title: [Interdisciplinary cooperation in occupational health: ethical friction].
abstract: 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.
  
  
  METHODS
  Qualitative, exploratory study.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Erasmus MC, afd. Medische Ethiek en Filosofie, Rotterdam, the Netherlands.
authors.forename: Inge E
authors.initials: IE
authors.lastname: den Besten
authors.forename: A P Noks
authors.initials: AP
authors.lastname: Nauta
authors.forename: W A Jim
authors.initials: WA
authors.lastname: Faas
authors.forename: André N H
authors.initials: AN
authors.lastname: Weel
authors.forename: Kerst
authors.initials: K
authors.lastname: Zwart
authors.forename: M T Medard
authors.initials: MT
authors.lastname: Hilhorst
mesh_terms: D000041:Absenteeism; D003657:Decision Making; D004185:Disability Evaluation; D006801:Humans; D009426:Netherlands; D016272:Occupational Health / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D010348:Patient Care Team / Q000941:ethics* / Q000592:standards; D024382:Professional Role; D018582:Sick Leave; D012941:Social Responsibility