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.

中文翻译：

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韩国癌症幸存者对护理协调的感知与健康结果之间的关联。

背景技术确定癌症幸存者对护理协调的看法与其健康结果之间的关系。方法研究对象为1306名韩国成年癌症幸存者，他们在两所大学医院就读，并完成了问卷调查，问卷询问了他们接受的癌症治疗护理协调的两个方面：1）扮演主要协调者的角色； 2）是否提供护理服务已经解决了他们必要的健康问题。我们测量了健康结局，包括新合并症，诊所就诊次数，与健康相关的生活质量（HRQoL）和对癌症复发的恐惧（FCR）。调整协变量后，通过多元逻辑回归分析评估护理协调水平与健康结果之间的关联。结果在癌症诊断后，不协调治疗的幸存者更有可能出现更多的新合并症，更常去诊所就诊，并且HRQoL和FCR更高。女性和未婚幸存者比男性和已婚幸存者更容易受到不协调的照料。不协调的护理组患新合并症的风险增加（赔率1.73，[95％置信区间] 1.02-2.92），多次就诊（1.69，1.00-2.88），严重FCR（2.28，1.33-3.93），EuroQoL低视觉模拟量表（1.82，1.28-2.60），低总体健康状况（1.51，1.04-2.21），身体状况较差（2.00，1.31-3.04），作用（2.46，1.69-3.56）和情绪功能（2.62，1.81- 3.78）。结论韩国癌症幸存者的协调护理与他们的健康状况相关，包括新合并症，门诊就诊，HRQoL和FCR。