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[Limitations of multiprofessional work: a case study of STD/AIDS reference centers]
Neide Emy Kurokawa e Silva1, Luzia Aparecida Oliveira, Wagner dos Santos Figueiredo
1Centro de Referência DST/Aids, Secretaria Municipal de Saúde de São Paulo, São Paulo, SP, Brasil. nemy@ifxbrasil.com.br
Objective:
To understand the possibilities and limitations of developing coordinated work among professionals of different background in order to promote work collaboration and improve the quality of care of HIV/AIDS patients.
Methods:
A qualitative study on multiprofessional work was carried out in five STD/AIDS reference centers in the city of São Paulo, Brazil. Semi-structured interviews were applied to 26 professionals from different background, focusing on how they position their practices in a multiprofessional setting.
Results:
Significant differences were observed as to the outreach of multiprofessional work collaboration and possibilities of improving health care are related to the circumstances the multiprofessional work is done.
Conclusions:
When the multiprofessional team has to deal with predictable circumstances and the planning of long-term care projects where demands are anticipated from situations found in their practices, this creates better working conditions for effective collaboration. This collaboration favors interventions that promote a more productive interaction between the medical treatment and other relevant dimensions of care, such as social, psychological, and emotional needs of the patients.