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(Un)healthy algorithms? Trade union, employer, and government action for safety and health in algorithmically managed work

Published online by Cambridge University Press:  29 January 2026

Ruben Lind*
Affiliation:
Karolinska Institute, Stockholm, Sweden
Karin Hennum Nilsson
Affiliation:
Karolinska Institute, Stockholm, Sweden
Pille Strauss
Affiliation:
Karolinska Institute, Stockholm, Sweden
Michael Quinlan
Affiliation:
O&M, University of New South Wales, Sydney, Australia
Emma Brulin
Affiliation:
Karolinska Institute, Stockholm, Sweden
Min Kyung Lee
Affiliation:
School of Information, University of Texas at Austin, Texas, United States
Carin Håkansta
Affiliation:
Karolinska Institute, Stockholm, Sweden
*
Corresponding author: Ruben Lind; Email: ruben.lind@ki.se
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Abstract

Algorithmic management (AM) is reshaping work in many industries. However, what is done to redress potential risks is little understood. This study explores how trade unions, employers, and government actors assess AM-related occupational safety and health (OSH) risks and their strategies to understand how industrial relations could influence the safety and health of workers managed by digital technologies. Drawing on the Pressure, Disorganisation and Regulatory failure (PDR) model and interview and document data from Sweden, we find a gradually increasing interest in AM in the early 2020s among the government and the social partners. Unions learn, inform, and bargain about AM; employers enact ‘healthy discipline’; and government agencies inspect digital risks in workplaces. Moreover, economic and reward pressures contribute to AM-associated OSH risks. Disorganisation manifests as a lack of knowledge about the OSH effects of AM, leading to ineffective OSH management. Regulatory failure is reflected in new EU regulations stalling national-level initiatives, since the overlapping regulations complicate the enforcement of existing OSH regulations. This study highlights the crucial role of trade unions in advancing the agenda on AM-related OSH risks. It also makes a theoretical contribution by extending the PDR model, offering insights into the driving forces shaping AM and compromising OSH beyond the workplace level – highlighting wider politico-economic and institutional dynamics influencing OSH.

Information

Type
Original Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The University of New South Wales
Figure 0

Figure 1. Overview of collected data and analytical methods.

Figure 1

Table 1. Number and year of interviews and affiliation and role of interviewees in individual and focus group interviews

Figure 2

Table 2. Overview of themes divided by two aggregate dimensions and three actors: trade unions, employers, and government

Figure 3

Table 3. Word count of ‘digital’ and ‘algorithm’ in OSH strategy documents and annual reports of government organisations SWEA and SAWEE