“…To be sure, one might conceive still other-more down-to-earth-reasons for different attitudes among business leaders regarding workplace health promotion and management: while small and even many medium-sized companies often struggle to meet even legally required standards and regulations [4,41,42,44,45,57,58], large companies, which often have a professional in-house occupational health department, are in a much more favorable position: in most cases, it seems to be no problem for them to implement a comprehensive workplace health management and offer their own employees the entire range of standard occupational health management and health promotion measures. This means that in the competition for scarce, sought-after skilled workers, large companiesmuch more so than small and medium-sized enterprises-can benefit from the fact that, e.g., workplace health promotion offerings increase employee loyalty and motivation, even if such measures may not demonstrably promote employees' health [59]. Such competitive disadvantages of small companies might as well contribute to a dubious image of workplace health promotion (and an integrative workplace health management) in small business leaders.…”