[Interdisciplinary cooperation in occupational health: ethical friction].

Ned Tijdschr Geneeskd

Erasmus MC, afd. Medische Ethiek en Filosofie, Rotterdam, the Netherlands.

Published: October 2011

Objective: To investigate which ethical considerations play a role in the assessment of absenteeism due to sickness and of disability, and how these are dealt with.

Design: Qualitative, exploratory study.

Method: We conducted interviews with 32 individual professional practitioners: 8 occupational health physicians, 8 insurance company physicians, 8 general practitioners, and 8 psychologists, with the aid of a semi-structured questionnaire. During the interview we differentiated between 4 clusters of questions referring to the ethical, legal, interdisciplinary, and professional context, respectively. The study revealed only the spectrum of ethical considerations that played a role, and not the representativeness. For this reason the results did not allow for quantitative conclusions.

Results: Differences in the manner of thinking and behaving between health-care providers stem from differences in ethical considerations and in background beliefs. These differences hinder effective cooperation within the occupational health sector.

Conclusion: To improve professional performance and to achieve more responsible decision-making those involved need to be aware of their ethical considerations and background beliefs and to make them explicit, possibly with the aid of a checklist.

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