The reform changed the OHS safety market fundamentally. OHSs were transformed from medium sized regional units
into business organizations mostly operating on a national level. Private insurance companies became key players. Only after
the development of an effective social infrastructure, however, intended effects (lower absenteeism and disability) occurred.
Occupational health professionals were initially opposed but by redefining their professional domain and identity, they finally
succeeded in gaining negotiating power in order to preserve and develop expertise and professional integrity