How can we understand the role of health management in value creation within an organization? Interviews with persons from eight different companies and two unions have been done to offer a deeper understanding of health management as an effective tool for organizational profitability.

Findings include that organizational culture and structure are the most important issues a company should focus on to promote a healthy organization with focus on value creation. It is important that employees could influence the working conditions. The employees have to be involved in the work with improvements. The opportunity to develop skills and a strong communication are other important factors in health management. Focus on costumers is another central factor in organisations with a health management approach.

Findings also include that a close cooperation with the occupational health services could be a tool to promote the organizational health. The occupational health services then need to work in the organization. One part could be by recurrent participation at the working places. The findings in this study confirm the complexity of health management's influence of the company's value creation process and competitive advantage.  There is no simple solution to become a healthy and profitable organization.

Conclusions are that it is possible to structure the organization to promote both health and the value creation. The role of health management in value creation within an organization could be summarized in four words. These are engagement, respect, trust and responsibility.

The relevance of the study is that it gives an idea of how health management could be profitable for companies. Not only as reduced costs for decreased absence due to illness or rehabilitation but as added value to the company. It could also give an idea of how to communicate the influence of health management.