cancer survivors' perception of care coordination and their health outcomes.<h4>Methods</h4>Study subjects were 1306 Korean adulthood cancer survivors who were enrolled in two academic hospital and completed a questionnaire consisting of questions asking two aspects of care coordination for cancer treatment they had received: 1) who played a main coordinator role and 2) whether care services had met their necessitated health concerns. We measu  ...[more]

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