title: From cooperation to conflict? Swedish rehabilitation professionals' experiences of interorganizational cooperation.
abstract: OBJECTIVE
  This article analyses Swedish rehabilitation professionals' experiences of interorganizational cooperation in return-to-work and labour market reintegration.
  
  
  METHODS
  Two groups (n = 15) from different organizations met on a regular basis to discuss their practice from a cooperation perspective. The participants had experience of cooperation in the organizational setting of Coordination Associations. The groups worked with a tutor according to a problem-based methodology, to discuss how their practice is influenced by new structures for cooperation. The material was analysed inductively using qualitative content analysis.
  
  
  RESULTS
  Interorganizational cooperation in rehabilitation is generally perceived as promoting coherence and communication. Nevertheless, there are several contradictory factors in the implementation of such work forms, primarily inflexible sickness insurance regulations and inability of managers to implement cooperation in regular practice.
  
  
  CONCLUSIONS
  While interorganizational cooperation promotes professional discretion and tailored solutions, the insurance system contradicts such ambitions through increased governance. Ultimately, the contradictory tendencies of cooperative initiatives and the stricter governance of sickness insurance regulations are political matters. If political attempts to promote interorganizational cooperation are to succeed, the increasing sectorization that results from strict governance of sickness insurance regulations needs to be targeted on a system level.
authors.affiliation: Department of Medical and Health Sciences, National Centre for Work and Rehabilitation, Linköping University, 581 83 Linköping, Sweden. christian.stahl@liu.se
authors.forename: Christian
authors.initials: C
authors.lastname: Ståhl
authors.forename: Tommy
authors.initials: T
authors.lastname: Svensson
authors.forename: Kerstin
authors.initials: K
authors.lastname: Ekberg
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D006233:Persons with Disabilities / Q000534:rehabilitation*; D004651:Employment / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006801:Humans; D009786:Occupational Health Services / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D012943:Social Security / Q000331:legislation & jurisprudence / Q000458:organization & administration; D013548:Sweden; D013997:Time Factors; D014938:Work Capacity Evaluation