In the beginning of the reform there was a lot of concern about the position and professional integrity of the occupational health professionals. Price competition is in principle a threat to professional integrity as long as quality standards are not guaranteed. The rise of a strong management shift within the OHSs and the standardization of work processes imply a clear limitation of the autonomy of the individual professional. Competition between OHSs and the enormous differentiation of the work content could undermine the coherence and identity of the profession. Certainly, in the first phase, a lot of abuses were reported by professionals and workers [28], the influence of the professionals certainly decreased, but ultimately their credibility was not harmed severely. The occupational physicians did succeed in redefining their role and position. They limited their domain to the individual and medical aspects of rehabilitation and a group occupational specialists came up. More attention was given to the diagnosis of symptoms like low back, neck and shoulder pain and the evidence of treatments.