Journal of Occupational Rehabilitation

, Volume 20, Issue 3, pp 299–310 | Cite as

A Matter of Trust? A Study of Coordination of Swedish Stakeholders in Return-to-Work

  • Christian Ståhl
  • Tommy Svensson
  • Gunilla Petersson
  • Kerstin Ekberg
Article

Abstract

Introduction Stakeholder cooperation in return-to-work has been increasingly emphasized over the last years. However, there is a lack of empirical studies on the subject. This study explores different public stakeholders’ experiences of participating in Coordination Associations (CAs), a Swedish form of structured cooperation in return-to-work. The aim of the study is to determine the impact of stakeholder interests on the prerequisites for cooperation. Methods Thirty-five representatives from two CAs in eastern Sweden were interviewed regarding the aim, structure and strategies for their common work. Results Stakeholders’ actions are to a high degree determined by their institutional preferences and self-interest. In the CAs, the motives for cooperation differ, and although these differences supposedly could be overcome, they are in fact not. One of the stakeholders, the Public Employment Service, limit its interest to coordinating resources, while the other three wishes to engage in elaborated cooperative work forms, implying the crossing of organizational borders. This discrepancy can largely be attributed to the difficulties for representatives from state authorities in changing their priorities in order to make cooperation work. Conclusions Stakeholders’ interests have a high impact on the prerequisites for cooperation in return-to-work. By referring to organizational goals, stakeholders engage in non-cooperative behaviour, which threatens to spoil cooperative initiatives and to develop distrust in cooperative work forms. The results of this study expose the complexity of and threats to cooperation, and its conclusions may be used by return-to-work stakeholders in different jurisdictions to improve the possibilities for the development of cooperative structures.

Keywords

Coordination Cooperation Return-to-work Welfare Trust Sweden 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Christian Ståhl
    • 1
    • 2
  • Tommy Svensson
    • 3
    • 4
  • Gunilla Petersson
    • 3
  • Kerstin Ekberg
    • 1
    • 2
  1. 1.National Centre for Work and Rehabilitation, Department of Medical and Health SciencesLinköping UniversityLinköpingSweden
  2. 2.HELIX VINN Excellence CentreLinköping UniversityLinköpingSweden
  3. 3.Department of Behavioural Sciences and Learning, Division of SociologyLinköping UniversityLinköpingSweden
  4. 4.Nordic School of Public HealthGöteborgSweden

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