Commission for Case Manager Certification (CCMC) Practice Exam

A systemic barrier in case management refers to obstacles created by the structure or organization of the healthcare system itself. Selecting the answer that identifies poor communication and the absence of care coordinators highlights issues inherent in the system that impede effective patient care and coordination.

These systemic issues can lead to fragmented care, misunderstandings among different healthcare providers, and ultimately a lack of comprehensive treatment for patients. When communication is poor and care coordinators are not present, it becomes challenging to navigate the complexities of patient needs, which can contribute to adverse health outcomes and diminished patient satisfaction.

Other choices identify barriers that are more related to individual behaviors or conditions, like fear or financial limitations, rather than inherent flaws in the healthcare system's structure and communication processes. Therefore, the presence of poor communication and the lack of care coordination directly reflects a systemic issue affecting case management.