Interview canvas and transcripts of interviews

<strong>Background</strong>: Interprofessional and interinstitutional processes (IIPs) gathering patients’ and professionals’ perspectives are needed. In 2016, in Switzerland, a pilot intervention started implementing transitional IIPs for patients admitted in a short-term in-patient care unit, and then followed-up at home by primary care professionals. We used an action research approach for change management and introduced a nurse coordinator facilitating IIPs. <strong>Aim</strong>: The aim of this study was to answer the following questions: for whom, with whom, in which context and how IIPs have been implemented (or not). <strong>Methods</strong>: We used a realist evaluation design, testing our initial intervention theory through 29 semi-structured individual interviews with patients, primary care physicians, homecare nurses, their immediate hierachy, as well as nurse coordinators and geriatricians from the short-term unit. <strong>Results</strong>: (in the submission phase : 2020.04)