National Centre for Work and Rehabilitation, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.
J Occup Rehabil. 2010 Sep;20(3):299-310. doi: 10.1007/s10926-009-9205-0.
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.
Thirty-five representatives from two CAs in eastern Sweden were interviewed regarding the aim, structure and strategies for their common work.
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.
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.
近年来，利益相关者在重返工作岗位方面的合作受到了越来越多的重视。然而，关于这一主题的实证研究还很缺乏。本研究探讨了不同公共利益相关者参与协调协会（CA）的经验，CA 是瑞典重返工作岗位结构化合作的一种形式。本研究的目的是确定利益相关者的利益对合作前提的影响。
对瑞典东部两个 CA 的 35 名代表就其共同工作的目标、结构和策略进行了访谈。
利益相关者的行动在很大程度上取决于他们的制度偏好和自身利益。在 CA 中，合作的动机不同，尽管这些差异本应可以克服，但实际上并没有。其中一个利益相关者——公共就业服务机构——将其合作动机仅限于协调资源，而其他三个则希望参与更详细的合作形式，这意味着要跨越组织边界。这种差异在很大程度上可以归因于国家机构的代表改变其优先事项以实现合作的困难。
利益相关者的利益对重返工作岗位的合作前提有很大的影响。通过参考组织目标，利益相关者采取了不合作的行为，这威胁到了合作倡议的破坏和对合作工作形式的不信任的发展。本研究的结果揭示了合作的复杂性和威胁，其结论可被不同司法管辖区的重返工作岗位利益相关者用于改善合作结构发展的可能性。
