Table 4.

Characteristics of the outer setting influencing implementation.

Theme	Example quote
Facilitators
Insurance reimbursement	The medical expenses were never an issue. ICBT was compensated by insurance companies, just like other treatments. I have not experienced any obstacles with that. (R10)
Marketing for ICBT towards patients and referrers	We're in newsletters, I have contacted doctors, we have put it on our website and on LinkedIn. (R9)
Barriers
Better fit with primary care	I can imagine that the program would fit at the GP. Because people are often more complex when they come to our clinic. (R4)
eHealth as end-goal	Every year we have to show the insurance companies what percentage of our treatments are digital. So you have to use ICBT. (R3)