Care coordination and care quality among adults with and without cancer in the US: HINTS 7 survey analysis.

510 Background: Care coordination is a critical component of high-quality care. However, it remains unclear if the relationship between care coordination and quality differs for individuals with and without a cancer history. In this study, we examined whether optimal care coordination experiences were associated with higher ratings of care quality and if these associations varied by cancer history. Methods: Data from the Health Information National Trends Survey (HINTS) 7 were analyzed to assess how respondents rated care quality (excellent/very good vs. good/fair/poor) and specific experiences with care coordination (optimal (always/usually) vs. suboptimal (sometimes/never)) in the past 12 months. Three care coordination experiences were evaluated: (1) received needed care coordination from primary care office; (2) primary care office was informed of care from other providers; (3) did not need to redo a test or procedure. Multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs), overall and by cancer history. Sensitivity analyses were performed by limiting indicators of high-quality care and optimal care coordination to only “excellent” and “always” responses, respectively. Analyses were weighted to account for the complex sampling design and survey nonresponse. Results: Among 5,963 eligible respondents, 1,012 were cancer survivors. In adjusted analyses, overall, respondents reporting optimal care coordination had significantly greater odds of reporting higher care quality for all measures: care coordination from primary care office (OR = 2.61, 95% CI = 1.98-3.45), primary care office informed of care from other providers (OR = 3.56, 95% CI = 2.77-4.57), and did not need to redo a test or procedure (OR = 2.32, 95% CI = 1.51-3.55). Similar associations were observed in analyses stratified by cancer history, except for not needing to redo a test or procedure among cancer survivors (no association). Sensitivity analyses confirmed these results, with stronger associations across all care coordination measures in every group. Conclusions: Care coordination was associated with higher care quality irrespective of a personal history of cancer. Future efforts should focus on strengthening care coordination strategies and exploring other patient and provider characteristics that play a role in coordination.