Rosanne Schaap

259 General discussion to gain a clearer overview of the problems in their lives. This expert could also initiate collaboration and cooperation with other professionals and coordinate which professional does what and when. Another way to promote collaboration between professionals from different domains is by providing them with more information about the responsibilities of professionals in other domains and with practical ways to collaborate (43). This is needed, as professionals are not always familiar with the duties and responsibilities of professionals in other domains and may have misconceptions about their role (44). This kind of information could be provided in a joint training of professionals from occupational and curative health care, possibly already during their education (43). Besides unclarity about duties and responsibilities, the results of this thesis also showed that professionals feel a low sense of responsibility to solve problems in other domains. Therefore, agreements on allocation of tasks to clearly define roles and responsibilities are also needed. At last, professionals from occupational and curative health care in the Netherlands can already communicate through an existing online portal ‘ZorgDomein’. Additional research should be used to examine whether this type of electronic communication systems actually help to improve interprofessional collaboration and cooperation, or that additional measures are needed. Another solution for a more person-centered approach is by integrating occupational into curative health care. This was also mentioned several times in this thesis as a possible solution to improve collaboration between professionals from occupational and curative health care. Other countries also show that integrating care could be an effective way to enhance work participation. In Norway occupational care is operating independently of curative health care and regulated and funded separately. For the evidence-based IPS-method (i.e. Individual placement and support) to support people with mental illness to obtain a job and maintain employed, integrated care was an important aspect for its effectiveness (45). Moreover, integrating OHPs in curative health care could also be an effective way to reach workers in a vulnerable position, and may prevent the misconception of OHPs’ partiality to the employer. To achieve integrated care, health care services in occupational, curative and/or social domain should make agreements on how to facilitate collaboration. To tackle financial and regulatory barriers for collaboration, shared shaving agreements could be implemented. In this type of agreements stakeholders from different domains make agreements on the type of care that is provided to a specific target group and about the costs, under the condition that the stakeholder that makes the investments is also the one who receives the benefits from the investment (46). Shared shavings were found to be potentially useful in health care and could improve integrated care (4649). Therefore, the use of such agreements should be further explored to integrate occupational and curative health care. To achieve integrated care, we could also learn valuable lessons from other countries, such as the United Kingdom, which 8

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