THE PROCESS OF (RE) BUILDING MULTIPROFESSIONALISM IN PRIMARY CARE: LIMITS AND CHALLENGES FOR EFFECTIVE TEAMWORK IN FAMILY HEALTH STRATEGY IN JOAO PESSOA - PB

Abstract

Multiprofessionalism has been reported in the literature on health care models as a tool of paramount importance to the construction of more integrative and interdisciplinary practices compatible with the expanded concept of health, and new forms of collective work in health with emphasis to the multiprofessional work team. The family health team has been considered a privileged locus for performance of that practice. This study aimed to analyze the perceptions of primary health care professionals on the process of building multiprofessionalism in the Family Health Teams of the III Sanitary district of the city of Joao Pessoa. The research had exploratory nature, through a qualitative and quantitative approach. Were applied 15 semi-structured questionnaires to health team’s professionals with complete degree (Nurse, Doctor, and Dentist) and to matrix supporters, contemplating 04 FHT of that district. The collected information was organized, categorized and examined in order to recombine the evidence, given the initial propositions of the study. Results: With regard to the profile observed, there was female predominance with 60% representation. Among the occupational categories, it was found that most professionals were dentists with 33% representation, followed by nurses (27%), physicians (20%), pharmacists (13%) and only 7% were physiotherapists. As regards employment contract, it was verified that 80% of professionals interviewed were service providers. About 66% of them consider the HCA as the professional category that most facilitates team work. From the analysis, it is concluded that, despite the initiative to restructure health care model and the FHT is guided by the principle of multiprofessional work, there is a movement for "deconstruction" of multiprofessional work, evidenced by fragmented, disjointed, and individualistic actions. DESCRIPTORS: Family health. Comprehensive Health Care. Public health.