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<p>This article examines, from the patients’ perspective, barriers and facilitators influencing access to outpatient psychotherapy in Austria, with attention to possible urban–rural differences. The analysis is based on 43&#xa0;interviews with patients from private practices, using qualitative content analysis. Central barriers identified were a&#xa0;complex reimbursement system, distressing experiences with healthcare professionals, and negative previous psychotherapy experiences; in some cases, feelings of shame were also reported. Patients also described facilitators such as social support, professional guidance, and positive previous therapy experiences. The findings highlight the need for a&#xa0;simplified and better-funded reimbursement system, improved information provision, and measures to reduce stigma. Frequent ambivalent prior experiences with psychotherapy warrant further research.</p>

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Inanspruchnahme von Psychotherapie in Österreich: Hürden und förderliche Faktoren aus Patient:innensicht

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月16日

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  • Yvonne Schaffler,
  • Elke Humer,
  • Gerald Amsüss,
  • Thomas Probst,
  • Christoph Pieh,
  • Brigitte Schigl

摘要

This article examines, from the patients’ perspective, barriers and facilitators influencing access to outpatient psychotherapy in Austria, with attention to possible urban–rural differences. The analysis is based on 43 interviews with patients from private practices, using qualitative content analysis. Central barriers identified were a complex reimbursement system, distressing experiences with healthcare professionals, and negative previous psychotherapy experiences; in some cases, feelings of shame were also reported. Patients also described facilitators such as social support, professional guidance, and positive previous therapy experiences. The findings highlight the need for a simplified and better-funded reimbursement system, improved information provision, and measures to reduce stigma. Frequent ambivalent prior experiences with psychotherapy warrant further research.