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Collaboration in the return-to-work process after sick leave due to common mental disorders: a qualitative study of stakeholders’ views on goals and roles

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Abstract
Background This study explores how the goals of collaboration in the return-to-work (RTW) process for people with
common mental disorders are described by the stakeholders involved, and how they experience stakeholders’ roles
and responsibilities in relation to these goals.
Methods Interviews were conducted with 41 participants from three Swedish regions. Nine of the participants were
workers, six employer representatives, four occupational health professionals, four social insurance officers, 18 RTW
coordinators and five physicians. Thematic analysis was conducted.
Results Three main themes and overarching goals when collaborating on RTW were identified. In the first theme,
‘creating an informative environment’, all stakeholders emphasised clear roles and responsibilities. The second
theme, ‘striving for consensus in an environment of negotiations’, addressed negotiations about when and how to
collaborate, on what and with whom, and reveal different views on stakeholders’ goals, roles and responsibilities in
collaboration. The third theme identified goals for ‘creating a supportive environment’ for both workers and other
stakeholders. Coordinators are found to have an important role in achieving a supportive environment, and in
neutralising power imbalances between workers and their employers and social insurance officers.
Conclusions Competing goals and priorities were identified as hindering successful collaboration, contributing to
a spectrum of complex versus easy RTW collaboration. This study suggests some basic conditions for achieving a
collaborative arena that is neutral in terms of power balance, where all stakeholders can share their views.
Keywords Return to work, Rehabilitation, Collaboration, Coordination, Goal, Role, Responsibility, Common mental
disorders, Sick leave

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: .,

Deskripsi Fisik

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Bahasa

Indonesia

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NONE

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JURNAL

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