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The influence of social capital on employers' use of occupational health services: a qualitative study
Linkoping Univ, Natl Ctr Work & Rehabil, Dept Med & Hlth Sci, Linkoping, Sweden..
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Karolinska Inst, Inst Environm Med, Unit Occupat Med, S-10401 Stockholm, Sweden..
Stockholm Cty Council, Dept Occupat & Environm Hlth, Stockholm, Sweden..
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2015 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, 1083Article in journal (Refereed) Published
Abstract [en]

Background: Occupational health services may have a strategic role in the prevention of sickness absence, as well as in rehabilitation and return to work after sick leave, because of their medical expertise in combination with a close connection to workplaces. The purpose of this study was to explore how employers and occupational health service providers describe their business relations and the use of occupational health services in rehabilitation in relation to the organization of such services. The study uses a theoretical framework based on social capital to analyse the findings. Methods: Interviews and focus groups with managers with Swedish public employers (n = 60), and interviews with occupational health services professionals (n = 25). Results: Employers emphasized trustful relationships, local workplace knowledge, long-term contracts and dialogue about services for good relationships with occupational health providers. Occupational health providers strove to be strategic partners to employers, promoting preventive work, which was more easily achieved in situations where the services were organized in-house. Employers with outsourced occupational health services expressed less trust in their providers than employers with internal occupational health provision. Conclusions: Social capital emerges as central to understanding the conditions for cooperation and collective action in the use of occupational health services, with reference to structural (e.g. contracts), relational (e.g. trust) as well as cognitive (e.g. shared vision) dimensions. The study suggests that attention to the quality of relationships is imperative for developing purposeful occupational health service delivery in rehabilitation and return to work.

Place, publisher, year, edition, pages
2015. Vol. 15, 1083
Keyword [en]
Occupational health, Sick leave, Return to work, Prevention, Organizational policy, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:uu:diva-267199DOI: 10.1186/s12889-015-2416-8ISI: 000363386100004PubMedID: 26498701OAI: diva2:872532
AFA Insurance, 090315
Available from: 2015-11-19 Created: 2015-11-19 Last updated: 2015-11-19Bibliographically approved

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