Interprofessionality and interdisciplinarity in health: reflections on resistance from concepts of Institutional Analysis

Abstract

This study aimed to report the experience of the students of the professional master’s degree in health services management, regarding the use of concepts of Institutional Analysis, to analyze the resistances to interprofessional and interdisciplinary work in health, locating them as an analyzer of the process and of work relationships. The study was prepared from the experience and analysis of institutional journals, written by students, and analyzed based on the theoretical framework of Institutional Analysis. It was observed that resistance to interprofessional and interdisciplinary work, especially on the part of physicians, crosses health organizations, work relationships, and assistance to users. However, this resistance is also exercised by other professionals and users, which limits the interdisciplinarity and comprehensiveness of health care. But if, on the one hand, there is still a certain predominance of the biomedical model, on the other hand, resistance to this model is also observed in health organizations, needing to expand the spaces of collective analysis capable of enunciating the reductionism of this paradigm. It can be concluded that collectively analyzing these resistances allows health professionals to expand the conditions to leave their established places and perceive the instituting movements in the services in which they work.

Interdisciplinaridade: uma utopia repleta de desafios e presente no discurso - percepções de profissionais da reabilitação

“…Já no que diz respeito ao funcionamento das instituições/serviços de saúde (aspectos de ordem estrutural), é fato que tais serviços acabam perpetuando a hierarquização do saber em razão de sua própria organização, de modo que, em muitos casos, a figura do médico aparece como superior na cadeia hierárquica profissional, não havendo, assim, a horizontalidade necessária ao funcionamento de uma equipe de saúde 6,24 .…”