Abstract
We tested the quality and effectiveness of cross-sector videoconferences in planning the discharge of stroke patients. Throughout the trial, time registration and structured patient interviews were conducted. During intervention, a self-administered questionnaire and semi-structured focus group interviews were conducted among staff. Patient and staff questionnaires revealed high satisfaction with discharge videoconferences, and substantial savings on transport was registered among municipalities. Through focus groups, detailed workflow descriptions, ongoing staff education, detailed care-plans, the availability of a 'super user', and a suitable conference room were important when conducting a videoconference. Additionally, interviews revealed concern among staff regarding whether communication and observation through videoconferencing is sufficient to ensure that rehabilitation meets the patient's needs. This study offers opportunities to overcome geographical and economic challenges in discharge planning without compromising quality of care. Furthermore, the results create a foundation for further exploration of how discharge videoconferences affect workflow, communication, and quality of care.
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