Implementing Interorganizational Cooperation in Labour Market Reintegration: A Case Study

Ståhl, Christian

doi:10.1007/s10926-011-9337-x

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…If employees and employers cooperate in modifying work tasks and attaining RTW, they benefit in terms of health (the employees; see [1,25]), and early and sustainable RTW (from which the employers benefit; see [4-7,26]). …”

Section: Discussionmentioning

confidence: 99%

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Work resumption at the price of distrust: a qualitative study on return to work legislation in the Netherlands

2013

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BackgroundReturn to work (RTW) after sick leave is considered necessary to support the employees’ health. Cooperation between employees and employers may encourage employees’ RTW, but is hampered by bottlenecks that we do not completely understand. Dutch legislation means to support this cooperation and allows trying RTW during two years. The Resource Dependence Institutional Cooperation (RDIC) model has been developed for studying cooperation in public health. Study aims were to get insight into the degree of cooperation between Dutch sick-listed employees and employers, how this (lack of) cooperation can be understood, and how valid the RDIC model is for understanding this (lack of) cooperation.MethodsThis qualitative study was based on in-depth interviews with 8 employees and 8 employers. Employees reported sick for 1.5-20 months for various reasons. Interviews were analysed using an interpretative approach and pattern matching.ResultsCooperation was lacking early during sick leave. Later on there were regular meetings, but employers decided about RTW without consulting the employees. Particularly employers were motivated to cooperate during the first year, while employees were especially motivated during the second. This could be understood by experienced dependence; employees (first year) and employers (second year) did not consider cooperation to be important for achieving medical recovery (employees) or RTW (employers). These divergent goals may be understood by personal norms about the timing of medical recovery and RTW. Legislation was particularly effective regarding employer behaviour in year 1 and employee behaviour in year 2. Employees distrusted their employers during the first year, while employers reported to distrust the employees during the second year. Besides, employees and employers experienced a moderate ability to cooperate. This could be understood particularly by having moderate knowledge about legislation. The RDIC model appeared to be valid to understand the cases studied, but the additional factor distrust also played a role.ConclusionsLegislation appeared to support cooperation, but awareness of a mutual dependence, trust, knowledge about the legislation and personal norms regarding recovery and RTW are also important. Professionals such as occupational physicians should support this to attain a degree of cooperation that is necessary for effective RTW.

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Section: Discussionmentioning

confidence: 99%

“…A cooperation based on mutual trust might have resulted in a more adequate work resumption. Ståhl mentions trust as a key condition for effective cooperation in work resumption [4]. …”

Section: Discussionmentioning

confidence: 99%

Work resumption at the price of distrust: a qualitative study on return to work legislation in the Netherlands

2013

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“…The evidence for the effectiveness of cooperative strategies is still mixed, where some studies show little (or even negative) effects on rehabilitation outcomes [ 1 , 2 ], while others show more positive results [ 3 – 6 ]. Professionals working in cooperation projects often experience them as leading to tighter and more constructive cooperation [ 1 , 7 ]. These divergent results are to a large extent a result of variation in the design of cooperative interventions, which may include different stakeholders in different ways, and that they are conducted in different jurisdictions with different target groups.…”

Section: Introductionmentioning

confidence: 99%

“…The results of cooperation further depend on factors such as which organizations that participate, the allocated resources, in what context cooperation takes place, and whether managers and staff are committed to the cooperation or not. What is often stated in research, however, is that interorganizational cooperation generally demands a considerable amount of initial resources, that it takes time to develop purposeful cooperation structures and that the socioeconomic effects will not be immediate [ 1 , 7 , 8 ]. These factors make the effects even harder to study.…”

Section: Introductionmentioning

confidence: 99%

Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project

et al. 2017

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BackgroundThis study analyzes the process of establishing and developing a cooperative vocational rehabilitation project with special focus on organizational and professional aspects. In the project, officials from the Swedish Social Insurance Agency and the Swedish Public Employment Service worked cooperatively with participants on long-term sick leave, youths with disability benefits, and people receiving social allowances. The officials used Motivational Interviewing (MI) as a method when meeting participants, and were able to offer flexible and tailored case management. The goal was to improve work ability and promote self-sufficiency.MethodsThe process evaluation was carried out through continuous data collection throughout the project (2012–2014), resulting in a total of 28 individual interviews and 17 focus groups with officials and managers. The material was categorized through an inductive content analysis, and analyzed using social capital as a theoretical frame.ResultsThe evaluation points to how issues related to design, organization and management contributed to the project not reaching its goals, e.g. problems with recruitment of participants, the funding structure, and staffing problems on the managerial level. Still, officials reported positive effects of close cooperation, which was perceived as facilitating the case management by fostering a mutual understanding and access to resources and rehabilitation measures from more than one authority.ConclusionsCooperative work combined with the use of MI and flexible case management seem to promote an increased trust between officials from different authorities and participants, which in the study is conceptualized as bonding and bridging social capital (between officials) and linking social capital (between officials and participants). The organizational problems combined with the relatively large differences in approaches between the project and regular practice obstructed implementation, where the authorities involved did not appear to be ready for implementing methodologies that require organizational restructuring.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4357-x) contains supplementary material, which is available to authorized users.

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“…The shift from a disability management paradigm to a focus on ability and sustainable RTW requires taking environmental conditions into account. It also implies that truly multidisciplinary models should be used to address the temporal and multidimensional aspects of occupational disability: individual factors, work environment, socio-cultural context, healthcare system and the economy in general [13,56,136,138,139,190,[291][292][293][294]. Future studies should involve all relevant stakeholders and aim at developing innovative effective strategies with the potential for successful implementation.…”

Section: Discussionmentioning

confidence: 99%

Topics and trends in research on non-clinical interventions aimed at preventing prolonged work disability in workers compensated for work-related musculoskeletal disorders (WRMSDs): a systematic, comprehensive literature review

Nastasia

Coutu

Tcaciuc

2014

Disability and Rehabilitation

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Successful intervention for preventing prolonged work disability in workers compensated for WRMSDs address workplace issues: physical and psychosocial demands at work, ability of the workers to fill these demands, work organization and support of the worker, and worker' beliefs and attitudes related to work. Successful intervention promotes collaboration, coordination between all actors and stakeholders involved in the process of rehabilitation. Strategies able to mobilize the employees, employers, insurers and health care providers are still needed to be implemented.

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Implementing Interorganizational Cooperation in Labour Market Reintegration: A Case Study

Abstract: Introduction: To bring people with complex medical, social and vocational needs back to the labour

Cited by 7 publications

References 23 publications

Work resumption at the price of distrust: a qualitative study on return to work legislation in the Netherlands

Work resumption at the price of distrust: a qualitative study on return to work legislation in the Netherlands

Process evaluation of an interorganizational cooperation initiative in vocational rehabilitation: the Dirigo project

Topics and trends in research on non-clinical interventions aimed at preventing prolonged work disability in workers compensated for work-related musculoskeletal disorders (WRMSDs): a systematic, comprehensive literature review

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