"Then you are left on your own": barriers to guideline-based speech and language therapy for aphasia along the patient journey in the German-speaking healthcare context.

A qualitative study examined obstacles to guideline-adherent speech and language therapy for people with aphasia across the care continuum in German-speaking healthcare systems. Researchers identified recurring gaps at multiple transition points in the patient journey, with patients frequently reporting a lack of coordinated support once they moved beyond acute care settings. The findings highlight systemic barriers—including service fragmentation and limited community-based access—that prevent consistent delivery of evidence-based aphasia rehabilitation.

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