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Occupational Physicians’ Perspectives on Determinants of Employee Participation in a Randomized Controlled Musculoskeletal Health Promotion Measure: A Qualitative Study

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  • Kristina Schubin

    (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences, Faculty of Medicine, University of Cologne, 50933 Köln, Germany)

  • Lara Schlomann

    (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences, Faculty of Medicine, University of Cologne, 50933 Köln, Germany)

  • Lara Lindert

    (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences, Faculty of Medicine, University of Cologne, 50933 Köln, Germany)

  • Holger Pfaff

    (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences, Faculty of Medicine, University of Cologne, 50933 Köln, Germany)

  • Kyung-Eun Choi

    (Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Sciences, Faculty of Medicine, University of Cologne, 50933 Köln, Germany)

Abstract

Occupational physicians (OPs) are key figures for advising employees and employers about prevention and health at the workplace. However, knowledge of their views on participation in health promotion measures is sparse. This qualitative study aims to explore occupational physicians’ experiences with employee participation in a randomized controlled workplace measure for musculoskeletal disorders (MSDs) in Germany. We conducted eight semi-structured telephone interviews with occupational physicians. Interviews were transcribed verbatim and analyzed using a combination of conventional and directed content analysis. Findings were mapped based on Andersen’s behavioral model of health services use, resulting in four categories and 10 subcategories. (a) Contextual factors of the measure comprised impacts of the healthcare system and company environment, (b) individual factors of measure participation comprised demographic, social, belief, and MSD need characteristics, (c) health behavior during the measure included OPs’ communication, employees’ personal practices and measure participation, and (d) outcomes of participation included health status, satisfaction, and dissatisfaction with the measure. Findings imply occupational physicians’ and employees’ views should be investigated on a broader scale. Researchers should use present statements for the development of intervention studies, while political and managerial authorities can improve organizational conditions of prevention based on these findings.

Suggested Citation

  • Kristina Schubin & Lara Schlomann & Lara Lindert & Holger Pfaff & Kyung-Eun Choi, 2020. "Occupational Physicians’ Perspectives on Determinants of Employee Participation in a Randomized Controlled Musculoskeletal Health Promotion Measure: A Qualitative Study," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7445-:d:427099
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
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    1. Kyung-Eun (Anna) Choi & Lara Lindert & Lara Schlomann & Holger Pfaff, 2022. "“I’ll leave that to the case managers.” Healthcare Service Providers‘ Perceptions of Organizational Readiness for Change in a Randomized Controlled Trial—A Qualitative Analysis Exploring Implementatio," IJERPH, MDPI, vol. 19(9), pages 1-17, May.
    2. Regina Lutz & Wolfgang Fischmann & Hans Drexler & Elisabeth Nöhammer, 2022. "A German Model Project for Workplace Health Promotion—Flow of Communication, Information, and Reasons for Non-Participation in the Offered Measures," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    3. Kristina Schubin & Holger Pfaff & Sabrina Zeike, 2021. "How Managers Perceive and (Do Not) Participate in Health Promotion Measures—Results from a Cross-Sectional Mixed-Methods Survey in a Large ICT Company," IJERPH, MDPI, vol. 18(18), pages 1-15, September.
    4. Martina Michaelis & Christine Preiser & Susanne Voelter-Mahlknecht & Nicole Blomberg & Monika A. Rieger, 2022. "Uptake of Voluntary Occupational Health Care—Assessments of German Occupational Health Physicians and Employees," IJERPH, MDPI, vol. 19(15), pages 1-22, August.
    5. Kyung-Eun (Anna) Choi & Lara Lindert & Lara Schlomann & Christina Samel & Martin Hellmich & Holger Pfaff, 2021. "A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies," IJERPH, MDPI, vol. 18(22), pages 1-13, November.

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