Cenário da colaboração interprofissional nos níveis de atenção do SUS: uma revisão de escopo

Abstract

Introduction: The Unified Health System brings with it an expanded concept of health that goes against the predominant biologicist model. However, after decades its influence on SUS services is still notorious, due to the fragmentation of care. In this scenario, interprofessionality and its related concepts stand out, through interprofessional education and continuing education. Objective: To describe the scenario of interprofessional collaboration at the different levels of care in the SUS. Method: This is a scoping literature review study with a qualitative and quantitative approach, using thematic content analysis for the former and simple descriptive statistical analysis for the latter. Results: Initially 689 studies were collected, 431 from SciElo, 91 from the VHL, 121 from BDTS and 46 from PubMed. 206 duplicates were excluded and of the 483 resulting, 339 were removed after reading the title and abstract, resulting in 144 and after reading the full text 63 were excluded, resulting in 81 selected. There was a predominance of studies with a qualitative approach (70.37%). A significant proportion focused on primary care, accounting for 64.20% of the publications. The year 2018 was the period with the highest publication rate (20.99%) regarding interprofessional collaboration in the SUS. They focused more on ways of organising healthcare and the work process (23.46%), followed by the professional profile of the multi-professional team (18.52%) and the approach to diseases and stages in the life course (17.28 per cent). Conclusion: The impediments to interprofessionality in the SUS range from verticalised power relations to inadequate infrastructure for meetings. The government is trying to get around this issue by introducing multi-professional residency programmes, PET-Saúde/Interprofissionalidade and other intersectoral actions. Encouraging research in this area is crucial to inserting this working logic into the practice of health professionals.