2000-P: Unmet Care Coordination Needs in Primary Care and Patient Satisfaction among U.S. Adults with Diabetes

Introduction and Objective: Care fragmentation hinders optimal health outcomes for adults with diabetes who sometimes need multiple clinical services. The prevalence of unmet care coordination needs and their association with patient satisfaction with care remains understudied. Methods: We conducted a cross-sectional analysis using data from the 2024 Health Information National Trends Survey. The study population included 1,339 adults (weighted N=40 million) with self-reported diabetes. Patients who reported seeing multiple clinicians over the prior 12 months were identified as those with care coordination needs. Care coordination status was categorized as “Adequate” (usually/always received help managing care from primary care provider) or “Unmet” (never/sometimes received help). The primary outcome was patient satisfaction, using a top-box approach (“Excellent” vs. all other). Multivariable logistic regression was used to assess the association between coordination status and patient satisfaction, adjusting for patient characteristics. Results: Among US adults with diabetes (mean age=59.5 years, 46.5% female, 54.9% non-Hispanic White), 84.4% reported having care coordination needs. Of these, 24.3% reported unmet needs for care coordination. Individuals with telehealth use, lower income, or depression were more likely to report care coordination needs. However, among those with coordination needs, there were no significant differences in sociodemographic or health characteristics between those with adequately met versus unmet needs. Individuals with adequate coordination had more than twice the odds of reporting excellent patient satisfaction (aOR 2.22; 95% CI 1.30-3.81). Conclusion: Among US adults with diabetes who see multiple providers, one in four report unmet care coordination needs. These unmet needs are significantly associated with lower patient satisfaction. These findings underscore the importance of ensuring patients receive sufficient support in navigating care across multiple clinical services. Disclosure Y. Hong: None. H. Shao: None. Z. Xie: None. M.K. Shah: None. S. Turbow: Research Support; Current; Lilly. M.K. Ali: Consultant; Ended; Eli Lilly and Company, Siemens, Novo Nordisk. A.F. Walker: None.