Transitions of patients with traumatic brain injury and multiple trauma between specialized and municipal rehabilitation services—Professionals’ perspectives

Figures & data

Table 1. Core aspect and missing links of the rehabilitation practice and their relation to barriers and facilitators of patient transitions

Core aspects of rehabilitation practice		Missing links in patient transitions between services	Barriers for patient transitions between services	Facilitators of patient transitions between services
Specialized rehabilitation services	Municipal rehabilitation services
Interprofessional teamwork	Multiprofessional teamwork	Missing link of interprofessionalism	Different knowledge bases	Comprehensive and timely information transfer
			Lack of feedback from municipalities	Common meeting points and videoconferencing
			Lack of coordination tools between services	Electronic patient records
Short-term perspective on the rehabilitation process	Long-term perspective on the rehabilitation process	Missing link of time perspective in provision of services	Short LOS	Outpatient follow-up in the specialized rehabilitation services and inpatient facilities in the municipal rehabilitation services
			High threshold for contact in the specialized rehabilitation services
			Lack of direct knowledge transfer
Individualized focus based on individual patients’ symptoms, needs and goals	Service-oriented focus based on the services available in the municipalities	Missing link of focus for services	Lack of resources in the municipalities
			Lack of specialized expertise in the municipalities
			Lack of inpatient facilities