Needs and implementation pathways of discharge management in rural areas of Mecklenburg-Western Pomerania: Findings from focus group discussions with multidisciplinary healthcare stakeholders.

Background: In rural areas, discharge management presents a significant challenge. Despite its relevance, there is limited research on implementation strategies and the preferences of the involved parties. In Mecklenburg-Western Pomerania, four round tables have been established with the goal of promoting sustainable local healthcare. These regional networks involve multidisciplinary stakeholders working together on acute care and follow-up care for patients. This paper examines the implementation strategies of discharge management in rural areas of Mecklenburg-Western Pomerania, analyses associated challenges, and identifies stakeholder preferences. Methodology: Semi-structured group discussions were conducted at the round tables in Demmin, Pasewalk, and Ueckermünde. The data was analysed using qualitative content analysis, with a focus on structuring the content. Results: Three group discussions with a total of 30 participants were held. Key challenges in rural areas include securing day care services, the lack of sufficient and locally accessible short-term care, long-term inpatient care, and rehabilitation placements. As a result, patients often remain hospitalized longer than necessary or must transfer to distant follow-up facilities. Discussion and conclusion: A key aspect is questioning traditional approaches, such as the strict separation of responsibilities, and focusing more on shared accountability. The goal is to create synergies and enable more efficient care delivery.