137 Context analysis of interventions among lower socioeconomic position employees Table 2. Overview of themes and related contextual factors Theme Contextual factors Unclarity of responsibilities for solving problems on multiple life domains • Low sense of responsibility experienced in occupational health services • Employers eventually determine the content of occupational services provided • Employers who see their employees as valuable feel responsible • Employers with sufficient resources feel responsible • Employers of employees with a lower SEP do not always act in the interests of employees • Low sense of responsibility experienced in small and medium sized enterprises • Limited influence of employees with a lower SEP on occupational health policies • Low sense of responsibility experienced in occupational and curative healthcare Necessity of better collaboration between occupational and curative health care • Two separate options to discuss problems on multiple life domains • Lack of collaboration between occupational and curative healthcare • Collaboration between occupational and curative healthcare is perceived difficult Insufficient investments in prevention by employers • Prevention of health problems and (long-term) sick leave is an important priority • Lack of attention for prevention in contracts • Less resources for prevention in smaller organizations or organizations in a crisis • Employers not seeing their employees as valuable invest less in prevention • Results of prevention are often unclear and cannot always be quantified • Employers focus on short term results and only act in case there are problems • Employers without support from key stakeholders in organizations difficult to convince to invest in prevention 5
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