Table 4 Contextual barriers illustrated with quotes from the participants

Lack of formal stroke routines

In our municipality there is no formal procedure for a stroke pathway when the patient is transferred from the hospital to municipal health care service … (),.. our assessments are not systematic; they are random and depend on each professional (P1).

Unclear responsibility for vision care

The responsibility for follow-up of vision is fragmented. Like in the rehabilitation ward, everyone should be aware of VIs, but maybe some should be specialists in assessing it (P1).

Lack of structured interdisciplinary collaboration

You do not need to be a physiotherapist to perform or explain different tests. But, often it becomes the physiotherapist’s job to perform it in practice because we have time to get involved with the patients. So, eh it often ends up to be a task for the physiotherapists alone (P7).

Time constraints

It is important that it does not take a long time to perform. And that it’s not too complicated, while still giving us information if something is wrong and we need to refer for follow-up (P5).

Difficult to integrate vision tool in the medical record

We have I pads with us, but assessments tools can’t be used directly on the I pads. That is something we want, so we can register in the results while we perform the test in the patients home. (P3).