Dimensions of interprofessional collaboration in the dynamics of the expanded family health and primary care centers: A qualitative study

Primary health care (PHC) in Brazil is based on Family Health Strategy (FHS) teams. These teams are supported by Expanded Family Health and Primary Care Centers (Nuclei) (NASF-AB) whose services are backbone elements for comprehensive health care within PHC. NASF-AB encompass several professional gr...

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Bibliographic Details
Published in:	Journal of interprofessional care Vol. 36; no. 5; pp. 676 - 683
Main Authors:	de Brito, Geraldo Eduardo Guedes, Benício de Sá, Joserires Gleydson Santos, de Andrade, Augusto José Bezerrade, Forte, Franklin Delano Soares, Batiston, Adriane Pires, Viana da Costa, Marcelo
Format:	Journal Article
Language:	English
Published:	Abingdon Taylor & Francis 03-09-2022 Taylor & Francis Ltd
Subjects:	Attribution Collaboration Content analysis Health care Interagency collaboration Interdisciplinary aspects interprofessional relations Multidisciplinary teams Primary care Primary health care Qualitative research Responsiveness Staffing Teams work Brazil
Online Access:	Get full text
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Summary:	Primary health care (PHC) in Brazil is based on Family Health Strategy (FHS) teams. These teams are supported by Expanded Family Health and Primary Care Centers (Nuclei) (NASF-AB) whose services are backbone elements for comprehensive health care within PHC. NASF-AB encompass several professional groups that aim to increase the responsiveness and scope of actions of the FHS teams. The objective of this study was to identify the dimensions of collaboration in the work dynamics of NASF-AB in the capital of Northeast Brazil. The study was a descriptive and exploratory research using a qualitative approach through semi-structured interviews with nine NASF-AB workers and three district health managers. Three analytical categories were identified following content analysis: "Interprofessional and inter-organizational collaboration," "Mainstays of collaboration in the relationship between NASF-AB and FHS," and "Challenges for a culture of collaboration in health care work." The results revealed important characteristics for interprofessional collaboration, including recognition of the attributions of the different teams and the key role of communication and planning. Participants highlighted roadblocks for interprofessional collaboration that hampered comprehensive care, such as the shortage of manpower and material resources, work overload, and lack of availability of professionals for effective teamwork.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1356-1820 1469-9567
DOI:	10.1080/13561820.2021.1977618