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From Cooperation to Conflict? Swedish Rehabilitation Professionals' Experiences of Interorganizational Cooperation.
Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, HELIX Vinn Excellence Centre. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-3310-0895
Linköping University, Department of Behavioural Sciences and Learning, Sociology. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, HELIX Vinn Excellence Centre. Linköping University, Faculty of Health Sciences. (HELIX Vinn Excellence Centre)ORCID iD: 0000-0002-8031-7651
2011 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 21, no 3, 441-448 p.Article in journal (Refereed) Published
Abstract [en]

Purpose This article analyses Swedish rehabilitation professionals' experiences of interorganizational cooperation in return-to-work and labour market reintegration.

Method Two groups (n = 15) from different organizations met on a regular basis to discuss their practice from a cooperation perspective. The participants had experience of cooperation in the organizational setting of Coordination Associations. The groups worked with a tutor according to a problem-based methodology, to discuss how their practice is influenced by new structures for cooperation. The material was analysed inductively using qualitative content analysis.

Results Interorganizational cooperation in rehabilitation is generally perceived as promoting coherence and communication. Nevertheless, there are several contradictory factors in the implementation of such work forms, primarily inflexible sickness insurance regulations and inability of managers to implement cooperation in regular practice.

Conclusions While interorganizational cooperation promotes professional discretion and tailored solutions, the insurance system contradicts such ambitions through increased governance. Ultimately, the contradictory tendencies of cooperative initiatives and the stricter governance of sickness insurance regulations are political matters. If political attempts to promote interorganizational cooperation are to succeed, the increasing sectorization that results from strict governance of sickness insurance regulations needs to be targeted on a system level.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 21, no 3, 441-448 p.
Keyword [en]
Cooperation, Return to work, Labour market reintegration, policy
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-66499DOI: 10.1007/s10926-010-9281-1ISI: 000297174100015PubMedID: 21274740OAI: oai:DiVA.org:liu-66499DiVA: diva2:404683
Available from: 2011-03-18 Created: 2011-03-18 Last updated: 2013-09-03Bibliographically approved

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Ståhl, ChristianSvensson, TommyEkberg, Kerstin
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Work and RehabilitationHELIX Vinn Excellence CentreFaculty of Health SciencesSociologyFaculty of Arts and Sciences
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Public Health, Global Health, Social Medicine and Epidemiology

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