Table 2.

Overview of themes and related contextual factors

Theme	Contextual factors
The importance of addressing problems on multiple life domains among employees with a lower SEP	• Problems on multiple life domains are recognized among employees with a lower SEP • Addressing problems among employees with a lower SEP requires more attention • Difficulty to solve problems on multiple life domains among employees with a lower SEP • Employees with a lower SEP are hard to reach for participation in preventive interventions
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
Difficulties in early identification of employees at risk for health problems	• Methods for the identification of employees at risk mainly focus on indicated prevention • Limited availability of occupational physicians to preventively address problems on multiple life domains • Occupational social workers or occupational nurses more accessible than occupational physicians to preventively address problems on multiple life domains • Organizations not always willing to invest in preventive conversations with occupational health professionals or in preventive interventions
Risk of conflicting role for supervisors in addressing problems on multiple life domains	• Supervisors play an important role in the early identification of workers at risk for health problems • Supervisors play an important role in referring employees to an OHP on time • Supervisors discussing problems on multiple life domains may disadvantage employees • Privacy regulations to discuss problems on multiple life domains are unclear