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to identify the difficulties and needs of medical professionals in occupational health services in Catalonia with respect to carrying out their functions, as prescribed by law. Delphi study in three rounds. The selection of participants was carried out sepa - rately for in-house versus outsourced occupational health services. The first round included two open-ended questions What difficulties do you encounter when performing your duties in your occupational health service? And, what are your needs in terms of being able to per - form you