Background: A Danish municipality offered a rehabilitation programme to citizens with severe Chronic Obstructive Lung Disease (COPD). The intervention replaced the presence of a primary care nurse in the citizen’s home with online video consultations. Studies have found that online consultations can facilitate and activate the citizens in their rehabilitation. Aim: To investigate the citizen perspective on and experience with online video consultations in the citizen’s home. Furthermore, to investigate the impact of online video consultations on how the citizens managed everyday life with COPD and respiratory problems. Methods: A qualitative study based on individual interviews with nine citizens with severe COPD. Ethics: This study was approved by the Danish Data Protection Agency and ethical rules in research were followed. Findings: Online video consultations created a safe, personal room facilitating the citizen’s coping with respiratory problems. The care was based on sensitive situation-specific attention towards the individual citizen, the flexibility of the programme and professional competences in COPD and IT. In general the good relation online depended on the primary care nurse having met the citizens in the same room prior to the online video consultations. The technology made it possible for the citizens to have frequent contact with the primary care nurse. As follow up on online video consultations, the primary care nurse made acute visits if needed to citizens in their own home and initiated treatment and hospital admission. Despite varying experiences with IT, citizens did not perceive the technology as challenging. Citizens perceived the intervention as a future municipal rehabilitation programme. Conclusion: Citizens took a more active role in their treatment. Online video consultations were perceived as flexible, positive and professional. The citizens experienced that the primary care nurse showed interest and compassion. The technology was not considered a barrier.

Keywords: care, COPD, online-communication, patient-nurse relation, rehabilitation, telemedicine