‘When do we want the final discharge?’ How the potential tensions between medical expertise and institutional requirements are dealt with in discharge planning

To increase patients’ compliance, clinical guidelines insist on their participation in the entire rehabilitation process, including discharge planning (DP). However, very little is known about how this institutional requirement is implemented in the everyday business of a clinic. Adopting a conversation analytic approach, our paper tackles the question of how patients are involved in DP in one particular rehabilitation clinic in French-speaking Switzerland.