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Table 2 Overview of themes and subthemes

From: Supporting employees with chronic conditions to stay at work: perspectives of occupational health professionals and organizational representatives

Barriers to provide support
 1. Negative organizational attitudes towards employees with chronic conditions
  • Not wanting to retain employees with chronic conditions and contribute to their sustainable employment
  • Employers’ financial considerations and fear of high costs
  • Employers’ mistrust and co-workers’ jealousy towards needed accommodations
 2. Employees’ reluctance to collaborate with employers in dealing with work-related problems
  • Employees’ non-disclosure of their chronic condition
  • Employees’ lack of cooperation
 3. Lack of skills and knowledge of how to support employees with chronic conditions
  • Employers’ lack of knowledge of rules and regulations
  • Too much medicalization of support
 4. Suboptimal collaboration between OPs and organizational representatives
  • Not meeting each other’s expectations in terms of performance
  • Questioning OPs’ objectivity
  • Impeded communication due to privacy legislation
 5. Lack of utilization of OPs’ support
  • Employers and employees fail to seek preventive support from OPs
  • Employers do not refer employees to preventive consultation hours
 6. OPs’ lack of visibility
  • Employees’ unawareness of the availability of support from OPs
  • The distance between OPs and organizations
 7. OPs’ lack of time and capacity for prevention
  • Too much time is spent on reducing sickness absence rather than on prevention
  • Shortage of OPs
Opportunities to improve support
 8. Shared responsibility of all stakeholders involved to prevent work-related problems
 9. Actively anchoring prevention of work-related problems in policy and practice
  • Proactive prioritizing prevention in occupational health care
  • Creating a supportive work environment and developing organizational policy
 10. Increasing the role of the health care sector in the prevention of work-related problems