A Person-centred Care Transition Support for People With Stroke/TIA

Person-centred dialogue intended to permeate all patient-provider communication, various pedagogical modes of information, a person-centred care and rehabilitation plan, and a bridging e-meeting to prepare patients for homecoming.for persons who are to be discharged from hospitals after stroke or TIA

Regular care transitions, initiated by an electronic referral from hospital healthcare professionals to the receiving neurorehabilitation team