Assessing the State of Care Coordination in Two Industrial Countries: A
Aim: To compare care coordination in Germany and the United
States, considering healthcare system structure, policies, coordination
mechanisms, and country-specific challenges. Design & methods:
A systematic review was conducted, analyzing peer-reviewed articles in
English from 2013 to 2018 using PubMed, Cochrane, and Google Scholar.
Results: Our analysis included 24 studies, with nine focusing
on Germany and 15 on the United States. Case manager designations were
often inconsistent or absent. Despite some electronic health record
adoption, fax and paper formats persisted, causing interoperability
issues. Challenges, including physician resistance, technical barriers,
and a lack of financial incentives, are revealed. Conclusion:
This study highlights insufficient high-quality evidence for effective
care coordination in both countries. Strategies are needed to overcome
barriers hindering patient information sharing across care levels and
enhance healthcare coordination.