Desafios para a ação interdisciplinar na atenção básica: implicações relativas à composição das equipes de saúde da família

Abstract

Desafios para a ação interdisciplinar na atenção básica: implicações relativas à composição das equipes de saúde da famíliaChallenges to an interdisciplinary action in basic care: implications related to composition of family health teams

Concept of health team in ensuring universal health care delivery

“…1 Broadly, a health team has been defined as a group of persons who share a common health goal/objective, based on the needs of the community, and toward the achievement of which each member of the team contributes in accordance with their competence or skills. 2 This health team concept has been encouraged as most of the functions of the physician can be performed by trained health workers (viz.…”

“…nurses, social workers, health assistants, outreach workers, and a host of others), and it also assists in strengthening the ties of commitment among programme managers, health care professionals, and members of the community. 1,2 In fact, it is visualized as a sort of most appropriate care, delivered by the most appropriate workers in the most appropriate settings. 3 The members of the health team work in collaboration with the community (with special emphasis on the family as a unit) and develop action plans based on their felt needs to ensure delivery of comprehensive care to the individual and their families.…”

“…4,5 As a part of their discharge of duties, the members of a health team establish bonds with the people which indirectly assists them in improving their communication, ensuring removal of the prevalent myths and misconceptions related to a specific health condition, and maintaining a follow-up to monitor the anticipated change in health behaviour of the community. 4,6 The members of a health team play a crucial role in the public health set-up by providing comprehensive care to families 1 ; identifying health problems/associated potential risk factors and encouraging community participation and action in solving their problems 1,6 ; facilitating early detection of violence against children and adolescents 5 ; promoting healthy maternal and child welfare practices 7 ; extending social support to disadvantaged segments of population 8 ; and in performing evaluation of health planning interventions. 9 Despite the availability of multiple evidences reflecting the utility of the health team in the public health arena, the initiative still faces a lot of hurdles.…”

“…4,7,10,11 To enhance the contribution of health teams in reducing the magnitude of a disease or improving the quality of life of people, it is of utmost importance to have the right 'mix' of health personnel with clear roles and sufficient freedom to exercise their skills. 2,12 Furthermore, implementation of other strategies has also been recommended (such as selecting a good leader 2 ; scientific and rationale decision to decide members of health team based on health concern 6,8 ; organizing training sessions for the members of the health team 1,7 ; ensuring effective interprofessional collaboration 13,14 ; facilitating regular interaction and feedback on performance 12 ; extending adequate infrastructure support 11,12 ; and encouraging research activities to promote better understanding among members of the team at different levels 14 ) in order to expand the benefits of the health team.…”

Extensão Popular na formação profissional em saúde para o SUS: refletindo uma experiência*

“…O trabalho interdisciplinar contempla, entre outros aspectos, a possibilidade de trabalho conjunto, que respeita as bases disciplinares específicas, mas busca soluções compartilhadas para os problemas das pessoas 10 e esbarra na formação dos profissionais de saúde que tendem a privilegiar o trabalho individual em relação ao coletivo 11 , o que prejudica a integração da equipe e a aplicação da prática necessária ao cuidado integral.…”