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a fair amount of studies have been conducted on this in this area but most of them are intervention studies and in these intervention studies the outcome often is that the intervention didnt work and because they have looked at return to work as an outcome we still dont know much about the process so I believe if I study had several strings we looked at the process rather than the outcome by using qualitative methods thats quite new and and it gave us a lot of information that otherwise would not have been found another thing is that we very much involved or focused on on the perspective of the worker and also other stakeholders involved so this study was conducted in a in a Dutch Social Security system and it is different from other jurisdictions in the Netherlands the employer has the responsibility of the of the return to work process of the worker for two years so it means that the employer is the paid the compensate for the salary of the worker when the worker is on sick sickne